Your therapist will palpate the problem muscle for any taut bands and identifiable trigger points. Once this spot has been located, the thin acupuncture needle within its guide tube is placed against the area where the trigger point is located. With the needling hand, the needle is gently loosened from the tube.The top of the needle is then tapped, allowing the needle to penetrate the skin. The needle is then guided toward the trigger point until resistance is felt and a local twitch response is felt.The needle is then focused in this area and/ or neighboring areas by drawing the needle in and out towards the subcutaneous tissue without taking it out of the skin, and then redirecting the needle toward the remaining trigger points. Quite often, numerous twitch responses can be felt.Once the needle has been taken out pressure will be applied directly to the skin over the needle insertion site to aid in the prevention of possible swelling or post needling soreness. The muscle would then be palpated again to reassess for any further trigger points.