Case 1. In October 2012, 24-year-old Emily Kuykendall suffered a penetrating nerve injury in the medial distal aspect of the left thigh related to dry needling performed by a physical therapist [25]. The penetrating nerve injury in the medial distal aspect of the left thigh resulted in severe pain, numbness, and paresthesias (abnormal sensations, typically tingling or pricking [“pins-and- needles”]) [25]. The severe pain, numbness, and paresthesias required medications [25].

“[The severe pain, numbness, and paresthesias are] really taking a physical and emotional toll on me,” Ms. Kuykendall wrote approximately three weeks after she was injured. “There is almost not a minute in the day that goes by that I wish that I had not gone to see [the physical therapist]” [25].