Minnesota Acupuncture Association

THE HISTORY
DEFINITIONS
TRAINING
PUBLIC SAFETY
INSURANCE FRAUD
RESOURCES
EXPERT OPINIONS   



DRY NEEDLING | Orthopedic Acupuncture    

FACTS & THE LEADING DN EXPERTS IN MEDICINE


 

HISTORY

“Dry Needling” was originally done ONLY by physicians using a hypodermic needle to stimulate a Myofascial Trigger Point without injecting a solution, like saline or lidocaine. Travell, Simons, & Simons, 1999, pp. 154–155

Janet Travell was the first to use the term "dry needling" to differentiate between two hypodermic needle techniques when performing trigger point therapy. However, Travell did not elaborate on the techniques of dry needling; the current techniques of dry needling were based on the traditional and western medical acupuncture.   Travell, Simons, & Simons, 1999, p. 156

Myopain Seminars and other Dry Needling training companies have instructed students to use Seirin filiform needles, and to purchase them from Lhasa OMS.

DEFINED

“A skilled intervention that uses a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular, and connective tissues for the management of neuromusculoskeletal pain and movement impairments. 

-American Physical Therapy Association



http://www.apta.org/StateIssues/DryNeedling/ClinicalPracticeResourcePaper/

https://www.researchgate.net/publication/232397899_Trigger_Points_and_Classical_Acupuncture_Points


“Up to 93% of classical acupuncture points anatomically correspond with common myofascial trigger points, likely describing the same physiologic phenomena.”


DEFINED

A medical intervention performed by highly skilled,  licensed acupuncturists or medical physicians that uses a thin filiform needle to penetrate the skin and stimulate neural, muscular and connective tissues for the prevention and management of pain and movement impairments.

        ALSO KNOWN AS ACUPUNCTURE.



TRAINING & CREDENTIALING



EVIDENCE BASED MEDICINE  

Scientific Literature

PUBMED

ACUPUNCTURE: 28,066

DRY NEEDLING: 370

DRY NEEDLING AND ACUPUNCTURE: 182

Using Biomedical Language

Strengthens the argument that acupuncture is dry needling

Enhance credibility and understanding within the medical community



DRY NEEDLING EXPERTS

THE POINTS

Myofascial Trigger Points (Ashi Points)

 A sensitive area in the muscle/connective tissue that becomes painful when palpated

Motor Points

The most electrically excitable area containing the greatest concentration of nerve endings in the muscle

Eliciting a twitch releases lactic acid and calcium build up

TRAINING

FALL 2018 | MN

Lecture, Demonstration & Clinical Practice

Motor Point Location, Needle Techniques, EBM, Pt Education



PUBLIC SAFETY


The National Institute of Health warns that use of FILIFORM needles in treatment “can cause serious adverse effects, including

infections, punctured organs, collapsed lungs, and injury to the central nervous system.”

Report all known DN adverse events

Confirmed cases in MN of PTAs assisting PTs in treatments by removing needles


INSURANCE FRAUD

Insurance Companies DO NOT Recognize “Dry Needling” as a Billable Charge.

Educate and Instruct Patients on How to Report Possible Insurance Fraud

§If patients are NOT paying for “dry needling” at the time of service, it is likely that the provider is improperly billing the insurance company




EXPERT OPIONIONS

“Dry needling” is a pseudonym for acupuncture that has been adopted by physical therapists, chiropractors, and other health providers who lack the legal ability to practice acupuncture within their scope of practice.  This strategy allows these groups to skirt safety, testing, and certification standards put into place for the practice of acupuncture.

        American Society of Acupuncturists


The AMA recognizes dry needling as an invasive procedure and maintains that dry needling should only be performed by practitioners with standard training and familiarity with routine use of needles in their practice, such as licensed medical physicians and licensed acupuncturist.         

   http://www.asacu.org/wp-content/uploads/2017/06/AMA-Dry-Needling-Policy.pdf 


"Lax regulation and nonexistent standards surround this invasive practice. For patients' safety, practitioners should meet standards required for licensed acupuncturists and physicians.“ AMA Board Member, Russell W. H. Kridel, M.D.    

“The American Academy of Physical Medicine and Rehabilitation recognizes dry needling as an invasive procedure using acupuncture needles that has associated medical risks. Therefore, the AAPMR maintains that this procedure should only be performed by practitioners with standard training and familiarity with routine use of needles in their practice, such as licensed acupuncturists or licensed medical physicians.”  American Academy of Physical Medicine and Rehabilitation






Minnesota Acupuncture Association

Dry Needling Position Statement


Dry Needling FAQs

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