I practice acupuncture in New Jersey. According to the our state laws, "Acupuncture is the stimulation of points by the insertion of needles (plus adjunctive therapies)." "Physical Therapy is intervention by means of manual therapy techniques (plus mechanical modalities)."
PT's are not licensed to insert needles. Those that claim they are doing dry needling are not using "PT needles," they are using acupuncture needles.
My recollection is that the term "dry needling" resulted from the abandonment of fluid filled hypodermic needles. Dr. Janet Travell, a cardiologist, noted that the heart pain that some of her patients were experiencing was the result of tight pectoral muscles (trigger points).
Injecting lidocaine via hypodermic needles treated the pain. It was later discovered that using the needle without pain medication was just as effective. This was called dry needling.
Dr. Mark Seem, of the Tri-State College of Acupuncture, conferred with Dr. Travell about using acupuncture needles (much thinner) to treat trigger points. This was very effective.
Those of us who graduated from his school had many, many hours of practicing this style, plus the Clean Needle Technique procedures.
It in an insult to our knowledge and experience that anyone with much less hours of instruction can be allowed to use acupuncture needles. This treatment should only be allowed within the scope of practice of acupuncture.
A student stands over a patient, needle poised. They have a “perfect” prescription: a textbook combination of points harvested from a lecture slide on chronic lower back pain. But as the needle meets the skin, the student hesitates - the symptom of a quiet habit that has taken hold of our profession. We routinely say we “prescribe” points. It sounds efficient. It echoes the authority of biomedical culture and fits neatly into the insurance field. But vocabulary is never neutral; repeated long enough, it dictates behavior.
Acupuncture can be highly effective in cases of nasal congestion so common in allergy presentations; so much so that I often treat such issues using acupuncture protocols alone. In cases of seasonal allergies with highly predictable causes such as obvious elevations of environmental allergens, I use a skeleton acupuncture prescription that can easily be fleshed out to target potential underlying patterns and effectively customized to the patient.
The field of acupuncture in the U.S. continues to grow in visibility, patient demand and clinical effectiveness. Yet behind the curtain, many acupuncturists are quietly struggling to keep their doors open. While the profession is rooted in centuries of healing tradition, modern economic pressures – particularly those driven by insurance limitations, low reimbursement rates and job-market saturation – are making it increasingly difficult for licensed acupuncturists to thrive.
