The comment has been made and well supported that Physical Therapists possess the anatomical, physiological and clinical knowledge to perform trigger point dry needling safely and effectively. Physical Therapists are highly educated and trained healthcare professionals who specialize in treating the neurological, muscular and skeletal movement systems via many modalities and dry needling is one such modality. It's been stated that acupuncturists have over 2000 hours of training.  We have over 6000 hours of training in anatomy and physiology by the time we graduate. The act of needling itself is very basic, it's the knowledge of anatomy that is vital to the safe and ethical application of this modality.