Acupuncture is a well-regulated procedure, it requires practitioners to have enough training to insert a needle on a patient. PTs may not have enough training to understand that trigger points are the same concept as Acupuncture Arshi points, they pick up a part of Acupuncture procedure to practice. To be qualified to insert a needle, a practitioner needs to be licensed and undergo extensive training. A master degree acupuncturist will under 3 years or more of training, to learn how to identify symptoms, diagnose conditions and use correct techniques with needles. Extensive training to use needle ensures the safety and effectiveness of the therapy, to keep our patients safe is most important and basic concern. If PTs try to use needles, please make sure they have enough training under more formal regulations.