Acupuncture / dry needling is the oldest form of alternative medicine. It involves the insertion of fine needles through The skin at certain points on the body surface for therapeutic effect. Medical acupuncture is based on the current understanding of human anatomy, physiology and pathology and the principles of evidence-based medicine. Medical acupuncture lays emphasis on the concept of trigger points and involves the insertion of dry needles to trigger points to produce the clinical effect. In addition, the therapy is primarily used to alleviate musculoskeletal pain, including myofascial pain syndrome.