Case 1. In 2017, a 62-year-old woman suffered a penetrating cervical spinal cord injury related to dry needling performed by a physical therapist [23]. The penetrating cervical spinal cord injury resulted in a traumatic spinal epidural hematoma (an accumulation of blood in the spinal epidural space resulting from blunt or penetrating spinal injury), which resulted in “a searing and burning pain down her entire spinal column” [23]. She was treated for the searing and burning pain down her entire spinal column at the emergency department of the MedStar Georgetown University Hospital in Washington, DC, and was admitted to that hospital’s intensive care unit on the same day [23]. The searing and burning pain down her entire spinal column required tramadol (an opioid [narcotic] analgesic) and other medications [23]. “No neurologic deficit developed during her course in the intensive care unit and throughout her hospital stay” [23].

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