Dry needling involves inserting a monofilament needle into soft tissue, such as muscles and ligaments to elicit a twitch or muscle relaxation response. It is termed dry needling due to the lack of medication during insertion.  Dry needling is often used in conjunction with appropriate exercises prescribed by your physical therapist giving you the best chance for optimal outcomes.

Dry needling is effective in treating a variety of musculoskeletal pain.  Furthermore, it can aid with movement impairments by assisting in releasing chronic tight muscles and improving range of motion.

Some of the more common conditions I treat with dry needling:

  • Myofascial trigger points
  • Cervical pain
  • Shoulder stiffness
  • Rotator cuff impingements


  • Lateral epicondylitis, aka tennis elbow
  • Medial epicondylitis, aka golfer’s or baseball elbow
  • Rotator cuff tendonitis. This is also known as biceps tendonitis.
  • Low back pain
  • Piriformis syndrome to assist with sciatica
  • TMJ
  • Hip pain
  • Iliotibial band (ITB) syndrome


What is the difference between acupuncture and dry needling?

Acupuncture is based on Chinese philosophy and dry-needling is more of a Western philosophy. Acupuncture utilizes a meridian system, in which a needle may be placed more distally along the body in order to elicit the appropriate reactions.  Dry needling, although we use the same needles, has a different philosophy.  We apply needles in the location where a patient is experiencing symptoms versus using a referred pattern.  For example, if you are experiencing trigger points along your neck muscles we would apply the needles directly in those areas to elicit a relaxation response.

What is the reaction one could expect from dry needling? 

As it’s not always necessary to elicit a muscle twitch, it is something I’m trying to accomplish during treatment.  A twitch will allow muscles to relax and release from its tight nature.  It is not uncommon for patients to be a little sore following a needling session.  I expect to see results immediately, with longer lasting results after approximately 3-4 sessions.

What is a myofascial trigger point? 

A trigger point is a hyperirritable taut band of skeletal muscle located within a larger muscle group. Trigger points can be tender to the touch, and touching a trigger point may cause pain to other parts of the body.

What causes myofascial trigger points?

Myofascial pain often results from muscle injury or repetitive strain, such as an athletic injury, gym activity, poor bending/lifting habits, and poor ergonomics such as prolonged sitting at a computer desk or during long drives.

Why are myofascial trigger points painful?

Trigger points are hypersensitive in nature due to lack of proper blood flow and at times they can compress surrounding nerves leading to radiating pain.

Our Services

Man getting shoulder massage

Manual Physical Therapy

Men Going Golfing

Men's Health

Man riding bike

Sports Injuries

Worker's Compensation

Man getting dry needling therapy

Dry Needling


IASTM Physical Therapy

Women's Health

Happiness - contact us image

Contact Us About Our Services

Limitless Physical Therapy & Wellness logo

Limitless Physical Therapy is more than your typical clinic. We strive for a holistic approach when accepting the challenge of helping our patients. We offer an array of services that are scientifically proven and effective at helping you with your pain and discomforts. We take pride in doing more than simply alleviating your symptoms.

Limitless Physical Therapy and Wellness

Serving in Two Locations

San Marcos, Texas

101 Uhland Rd #115 San Marcos, TX 78666
Phone: 512-878-0351
Fax: 512-878-0356

New Braunfels, Texas

951 Landa Street New Braunfels, TX 78130
Phone: 830-327-1040
Fax: 512-878-0356

Where Recovery
Has No Boundaries


I had suffered a back injury for over 2 yrs and had tried many different treatments without successfully eliminating my pain. Dr. Henderson was not only able to provide the pain relief I’d been looking for but also helped me get to a point of being physically active and able to do high-intensity workouts again. His knowledge and techniques in Physical Therapy are superior and have made a tremendous difference in my ability to live a full life. - Nalissa S.

I cannot praise Dr. Henderson’s skills highly enough. Before I started working with him, I had been to four MDs, worked with two other physical therapists, and seen a chiropractor. After wasting thousands of dollars on expensive scans and painful procedures, I had lost hope.Rob helped me when no one else could. Not only is he skilled, but he really cares about his patients. He listens to me and answers all my questions. He treats me like an intelligent person. Thank you, Rob, for helping me get my life back. - Caroline M.

Before I went to Dr.Robert Henderson, I had Vertigo and was experiencing extreme dizziness. I went to several doctors, and none of the suggested treatments worked. I had given up. Dr.Robert Henderson changed that. After my first few sessions, I felt better, and the vertigo is gone. I highly recommend Dr. Robert Henderson for his caring and professionalism in my goal of getting better. - Heather H.

Upon meeting Dr. Henderson and having him put together a customized plan for me, I began to feel better. He listens attentively, cares about his patients, and truly wants you to accomplish your goals. To this day, I still see Dr. Henderson when I have occasional tightness or burning in my hamstrings. After a quick session of hands-on therapy and Graston therapy, I am able to run again. I can say Dr. Henderson is truly my #1 RECOMMENDED, 5-Star Physical Therapist, and would NOT recommend anyone else before him. I can’t thank him enough for all the help he’s given me and for allowing me to run/play football again without pain. - Chris H.

Dr. Henderson put me on a customized plan of care and adjusted it accordingly as I became more comfortable with movements. When it was appropriate, we ramped up our rehab, and he began to challenge me. Dr. Henderson is by far the best physical therapist I've ever worked. Simply put I trusted Robert with getting my Achilles back to full strength. I have worked with countless trainers and rehabs doing a myriad of different types of training over the course of my life. Robert is one of the smarter, kinder people I have encountered. He's willing to learn new things to make sure his clients get the best treatments available on the market. - Brett H.