1. modern acupuncture is based on western medicine philosophy with a large number of both clinical and basic scientific research supporting its effects.

2. PTs training in anatomy, physiology, pathophysiology of visceral organs is insufficient. PTs do not have the training regarding the diagnosis and management of various organ disorders (they may be strong in the field of musculoskeletal system) and PTs lack the training needed to perform needling procedures.

3.  Dry needling is part of acupuncture; there is no difference between the procedures of dry needling and acupuncture.

4. PTs are trying to expand their scope of practice through needling while neglecting the safety of patients

5. there is overlap (or potentially competitions) between PTs and acupuncturists in the common diseases treated at clinic. Dry needling is acupuncture. Via incorporating dry needling into the scope of practice of dry needling, I'm personally concerned about the unfair competition as the profession of acupuncture is small as compared to the profession of PT in number of practitioners and the insurance coverage of services.

6. dry needling can be used and should be used by a profession with sufficient training to decrease risks and maximize benefits for patients. Certainly, PTs are not competent given that PT professional schools has never included needling; weekend continuing education courses is not sufficient. For PTs to practice dry needling, similar education requirements like acupuncturist are needed. Given the reality that dry needling is acupuncture, for the safety of patients, PTs will need an acupuncture license to practice dry needling.