10/06/2026
Hamstring Tendinopathy? Dry needling may be part of the solution, but not completely what you need!
If you’ve been dealing with that stubborn pain high in the hamstring — especially pain with running, hinging, lifting, or prolonged sitting — you may benefit from dry needling as part of your rehab.
So where am I actually needling?
Depending on the presentation, I may target areas of the hamstring muscle and surrounding soft tissue that are contributing to increased tone, sensitivity, or altered muscle function. The goal is to help “reset” the system — potentially decreasing pain and muscle guarding and improving how the hamstring moves and contracts.
But here’s the important part:
Dry needling does NOT rebuild tendon capacity by itself.
Think of it like this:
Dry needling = RESET
Progressive strengthening = REBUILD
Running/sport-specific loading = RETURN
Research supports dry needling as a potential adjunct for tendinopathy, particularly when combined with therapeutic exercise. However, the evidence is not strong enough to say that everyone with hamstring tendinopathy needs to be needled on a specific schedule.
That’s why I don't use dry needling as the treatment. I use it strategically! The goal is to build a hamstring that can handle what you actually want to do.