I am writing to express my strong concern about athletic trainers performing dry needling. Dry needling is an invasive procedure that involves inserting a solid filament needle into the skin—closely resembling acupuncture. This technique demands a thorough understanding of anatomy, the ability to recognize potential risks, and proper needling skills to ensure patient safety.
While athletic trainers are proficient in sports injury management and rehabilitation, they do not receive the same level of training in needling techniques or differential diagnosis as licensed acupuncturists or other medical professionals who undergo rigorous education in these areas. The risk of serious complications—including pneumothorax, infection, or nerve damage—cannot be overlooked when this procedure is performed by individuals without adequate training.
Dry needling should remain within the scope of those who possess appropriate licensure and comprehensive training, such as licensed acupuncturists, physicians, and well-trained PAs, NPs, and PTs. Patient safety must always be the top priority. Granting dry needling privileges without ensuring comparable standards of education and clinical competence undermines both public health and professional integrity.