External medicine or physical medicine concern the somatic body of muscles, joints, tendons and ligaments. Acupuncture treats tight, spasmed muscles by addressing trigger points; this also can be called “dry needling.” Tight muscles can also be a symptom of overall stress activation in the body-mind. Acupuncture increases circulation, relieves pain and decreases inflammation which has shown good result in knee osteoarthritis but can apply to any joint. Acupuncture benefit can be focused to any tissue level and is an excellent choice to treat tendonitis.