I strongly support amending current regulations to allow certified licensed ATs to perform the modality of dry needling.

Two accepted interpretations of dry needling in VA view it as either as a mechanical or invasive modality. Athletic trainers are qualified under both interpretations.

Dry needling as a mechanical modality: The athletic training practice act permits the use of mechanical modalities when the provider is trained or certified in the modality and operates under the direction of a physician. 

Dry needling as an invasive procedure: accredited athletic training education programs—governed by the Commission on Accreditation of Athletic Training Education (CAATE)—require training in invasive techniques such as emergency IV access, lidocaine injections, and wound closure using staples or sutures. These competencies demonstrate the rigorous clinical preparation athletic trainers receive.

Dry needling focuses on myofascial trigger point therapy. Acupuncture follows Eastern medicine and meridian theory. The amendment brought forth only allows ATs the modality of dry needling. 

Certified athletic trainers, who possess a minimum of a master’s degree, are extensively trained in clinical procedures and are regulatory permitted to perform invasive procedures in the Commonwealth of Virginia - under the supervision of a physician and with appropriate industry standard training for dry needling (which we’ve previously established is NOT acupuncture.) 

Athletic trainers are committed to practicing within our defined scope and under the supervision of a licensed physician. We value and support our fellow healthcare providers, working collaboratively for the benefit of our shared patients.

Athletic trainers  work in diverse, high-stakes environments such as surgical suites, military operations, law enforcement, emergency medical services, physician practices, and air medical transport. Their impact spans from Olympic and professional athletes to rehabilitation centers and high schools.

Thank you for considering this important amendment.