​While the tools are identical to those used in acupuncture, the principles applied to both differ. Dry needling is rooted in Western Philosophy, with a focus of soft tissue manipulation based on human physiology. A common application of Dry Needling is releasing tension by eliciting local twitch responses on myofascial trigger points. When applied properly, muscle tension or pain is reduced, promoting relaxation and recovery.

On the other hand, Acupuncture is based on Eastern Philosophy, applying the concept of 'Chi' flow throughout the body. Through the use of needles, Acupuncture aims to facilitate certain benefits based on meridian lines. Acupuncture is often used by practitioners experienced in Traditional Chinese Medicine.