There is definitely a place for dry needling in the physical therapy profession. I have witness a large number of physical therapists perform TDN and have never seen a patient have a bad experience/further injury. Yes, TDN does not have an immediate impact on every patient, since everyone responds differently to any intervention you implement but I would estimate around 75-85% of the patients I have witnessed have a beneficial response and most have an immediate impact. Every therapist I have observed perform dry needling takes every precaution to make sure that the patient is not put in any danger and are all very well trained to know when needling is needed and when it is not. I have talked to a large amount of patients that have experienced both acupuncture and TDN and every one of them has said that the methods are different. Needling has positively impacted a countless number of patients during their physical therapy sessions and it would not be in the patient's best interests not allow physical therapists to perform TDN.