11/07/2025
📍DRY NEEDLING + ELECTRICAL STIM FOR KNEE OA: What the Research Actually Shows
If you’re dealing with knee osteoarthritis (OA), you’ve probably been told your only options are meds, injections, or surgery.
But here’s the truth — the pain isn’t just from the joint. It’s also from neuromuscular inhibition, altered load distribution, and sensitized soft tissues around the knee that stop muscles like your quads and glutes from doing their job.
That’s where dry needling (DN) — especially when combined with electrical stimulation (EDN) — can change the game.
🔬 Evidence Says:
• Studies (e.g., Sánchez-Milá et al., Clin Rehabil, 2018; Perreault et al., JOSPT, 2020) show electrical dry needling to the quadriceps and periarticular knee muscles significantly reduces pain and improves function in knee OA patients.
• EDN can help reactivate inhibited motor units, reduce central sensitization, and improve gait mechanics when integrated with strengthening and functional loading.
• The effect is amplified when combined with an exercise-based rehab plan — not as a standalone treatment.
⚙️ How It Works
• The needles target neuromuscular trigger points and arthrogenic muscle inhibition zones.
• The electrical current promotes muscle re-education, circulatory improvement, and descending pain modulation.
• End result: less pain, better muscle recruitment, smoother movement.
🧠 The Misconceptions
• ❌ It doesn’t “cure arthritis.”
• ✅ It helps your body move better with arthritis.
• The real win comes when dry needling is followed by progressive strengthening, balance training, and gait retraining.
Takeaway
Dry needling with e-stim is an evidence-based adjunct, not a gimmick. It’s about modulating pain, restoring motor control, and allowing you to train without guarding.
When paired with targeted quad and hip strengthening, it can help you:
• Walk farther without pain
• Climb stairs more efficiently
• Delay or avoid more invasive procedures
👉 At GT Physical Therapy, we use this science-driven approach to help our knee OA patients move better, hurt less, and get back to doing what they love — without relying on injections or endless meds.