I am writing to respectfully urge you to support the legislation allowing athletic trainers to practice dry needling in the state of Virginia.

Dry needling is a therapeutic technique that uses fine needles to target myofascial trigger points, improving muscle function and reducing pain. This method is supported by extensive evidence and is widely recognized as an effective treatment by healthcare professionals across the nation, including physical therapists, chiropractors, and other certified athletic trainers. Currently, athletic trainers in Virginia are not authorized to practice dry needling, even though we receive similar training and education to those who are permitted to use this technique.  We have taken extensive course work to learn the techniques of dry needling.  

I want to emphasize that athletic trainers are highly qualified medical professionals and trained to perform dry needling. We complete 50 hours of continuing education units (CEUs) every two years to ensure we are up to date with the latest research and techniques in our field. Additionally, we undergo the same rigorous training programs as physical therapists and chiropractors, which include education in the anatomy, physiology, and safety protocols specific to dry needling. As medical professionals who work with athletes and active individuals daily, allowing us to incorporate dry needling into our practice would enhance our ability to treat and rehabilitate musculoskeletal injuries effectively.

It is important to note that dry needling should not be confused with acupuncture. While both techniques use thin needles, the methodologies and purposes differ. Acupuncture is based on traditional Chinese medicine, focusing on energy flow and balance within the body, while dry needling is grounded in Western medicine and specifically targets muscular trigger points to relieve pain and improve function. Dry needling is not a "one-size-fits-all" approach but rather a targeted and evidence-based intervention aimed at addressing specific musculoskeletal issues.

Allowing athletic trainers to practice dry needling would benefit our patients by providing more comprehensive and effective care options. Athletic trainers are highly trained medical professionals with a deep understanding of human movement, injury prevention, and rehabilitation. Empowering us to perform dry needling would improve patient outcomes and increase access to effective treatments, particularly for active individuals and athletes who rely on our expertise.

I sincerely hope you will consider supporting this important change in legislation to allow athletic trainers in Virginia to utilize dry needling as part of our comprehensive care approach. I appreciate your time and attention to this matter.

Professionally,

Elias Levanway, MS LAT ATC PES DN-1

Senior Associate Athletic Trainer/Head Football

Liberty University