PT's have done an end-run around licensure requirements by re-branding acupuncture as dry needling.  Their training is inadequate.  The American Medical Association has issued a statement against the practice of acupuncture by unqualified health professionals, which they believe is a public health threat. Even medical doctors--who are already well-trained in needling and other surgical techniques--have set a standard for themselves of 300 hours of additional training in order to practice acupuncture.

"The AMA adopted a policy that said physical therapists and other non-physicians practicing dry needling should — at a minimum — have standards that are similar to the ones for training, certification and continuing education that exist for acupuncture.

"Lax regulation and nonexistent standards surround this invasive practice. For patients' safety, practitioners should meet standards required for licensed acupuncturists and physicians," AMA Board Member Russell W. H. Kridel, M.D."