When combined, both treatments have significant advantages as long as both practitioners work cohesively. Many physiotherapists are also trained in applying acupuncture and dry needling for managing pain and commonly combine the two modalities to treat their patients who suffer from lower back pain.

Acupuncture is usually more effective when used in conjunction with more classic physiotherapy techniques, such as strengthening or stretching exercises. Often, acupuncture serves as a pain relief modality.