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Sports Acupuncture & Dry Needling

If you suffer a sports or musculoskeletal injury, a general acupuncture approach may not be sufficient. The acupuncturists at FoRM Health in Portland, Oregon offer athletes and lay people alike a more specialized approach.

Sports acupuncture and dry needling provide more effective, direct care for your injury by specifically helping reduce muscle and connective tissue (fascia) tension to decrease pain, increase circulation, and support healing. Sessions are tailored to the patient’s condition, and typically involve a mix of dry needling, standard acupuncture techniques, and complementary modalities (cupping, GuaSha, electric stimulation, infrared, and more).

FoRM Health acupuncturists in Portland, Oregon have experience treating high level athletes with dry needling, including professional acrobats, USA track and field runners, and even multiple Olympic medalists. You definitely don’t have to be a professional, or even call yourself an athlete, but we can help you feel like one! Call us today or schedule online to get started.

What Conditions is Dry Needling used for?

  • Muscle spasms and cramps
  • Tension or strain headaches
  • Sprains and strains
  • Low back and spinal related pain
  • Tennis elbow
  • Achilles tendonitis
  • Plantar fasciitis
  • Gluteal tendinopathy
  • Shin splints

 

Schedule with FoRM’s Sports Acupuncture specialist in Portland, Oregon:

Hilary Constant, LAc

Sharon Blaney, LAc

FAQ

What is the difference between acupuncture and dry needling?

In a broad sense, acupuncture and dry needling are essentially the same; both techniques utilize small needles that are inserted through the skin. Beyond that, however, there is typically a difference in both the decision as to where to apply the needles and how they are used or manipulated. While some acupuncturists essentially use a style basically identical to dry needling, for many patients the experience can be quite different.

Acupuncture is based on a 2000+ year old system of Chinese philosophy which at a very basic level looks at the human body as essentially an energetic system existing in a state of fluctuating balance/imbalance. Meridians, or channels, in the body related to an organ network (similar, but not synonymous with anatomic organs) help identify sites of blockage or imbalance where needles can be inserted. Systemic imbalances, again related to the organs and the overall state of the person, are further treated with medications, herbs, food/nutrient choices etc that aim to restore the imbalance. This Chinese Medicine view is complex, needing extensive training in the philosophy to fully understand it, or at least its application from a health standpoint. Attempts to prove or understand it from a Western medical or anatomical view are difficult as basically it is like speaking two different languages or religions, i.e. intermixing French and Japanese when speaking, or trying to explain Christianity through Buddhist terms. Acupuncture applied from within its own context can be very effective for a variety of conditions, as proven both in studies and by its presence in medical care for over 2 millennia.

Dry needling, in contrast, is based on a strict Western anatomical basis. Regions of tight, constricted muscles are identified. Needles are inserted into (often) predictable sites of the muscles, usually motor or trigger points, and manipulated until a twitch in the muscles is elicited. This twitch is basically a quick contraction of the muscle. The twitch is essential; when a muscle contracts it typically then causes a reflexive relaxation of that muscle, thereby calming or re-setting the tone of the muscle.

Interestingly, and where the debate often comes in across different practitioners, is that acupuncture points often coincide or overlap with the points used in dry needling. This is of no surprise, however, and helps prove both therapies when you consider that two different viewpoints or philosophies end up with the same therapeutic site.

Does acupuncture or dry needling hurt?

Acupuncture typically does not hurt at all, other than an occasional very slight poke when a needle is inserted. Treatments are often very relaxing, and patients may experience immediate pain reduction or increasing pain relief over the course of treatments. Dry needling also has minimal if any discomfort with needle insertion. The twitch of muscles is not as much painful, as much as the often strong contractions are more involuntary and more uncomfortable. A strong twitch, however, is often a good sign, as the overly tight muscles needed an intense contraction to release. Without any contractions, dry needling is often not needed. After a dry needling session, muscles are typically sore for 12-24 hours.

Do I have to rest or limit activity after a dry needling treatment?

In general, no. Movement can actually help reduce any lingering soreness from dry needling. At the same time, it is recommended to avoid intense exercise within 24 hours of a dry needling session.

Do you only treat or see patients from Portland, Oregon?

While our office is located in SE Portland, Oregon, many of our patients travel from the greater Portland area, including: Lake Oswego, Beaverton, Hillsboro, Tigard, Milwaukie, Happy Valley, and Oregon City, for in-office visits and procedures. We also offer virtual office visits, which allows us to provide service to anyone seeking care within Oregon, with the exception of procedures which must be performed in office.

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Services Menu

Orthopedics

  • PRP Injections
  • MFAT Injections
  • Prolotherapy
  • Sports Acupuncture & Dry Needling
  • Chiropractic
  • Physical Therapy
  • Shockwave Therapy
  • Massage Therapy
  • MSK Ultrasound
  • Ultrasound-Guided Nerve Hydrodissection

Functional Medicine

  • IV Nutritional Therapy
  • Neurofeedback
  • Acupuncture
  • Nutrition
  • Hormone testing & Functional Labs
  • Massage Therapy

Aesthetics

  • Look Better Membership
  • PRP + PRF Skin Rejuvenation
  • PRP + PRF Hair Restoration
  • Injectables
  • Cosmetic Laser
  • Advanced Aesthetic Care
  • Clinical Skincare

We Love Our Patients

“I have loved participating in the Skin Rehab Program! I received 3 treatments per month customized to meet my skin care needs and goals.  With consistent treatments and home care, my skin is smoother, much more even skin tone (fewer dark spots and redness), firmer, and glows.  It just looks so much healthier!  I’m so happy with the results!”

–Look Better Member

“I am fairly new to acupuncture and dry needling and I cannot tell you how lucky I feel to have found THE Trusted Authority when it comes to these modalities. The experience at FoRM has been consistently amazing from beginning to end. I have not been able to stop sharing my experience and the benefits of going to see Dr. Minarik and his team with everybody that I know. They truly listen, are incredibly knowledgeable, candid and they set you up for longtime success/relief.”

–Sports Acupuncture Patient

So thankful for (Dr.) Paul Molina, his help every week has helped keep me together as a professional athlete. Very professional and overall a great person and friend. Would definitely recommend to anyone and everyone.

–Professional Athlete

Dr Kai Herman and her staff are amazing!  I have been under Dr Herman’s naturopathic care for years. I fully trust Dr Herman with my medical needs and when I heard she was doing PRP facials, I knew I could also trust her with my face/skin care needs. The procedure itself was seamless and done in a comfortable, relaxed setting.  The downtime was minimal.  The results were impressive.  I noticed tighter, firmer skin and an improved complexion.  This will definitely be part of my anti-aging skin care routine!

–PRP Skin Rejuvenation Patient

Acupuncture and Chinese Medicine used to be a place I would turn when my primary care provider was unable to address my concerns. After seeing Natasha, I now think of her first.

 

–Natasha’s patient

“Hilary is very thoughtful and a great listener when providing a customized solution. I was new to acupuncture and she was patient and communicative. She really cares for her patients. I’d recommend her to anyone.”

–Acupuncture Patient

“Dr. Herman thoughtfully and thoroughly addressed all of my concerns and recommended testing and treatments my PCP has never mentioned. I look forward to continuing my care with her.”

–Functional Medicine Patient

“Dr. Minarik is incredibly knowledgable. He’s been helping me for the last year and he’s top notch. I’ve been impressed with his understanding of both eastern and western treatment options.”

–Dry Needling & PRP Injections Patient

“Dr. Minarik is very skilled and knowledgeable about prp and prolotherapy. He is very thorough and precise in his treatments. He has a very good bedside manner with patients and explains his findings and treatments very thoroughly.”

–Orthobiologic Injections Patient

“Dr. Herman is amazing! I completed 2 laser resurfacing treatments and am loving the results. Many friends and family members have commented on how great my skin looks! Thanks, Dr. Herman!”

–Aesthetics Patient

READY to FEEL Better?

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Even the most dedicated providers need a recharge Even the most dedicated providers need a recharge — and for the FoRM crew, nothing beats getting lost in a great book!

This month, FoRM’s Book Club took over Oma’s Hideaway to swap thoughts on Wild Dark Shore over delicious food, drinks and even better company. We came for the book. We stayed for the vibes. 🌿🕯️

#FoRMBookClub #WildDarkShore #OmasHideaway #ReadMoreBooks #formhealthpdx
At FoRM we believe pain treatments should come wit At FoRM we believe pain treatments should come with a plan — not just a prescription! 💡 

That’s why we offer a suite of targeted therapies that are highly effective as standalone therapies but can also be used in conjunction with regenerative injection therapies to optimize outcomes:

🎯 Trigger Point Injections — Addresses muscular dysfunction that loads and stresses the very joints and tissues being regenerated.

⚡ Shockwave Therapy — Stimulates tissue repair and increases local circulation to enhance the regenerative environment

🧠 Nerve Hydrodissection — Ultrasound-guided release of compressed nerves that may be undermining your recovery without you knowing it.

🌿 Prolozone — Ozone-based therapy that reduces oxidative stress and delivers targeted support to healing tissue
Whether you’re just beginning your healing journey or already undergoing Prolotherapy, PRP, or MFAT — these therapies meet you where you are, and help carry you further than you thought possible.

You deserve more than symptom management. You deserve a path back. 💪 

#FoRMHealth #RegenerativeMedicine #Prolotherapy #PRP #MFAT #ShockwaveTherapy #Prolozone #NeuralTherapy #Hydrodissection #IntegrativeOrthopedics #ChronicPainRelief #FunctionalMedicine #WholeBodyHealing #PortlandOR
Your Body is Designed to Heal. Regenerative Inject Your Body is Designed to Heal. Regenerative Injection Therapy Harnesses That Power. 
#movebetter #movebetterfeelbetter #formhealth #nonsurgicalsolutions
What if you didn’t have to be limited by pain or o What if you didn’t have to be limited by pain or old injuries? 🏋🏽‍♂️

Regenerative injection therapies (RIT) use your body’s natural healing abilities to reduce inflammation, repair tissues, and relieve pain—helping you move better without surgery or relying on medications.

✨ RIT Therapies at FoRM:

✅ Prolotherapy – A simple sugar solution, that strengthens weakened + damaged connective tissue (ligaments/sprains)
✅ Platelet Rich Plasma – Concentrated platelet solution, harnessed from your own blood, which uses growth factors to repair injuries (tendons/muscle tears and strains)
✅ MFAT Therapy – Fat-derived regenerative cells that provide a powerful healing signal for old injuries and damaged joints (arthritis, cartilage damage)

FoRM is Portland’s trusted resource for non-surgical, regenerative solutions for pain + injuries. 

Want to learn if you’re a good fit for RIT? Schedule a Consult one of our specialists - Dr. Ryan Minarik ND and Dr. Brittany Krake ND - by calling 503 232 5653 opt 2 or using scheduling link in bio.

#MoveBetter #PainRelief #RegenerativeMedicine #FormHealthPDX #PRP Prolotherapy SportsMedicine PortlandHealth FeelBetterMoveBetter
We have 4 physicians at FoRM who specialize in hor We have 4 physicians at FoRM who specialize in hormones + women’s health. They’re here to support you in navigating perimenopause & menopause with style and grace! Dr. Herman, Dr. Krake, + Dr. Binshaieg share their go to supplementation to help our patients navigate this phase of life! 

🌷Femmenessence
🌷Magnesium L Threonate
🌷Cortisol Manager
🌷Vitex
🌷Rhapontic Rhubarb
🌷Creatine
🌷Collagen

There are so many wonderful botanicals that we can lean on to keep us feeling + moving better. #formhealthpdx 

Link in bio to schedule! 

#hormonehealth #hormonebalance #womenshealth #menopause #perimenopause #feelbetter #movebetter #botanical #naturopathicphysician
What if you didn’t have to be limited by pain? 🏋🏽‍ What if you didn’t have to be limited by pain? 🏋🏽‍♂️

Regenerative injection therapies (RIT) use your body’s natural healing abilities to reduce inflammation, repair tissues, and relieve pain—helping you move better without surgery or relying on medications.

✨ RIT Therapies at FoRM:

✅ Prolotherapy – A simple sugar solution, that strengthens weakened + damaged connective tissue (ligaments/sprains)
✅ Platelet Rich Plasma – Concentrated platelet solution, harnessed from your own blood, which uses growth factors to repair injuries (tendons/muscle tears and strains)
✅ MFAT Therapy – Fat-derived regenerative cells that provide a powerful healing signal for old injuries and damaged joints (arthritis, cartilage damage)

FoRM is Portland’s trusted resource for non-surgical, regenerative solutions for pain + injuries. 

Want to learn if you’re a good fit for RIT? Schedule a Consult one of our specialists - Dr. Ryan Minarik ND and Dr. Brittany Krake ND - by calling 503 232 5653 opt 2 or using scheduling link in bio.

#MoveBetter #PainRelief #RegenerativeMedicine #FormHealthPDX #PRP Prolotherapy SportsMedicine PortlandHealth FeelBetterMoveBetter
Perimenopause… or Cortisol Chaos? Many women in th Perimenopause… or Cortisol Chaos?
Many women in their forties assume new symptoms automatically mean perimenopause.
Sometimes they’re right.
But sometimes cortisol dysregulation is the real driver.

We recently evaluated a 44-year-old woman ready to start hormone therapy for what she believed were worsening perimenopausal symptoms:
• Early morning wake-ups
• Worsening premenstrual symptoms
• Increased anxiety
• New abdominal fat
• Blood sugar swings and cravings
• Intermittent night sweats
• Brain fog
• Lower stress tolerance

Her #DUTCH, a comprehensive hormone test, told a different story.
Her sex hormones (estrogen, progesterone, testosterone) were relatively stable.
Cortisol was not.

Findings showed:
• Elevated total cortisol
• Slow cortisol metabolism (meaning it lingered longer in her system)
• Cortisol rising at night instead of falling

That pattern alone can drive poor sleep, anxiety, fat storage, and metabolic disruption.
Our strategy shifted.

Instead of jumping into hormone therapy, we focused on nervous system regulation, adrenal support, sleep repair, and reducing unnecessary stress load.

The takeaway: not every symptom in your forties can be blame on retiring ovaries. Sometimes it’s cortisol dysregulation, from years of burning the candle at both ends.

Precision testing allows for precision treatment—so hormones work for you, not against you.

#formhealth #functionalmedicine #hormonehealth #feelbetter
The Menopausal Transition: What’s Actually Happeni The Menopausal Transition: What’s Actually Happening

Perimenopause is the hormonal transition leading up to menopause. Estrogen and progesterone begin to fluctuate—often unpredictably. 

What it can feel like in real life:
🩸Heavier, more frequent, or irregular periods
🤬Mood swings, anxiety, irritability
🫩Sleep disruption (especially 2-4am)
🤯Brain fog, difficulty with name/word recall + poor focus
🫥Declining libido
🤰New, stubborn abdominal fat
💪Muscle loss despite exercising
🥵Night sweats and temperature sensitivity

Menopause is defined as the twelve consecutive months without a menstrual period. Hormone production “falls off the cliff” — and the whole body feels it.

What it can feel like in real life:
🥵Hot flashes + night sweats�• Insomnia
🦪Vaginal dryness
😒Zero libido
🤬Mood swings, depression
😶‍🌫️Memory lapses and word-finding difficulty
😫Multi-Joint pain
💪Rapid muscle loss🤰Expanding waist-line
🫩Fatigue

Postmenopause is the stage after menopause, when hormone levels remain consistently low.

Beyond persisting symptoms mentioned above, additional silent, behind-the-scenes changes happening as a result of permanently low estrogen (progesterone + testosterone).

🦴Accelerated bone loss → increased risk of osteoporosis and fractures

🧠 Loss of brain’s gray matter volume + changes in white matter
💪 Loss of muscle mass → higher risk of frailty
🔥Increased (inflammatory) abdominal fat
💦 Loss of joint lubrication + cartilage
🍭Worsening insulin resistance
💔 Elevated cholesterol and cardiovascular disease risk
🦪 Thinning of vaginal and urinary tissues (genitourinary syndrome of menopause)

This transition is not a disease. It is a full-body physiologic shift.
How you train, eat, sleep, manage stress, and—when appropriate—use targeted therapies will determine how strong and resilient you feel in this next chapter.

This is not the end of vitality. It is a phase that requires a smarter strategy.

#formhealth #formhealthpdx #movebetter #feelbetter #sellwoodmoreland #sellwoodmoreland #functionalmedicine #regenerativemedicine #hormonehealth #agedefy #glowup #lookbetterfeelbetter #ageyourway
Balanced hormones start with a nourishing meal! 🥘 Balanced hormones start with a nourishing meal! 🥘 ✨ 

Filling every plate with fiber, protein, + healthy fat will ensure that you’re feeling 💯 throughout the days, weeks, + years! 

🥦 Fiber — feeds your gut critters to keep them happy so they can help your detox pathways (super important for estrogen!). & helps with blood sugar control. 

🍗 Protein — provides the building blocks for our hormones & support muscle building. It also is key for blood sugar control, feeling satiated, + reducing energy crashes. 

🥑 Healthy Fats — the foundation of our hormone production! Olive oil, nuts, avocado, seeds all keep cycles movin’ + groovin’ while reducing inflammation. 

Nourishment + fueling yourself is non-negotiable to keep hormones healthy & happy!! 🤸‍♀️ 🪩 

Check our link in bio for the recipe to this delish squash + chicken soup. 🍲
Hormone Health by Decade💪 Your hormone landscape s Hormone Health by Decade💪
Your hormone landscape shifts with age. Your Strategy Should too!

🔹 In Your 20s? Lay the groundwork by establishing healthy habits around eating + activity. Keep your blood sugar levels steady by eating a balanced diet + staying active!

Tip #1: When meal-planning, use this blood-sugar balancing formula: Protein + Fiber + (Healthy) Fat

Tip #2: Exercise is more fun with friends! Plan to meet friends for a hike, group class or friendly competition!

🔹 In Your 30s? Cortisol imbalances from stress and poor sleep can disrupt hormonal cycles, cause fertility issues in both men + women, and set the stage for inflammation.

Tip #1: Establish a decompression routine you follow every night before bed.

Tip #2: Stress management should be simple; think breath-work, 5-Min journal, relaxing baths + sleepy-time tea!

✨ In Your 40s? Focus on strength training to support muscle + bone health while maintaining metabolic fitness through blood sugar control and stress management.

Tip #1: Train 4-6x per week with a balance of strength, mobility, and restorative movement (think yoga, Pilates). We highly recommend working with a qualified trainer to dial in your best form!

Tip #2: Swap steady-state, endurance cardio for 20 min of interval training (short bursts of speed + recovery work).

✨ 50s & Beyond? Hormonal changes in post-menopause & andropause can accelerate aging, affecting muscles, joints, brain, heart, skin, and more. Addressing imbalances can keep you vibrant and strong!

Tip #1: Talk to your doctor about bio-identical hormone therapy.

Tip #2: Keep chasing strength goals—fitness is more essential than ever!

💥 Prioritize hormone health + smart training to stay resilient for life!

#FoRMHealthPDX #HormoneHealth #StrongerWithAge #Longevity #FeelBetterMoveBetter #AgeDefyingStrength
#FoRMHealth #StrongerForLife #HormoneHealth #PreventionIsPower
FoRM just got a GLoW up. ✨ We pulled up the old c FoRM just got a GLoW up. ✨

We pulled up the old carpet and upgraded to fresh flooring and new runners throughout the clinic — because the space you heal in matters.

2026 is our GLoW up year — refining, elevating, and continuing to raise the standard of care we deliver every day.

Same mission. Elevated environment.

#formhealth #formhealthpdx #movebetter #feelbetter #lookbetter #sellwoodmoreland #functionalmedicine #agedefy #regenerativemedicine #hormonehealth #glowup
Wondering what your healthcare providers do to bui Wondering what your healthcare providers do to build strength? We’re squatting, deadlifting, lunging, + doing burpees. Building muscle couldn’t be more important for metabolic health, hormone balance, bone density, protecting joints, better posture, & helping you age stronger! 💪 ✨ 💪 ✨ 💪

 #pumpiron #feelbetter #movebetter #strengthtrain #agestrong #resistancetraining

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Phone

(503) 232-5653

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Hours

Mon–Fri 9am-6pm
Saturday 10am-2pm

Office

FoRM Health
8113 SE 13th Ave
Portland, Oregon
97202

Location

Conveniently located in the beautiful Sellwood neighborhood of Southeast Portland.  Easy access to the Lake Oswego, Oregon City and the entire Portland Metro.

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