Athletic Trainers (AT) licensed in Virginia, under their scope of practice, should be allowed to use dry needling (DN) after taking an instructional course.  Structure and Function offers such courses because this technique can significantly enhance the AT’s ability to manage musculoskeletal pain and dysfunction with their patient population.  Structure and Function’s Foundational course (SFDN1) requires almost 30 hours of education and training.

Dry needling (DN) involves inserting thin needles into myofascial trigger points, scar tissue, or other dysfunctional soft tissues, which can trigger local physiological effects such as increased blood flow, tissue healing, and pain relief[1]. By understanding the anatomical and physiological mechanisms through a Structure and Function course, athletic trainers can safely and effectively apply dry needling to improve patient outcomes. This education ensures they are well-equipped to handle the complexities of dry needling, including its neurochemical and inflammatory responses, thereby maximizing therapeutic benefits and promoting faster recovery for their patients[2].

Acupuncture/Acupuncturist differ significantly from DN in their origins, philosophies, and applications. 

Acupuncture is rooted in Traditional Chinese Medicine (TCM), dating back over 2,000 years. The philosophy focuses on the flow of the qi (energy) throughout the body, with the clinical goal of promoting overall health and well-being. While the needles might be the same, acupuncture inserts the needles into specific points along meridians to stimulate the body’s natural healing process and release endorphins [3]. Acupuncturists focus on a broader holistic approach to health, treating a wide range of conditions, including pain, digestive issues, and mental health. [4].

It is completely reasonable that a AT, licensed in VA, who has completed foundational training to utilize DN in their scope of practice.

References

[1] Physiologic Perspective on the Local Effects of Dry Needling

[2] Athletic Trainers’ Use of Dry Needling in Practice

[3] Dry Needling vs Acupuncture: Benefits and Risks - Healthline

[4] Dry Needling vs. Acupuncture: Main Differences and Similarities