Mast cell activation syndrome (MCAS) affects more than 15% of the U.S. population but evades most practitioners’ radar. Just five years ago, it wasn’t even on my radar, despite already having 20 years of experience as a clinician at that time. The more I dug (similar to leaky gut and post-COVID syndrome), the more I found my patients were suffering from this disorder.
The Same Needle in Court: What California and North Carolina Teach Us About Scope
When a physical therapist inserts a solid filiform needle into a trigger point and calls it “intramuscular manual therapy,” the instrument is the same FDA Class II device an acupuncturist trains for years to use. What changes is the word on the consent form. That single change of vocabulary is now the front line in a contest over who may put a needle into a patient, and in the past year it has been fought hard in two states with opposite outcomes. Both are worth understanding, because together they show where the profession is strong and where it is exposed.