Dry Needling, Laser Pain Therapy & Medication Management

Comprehensive functional pain management extending beyond injections — including dry needling, photobiomodulation laser therapy, and evidence-based oral, topical, and injection-based medication protocols.

A Complete Toolkit for Pain Management

Effective pain management rarely depends on a single tool. Dr. Grossman integrates dry needling, photobiomodulation therapy, and a full range of medication options into individualized treatment plans — ensuring that each patient's care is as targeted and multifaceted as their condition requires.

Dry Needling

  • Fine monofilament needles inserted into myofascial trigger points
  • Elicits local twitch response, releasing taut band hypertonicity
  • Evidence-based for myofascial pain, cervicogenic headache, plantar fasciitis, rotator cuff-related shoulder pain
  • Often combined with ultrasound-guided trigger point injections for optimal effect
  • No injectable agents — purely mechanical and neurophysiologic

Laser Pain Therapy (Photobiomodulation)

  • Class IV therapeutic laser delivers photons to target tissue at specific wavelengths (810–980 nm)
  • Increases mitochondrial ATP production, reduces inflammatory cytokines, accelerates tissue repair
  • Conditions: tendinopathy, nerve pain, post-injection recovery, wound healing support, osteoarthritis
  • Non-invasive, painless, typically 5–15 minute sessions
  • Can be combined with injection procedures on the same visit

Medication Management

  • Oral: Anti-inflammatory agents, neuropathic pain medications (gabapentinoids, SNRIs, TCAs), muscle relaxants, opioid stewardship when indicated
  • Topical: Compounded formulations (diclofenac, ketoprofen, lidocaine, ketamine combinations), OTC diclofenac gel, capsaicin
  • Injection-based: Trigger point cocktails, epidural/perineural corticosteroid, prolotherapy, botulinum toxin (selected indications)

Care Philosophy

  • Minimize opioid reliance — maximize functional restoration
  • Combination therapy: procedures + medications + PT
  • Regular reassessment of medication efficacy and safety
  • Coordinate with primary care and specialists as needed
  • Urine drug screening and PDMP review where appropriate