Around the country, physical therapists are expanding practice to include “dry needling” for sinus congestion, menstrual dysphoria, and other internal medicine issues.  Oversight by physical therapy boards has been ineffective in managing the expansion of treatment into the domain of internal medicine, thereby putting the public at risk.  There is no reason to believe that the situation in Virginia will be different.  https://www.thephysiocompany.com/blog/physiotherapy-for-sinus-pain, 

https://www.kinetacore.com/about/news/clinical-pearl-desensitizing-the-migraine-functional-dry-needlingreg-approach/, 

https://waset.org/publications/10004906/dry-needling-treatment-in-38-cases-of-chronic-sleep-disturbance, https://integrativedryneedling.com/dry-needling-training/why-attend-integrative-dry-needling-courses/