The Florida State Oriental Medical Association (FSOMA) took on the Board of Physical Therapy, allegeding that "physical therapists are not adequately trained in the insertion of filiform needles into the human body and carries the potential for harm to patients and the profession of acupuncture."1
An argument to this effect pointed to a policy statement issued by the American Medical Association (AMA) at its 2016 Annual Meeting stating that dry needling is "an invasive procedure and ... should only be performed by practitioners with standard training and familiarity with routine use of needles in their practice, such as licensed medical physicians and licensed acupuncturists." The press release announcing the AMA policy specifically mentioned physical therapists in terms of "lax regulation and nonexistent standards" surrounding the invasive practice of dry needling.1
FSOMA sent out an email to members announcing the win and posted a statement on their website, "An Administrative Law Judge at the Division of Administrative Hearings issued a final order today in favor of the Florida State Oriental Medical Association (FSOMA), declaring the Board of Physical Therapy Practice Proposed Rule pertaining to Dry Needling invalid."2
Although this ruling is only for the state of Florida the precedent has been set—with hope that other states will soon follow with similar rulings.
References
Florida State Oriental Medical Association vs. Department of Health, Board of Physical Therapy Practice and Florida Physical Therapy Association, 2018; 11-22.
Florida State Oriental Medical Association, fsoma.org, 2019.
Consequences for HIPAA violations can often be quite harsh. If someone has breached the HIPAA privacy regulations – even without any malicious intent, civil penalties are applicable: $100 per violation for unawareness, a minimum of $1,000 for reasonable cause, a minimum of $10,000 if willful neglect is present and then rectified, and finally, a minimum of $50,000 for individuals who act with willful neglect and ignore the issue.
The luo vessels are important in the treatment of mental health issues. They are conduits of “ying qi”: blood and fluids. We believe that the shen is “housed” in the heart and circulated through the blood, making a channel system that “conducts” ying qi ideal for treatment of the mind and emotions.
As our health care ecosystem continues to evolve, I’ve found an increased emphasis being placed on an integrative approach to patient care. As an acupuncturist, you are an essential part of this collaborative system and health care team, cooperating with a range of other professionals including medical doctors, chiropractors, massage therapists, and others.
