Dry Needling: The #1 Best Treatment for Low Back Pain in 2025

Dry Needling: The #1 Best Treatment for Low Back Pain in 2025
The multifidus is an unusual muscle, and for whatever reason, with pretty much any type of chronic LBP, the multifidus gets infiltrated by adipose tissue. There are really cool studies using MRI over a period of time in patients with LBP showing the multifidus turning from normal, healthy-looking muscle to dysfunctional muscle infiltrated with fat. When this happens, the multifidus becomes dysfunctional secondary to hypoxia, chemical imbalance, decreased sarcomere recruitment, etc.

Remember, the multifidus is a postural muscle made to be actively firing low grade contractions throughout the day to help maintain our spinal stability. When it stops functioning normally, our larger, more superficial muscles, like the latissimus, take over. However, these muscles are not made to perform the job of the multifidus. Therefore, they get super pissed having to do the job of some other slacker muscle. So, they cause problems. Bastards…. This turns into a negative feedback loop that plagues many people, and unless the source of the problem is addressed, it can be difficult to stop.

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