I have seen two pneumothoraces secondary to dry needling. just like other medical professions, the board should have higher standards in allowing invasive procedure to be done. Acupuncture is a rather invasive procedure that requires years of education and training not just a few days or weeks of courses. in the Right contest and in the hands of right people, acupuncture is very useful but dry needling usually is dangerous and usually has done by people who lack adequate training.