Local injection therapies, often referred to as “wet needling”, use hollow-bore needles to deliver corticosteroids, anesthetics, sclerosants, botulinum toxins, or other agents. In contrast, “dry needling” refers to the insertion of thin monofilament needles, as used in the practice of acupuncture, without the use of injectate. Dry needling is typically used to treat muscles, ligaments, tendons, subcutaneous fascia, scar tissue, peripheral nerves, and neurovascular bundles for the management of a variety of neuromusculoskeletal pain syndromes. Our case report is about a 64-year-old male patient who presented with pain along the anterolateral aspect of the left thigh which developed after undergoing a hip surgery in 2001. The pain was electric shock like, aggravated on sitting and walking. The patient was treated with drugs like baclofen and paracetamol as we had made a diagnosis of the lateral cutaneous nerve of thigh entrapment, but did not have any relief. Injection of local anesthetic and steroid provided some pain relief, but when radiofrequency ablation was done, it did not produce any results. We then thought of a diagnosis of post-scar neuralgia and dry needling was carried out and the patient reported a pain relief of 50%.