Over the course of working in the field of Physical Therapy, I have probably seen hundreds of patients come in for dry needling. When performed by the Physical Therapists, it is rare that I do not see positive results arise from the dry needling in conjuction with manual therapy. NEVER have I seen dry needling practiced in a way that is unsafe or posed danger to a patient. The PTs that I work alongside thoroughly explain the process of dry needling prior to the patient receiving the dry needling, follow careful precautions during, and effectively treat the patient after the needling. Dry needling along with skilled physical therapy has provided healing and relief in some patients that have been unable to find benefit in other modes of treatment. The countless patients that I have witnessed and spoken to regarding their success found in dry needling is enough to convince me towards the support of dry needling performed by Physical Therapists. For the sake of those who have experienced the success of dry needling, and for those who may need to in the future, please consider allowing the continuation of this practice by Physical Therapists. Thank you.

1. Physical Therapists possess the anatomical, physiological and clinical knowledge to perform trigger point dry needling safely and effectively. Physical Therapists are highly educated and trained healthcare professionals who specialize in treating the neurological, muscular and skeletal movement systems via many modalities and dry needling is one such modality. 
2. Trigger point dry needling is distinctly different from acupuncture as the treatment goal and method is different.  While both practices may use a similar implement or device, the clinical reasoning, technique, and goal of the treatment are different. 
3. The regulations proposed by the Virginia Board of Physical Therapy are sufficient to ensure public safety and should be fully enacted.