While being board certified and state licensed, athletic trainers have extensive knowledge in musculoskeletal evaluation, diagnosis and treatment. As of current, the Virginia practice act allows athletic trainers to utilize mechanical modalities when the clinician is properly trained. CAATE programs are actively educating invasive techniques such as IV access, sutures and lidocaine injection -- some programs are even teaching dry needling skills to their students as well. Athletic trainers who complete dry needling coursework are qualified to safely and effectively integrate this modality into clinical practice. YES to athletic trainers dry needling.