Objection to the Practice of Dry Needling by athletic trainers in Virginia
I am writing to express my strong objection to the practice of dry needling by athletic trainers in Virginia, as currently permitted and practiced by licensed physical therapists. My concerns stem from several factors, including:
1. Lack of Standardized Training:
The current regulations do not adequately address the need for specialized training and education beyond the initial physical therapy curriculum, potentially leading to practitioners lacking the necessary expertise to safely and effectively perform dry needling.
2. Safety Concerns:
Dry needling is an invasive procedure with potential risks, including nerve damage, infections, and other adverse events. The lack of standardized training and regulation increases the likelihood of complications, particularly when performed by untrained individuals.
3. Insufficient Informed Consent:
While patient consent is required, there is no specific requirement for a clear explanation of the risks, benefits, and limitations of dry needling, especially when evidence supporting its effectiveness is limited or inconclusive.
4. Scope of Practice Issues:
Dry needling is not a core component of physical therapy education and should not be included in the scope of practice unless it's accompanied by rigorous training and clear protocols.
5. Unproven Effectiveness and Cost-Effectiveness:
The evidence supporting the effectiveness of dry needling is often inconclusive, and it may not be a cost-effective treatment option compared to other established therapies.
I urge you to consider the following:
Implement stricter requirements for training and certification for dry needling.
Ensure patients receive informed consent that clearly explains the risks and benefits of the procedure.
Clarify the scope of practice for physical therapists to ensure they are adequately equipped to perform dry needling safely and effectively.
Evaluate the cost-effectiveness and clinical outcomes of dry needling in relation to other therapies.
I believe these steps are essential to protect patient safety and ensure the responsible use of dry needling in Virginia.
