Dry needling is a modern, evidence-based technique used to address trigger points—sensitive spots in tight bands of muscle, first mapped by Drs. Travell and Simons and expanded on by leading researchers such as Dommerholt and Fernández-de-las-Peñas.
By inserting fine, sterile needles into these areas, we can disrupt pain-generating patterns, reset muscle activity, and support your body’s natural healing response.
Dry needling is especially helpful for:
Muscle tightness, spasms, and restricted mobility
Sports-related and overuse injuries
Stress-related pain and tension
Chronic pain conditions that haven’t improved with stretching or massage
When appropriate, dry needling may also be paired with gentle electrical stimulation (e-stim), which enhances the effect by calming irritation, reducing inflammation, and promoting longer-lasting relief.


Instrument-Assisted Soft Tissue Mobilization (IASTM), often called ‘scraping,’ uses specially designed tools to gently break down scar tissue, adhesions, and fascial restrictions. These restrictions can build up after injury, surgery, or repetitive strain, limiting flexibility and causing pain.
By applying controlled pressure with smooth-edged tools, scraping therapy helps to:
Improve circulation and nutrient delivery to tissues
Stimulate collagen remodeling for stronger healing
Reduce scar tissue and adhesions
Restore mobility and range of motion
Patients often notice both immediate relief and progressive improvement as the body continues its healing process. Scraping is particularly useful for tendon and ligament issues, muscle strains, and post-injury recovery.
Cupping therapy uses gentle suction to lift the skin and underlying tissues, promoting circulation, easing muscle tension, and supporting tissue recovery. This time-tested method is especially valued for relieving deep muscle tightness and helping the body feel restored and rebalanced.
Cupping can help with:
Muscle soreness and chronic tension
Sports recovery and performance enhancement
Improved circulation and tissue healing
Some patients notice light circular marks after treatment—these are painless and temporary, and they reflect increased circulation to the treated area. Many people report feeling lighter, looser, and more relaxed immediately after a cupping session.


Joint manipulation and mobilization are hands-on techniques that use precise, graded movements to help stiff or painful joints move more freely. Research shows these therapies can provide pain relief and mobility gains, especially when combined with exercise and education.
Rather than ‘forcing joints back into place,’ these techniques work by:
Improving how joints glide and move together
Reducing protective muscle tension
Calming pain signals in the nervous system
Supporting smoother, more balanced movement patterns
Most people describe the techniques as a gentle stretch or small, controlled pressure. Many feel an immediate sense of relief.

Manual therapy is only effective when it’s both safe and precise. At Latitude Physiotherapy, every treatment is delivered by Dr. Chris Gumbs, Doctor of Physical Therapy, who has advanced training in orthopedic care and is Internationally Certified in Dry Needling (ICDN).
With over a decade of clinical experience and a background as a collegiate runner, Chris brings both professional expertise and personal understanding of what it takes to recover from pain and return to movement. He knows what it means to push through injury—and ensures every patient feels both safe and supported on their path to healing.

At Latitude, recovery isn’t just about what happens in the clinic — it’s about giving you the tools to take charge of your own health. Manual therapies provide an effective push in the right direction, but the greater value comes from learning how to care for your body day to day.
That’s why we pair treatments with personalized self-mobilization strategies designed to address your unique movement patterns and restore balance. Our goal is to teach you ‘how to fish’—so every patient leaves not only feeling better, but knowing how to stay better.
As one patient shared:
‘After just a few sessions, I felt like I finally had my body back. The pain that held me back for months started to fade, and I could move freely again.’
— Sarah M.
This is the heart of Latitude Physiotherapy: combining advanced manual therapies with education and whole-body care, so you gain results that last far beyond a single session.
Most patients say it’s not as painful as they imagined—just a set of unusual sensations they aren’t used to, such as a quick muscle twitch or a dull ache that fades quickly. The needles are extremely thin, about one-quarter the thickness of the needles used for blood draws. Mild soreness afterward is normal, similar to post-workout muscle fatigue, and, usually, fades within a day or two.
Yes. All treatments are performed by Dr. Chris Gumbs, Doctor of Physical Therapy, with advanced certification in dry needling and over a decade of clinical experience. Every session is tailored to your needs and screened for safety.
It depends on your condition and goals. Some patients feel relief after just one or two treatments, while others benefit from a short series combined with personalized exercises for long-term results.
Massage compresses tissues, while cupping uses gentle suction to lift them. This promotes circulation, eases tension, and supports healing in a different way. Many patients use both methods at different times in their recovery.
No. While both use fine needles, the theory and application are different. Acupuncture is based on traditional Chinese medicine, while dry needling is rooted in modern anatomy, neuroscience, and pain science.
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