Virginia Regulatory Town Hall
Agency
Department of Health Professions
 
Board
Board of Physical Therapy
 
chapter
Regulations Governing the Practice of Physical Therapy [18 VAC 112 ‑ 20]
Action Practice of dry needling
Stage NOIRA
Comment Period Ended on 12/30/2015
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12/30/15  2:49 pm
Commenter: Dee Sulenski, retired Certified Physician Assistant

My Full Support of Physical Therapists providing Dry Needling!
 

Physical Therapists are highly educated and trained Medical Professionals who specialize in treating the Neurological, Muscular and Skeletal movement systems via many modalities, including Dry Needling. Physical Therapists possess the anatomical, physiological and clinical knowledge to perform Trigger point Dry needling safely and effectively.

Trigger point Dry Needling is distinctly different from acupuncture as the treatment goal and method is different. While they may use a similar implement or device, the clinical reasoning, technique, and goal of the treatment are different. 

I have had both acupuncture and Dry Needling and while I found acupuncture very relaxing it, unfortunately, did not resolve my pain issues.

 I have hyper-mobile joints and had some dislocation complications following a total hip replacement. While conventional PT modalities were helpful in regaining mobility and function it was Dry Needling that really resolved my specific muscle pain. 

After 1st metatarsal fusion surgery & prolonged immobilization I was left with persisting pain from posterior tibial tendonitis. This was, initially, treated with steroid injection and the prescription of a custom made orthotic & ankle brace. At that time I thought I would be wearing this very unattractive brace for the rest of my life. A wonderful Physical Therapist used some manipulation and Dry Needling on my foot and ankle and I have not worn the brace since; and have had very significant reduction in pain.

Thirdly, following a total shoulder replacement, Dry Needling was used in conjunction with my conventional PT protocol and provided extreme and lasting relief from my post-op pain.

I am a retired Certified Physician Assistant and I do have faith in some alternative therapies. While I would trust an acupuncturist to provide acupuncture I would only allow a specially trained Physical Therapist to provide Dry Needling.

 

 

CommentID: 48666