I offer an emphatic yes in support of allowing licensed athletic trainers in Virginia to perform dry needling under the supervision of a physician. Qualified and state-licensed athletic trainers are extensively trained in musculoskeletal care and should be permitted to utilize this evidence-based modality to benefit the athletes and clients they serve.

Since 1990, athletic trainers have been recognized by the American Medical Association as allied healthcare professionals. In Virginia, the Board of Medicine already sets rigorous standards for licensure. Certified athletic trainers possess at least a bachelor's degree in athletic training—most now hold master’s degrees or doctorates, as required by the Commission on Accreditation of Athletic Training Education. Claims of insufficient education ignore the reality of our academic and clinical training, which includes comprehensive preparation in injury evaluation, treatment, and rehabilitation.

The National Athletic Trainers’ Association (NATA) supports the inclusion of dry needling within the scope of practice for properly trained athletic trainers. ATs frequently work in settings—especially in schools and athletic programs—where they have daily, often multiple, interactions with their athletes. Few other health professionals maintain such close, consistent oversight of their patients. This daily contact allows ATs to provide timely, individualized, and highly effective care.

Importantly, most athletic trainers do not bill for services. There is no profit motive—just a clear commitment to care. Allowing ATs to perform dry needling would increase access, reduce delays, and eliminate unnecessary financial burdens, all without additional cost to athletes or their families.

Virginia already allows ATs to perform a range of advanced skills when properly trained—including IVs, suturing, and emergency care. Dry needling should be no exception. Other states have updated their practice acts to reflect this reality, despite opposition from groups seeking to restrict access. Scope of practice should be based on demonstrated competency and patient need—not professional turf.

I commend the efforts of Mike Kotelnicki and others advocating for this essential change. Supporting this update would empower athletic trainers to deliver the highest standard of care and improve outcomes for athletes across the Commonwealth.

Sincerely,

Scott Lawrenson, AT/L

Liberty University Assistant Athletics Director for Sports Medicine

Collaborative Health Partners