A Step Ahead Physical Therapy has several physical therapists trained in the practice of dry needling. Dry needling uses a thin, threadlike needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular tissues and connective tissues for the management of neuromuscular pain and movement impairments. Dry needling is based on neuroanatomy and modern scientific study of the musculoskeletal and nervous system. Dry needling is used in conjunction with neuromuscular reeducation and other physical therapy treatments. In the state of Georgia, a referral from a medical doctor is required before receiving dry needling.