1) Look at the documented pneumothorax cases between acupuncturists and physical therapists. 2) During my dry needling training (yes I am a PT) there were two lovely acupuncturists in the course. Unfortunately the struggled a lot with palpation and anatomy (Most PTs have far more years of advanced anatomy and cadaver labs). 3) Sticking a needle in someone is the easy part. You could teach a monkey to do that. The skill comes in the clinical reasoning piece. Knowing exactly where you are going (3D anatomy), why you are introducing a needle to that area (clinical reasoning from a thorough musculoskeletal exam), and how it will improve function is key. Physical therapists are movement experts. I've talked to and treated multiple acupuncturists. And each one has told me our philosophy and treatment goals are completely different (although the tool is similar). No one profession can own a tool. A carpenter does not own the hammer. Acupuncture uses similar needles, but its roots are grounded in traditional chinese medicine. Dry Needling by Physical Therapists is entirely different. We are trying to elicit a local twitch response to decrease spontaneous electric activity in that muscle (as evidenced by emg studies), as well as eliminate Substance P, acetylcholine, calcium, etc. It has nothing to do with restoring energy, chi, or acupressure points. I love my fellow acupuncturists and have sent patients to them, but the dry needling done by qualified and skilled physical therapists is ENTIRELY different than traditional acupuncture.
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