PDF Version [PDF - 196 KB] (Updated on May 31, 2018)
Originating in ancient China, acupuncture is a surgical procedure [1–4] in which an acupuncture point (a muscle or connective tissue site at which stimulation exerts a maximal therapeutic effect) is punctured with an acupuncture needle (a fine needle of up to six inches in length) to prevent or treat a disease or condition . Acupuncture is based on anatomy, physiology, and pathology [1,5–13].
Dry needling is acupuncture in which an acupuncture point that has become reactive (exquisitely tender to palpation), commonly known in the West as a trigger point, is punctured with an acupuncture needle to prevent or treat a disease or condition, in particular a musculoskeletal disease or condition .
Dry needling is not new. It was described in the first century BCE in the Yellow Emperor’s Inner Classic (traditional Chinese: 黃帝內經; pinyin: Huáng Dì nèi jīng), the foundational text of Chinese medicine .
As exposed by the Dry Needling Adverse Event Tracking System (DNAETS) map, dry needling is unsafe when unqualified practitioners of acupuncture, such as physical therapists, perform it.
Dry Needling Adverse Event Tracking System (DNAETS) Map
To see some of the serious adverse events caused by unqualified practitioners of acupuncture, such as physical therapists, performing dry needling, click on the red-colored states in the DNAETS map below. The DNAETS map was updated on May 31, 2018.
To report a serious adverse event caused by an unqualified practitioner of acupuncture, such as a physical therapist, performing dry needling, use the Dry Needling Adverse Event Reporting System (DNAERS) form. The National Center for Acupuncture Safety and Integrity (NCASI) will use the information as part of our legislative and administrative advocacy work.
An acupuncture needle is a restricted medical device under section 520(e) of the Federal Food, Drug, and Cosmetic Act (the FD&C Act) (21 U.S.C. § 360j(e)) .
The U.S. Food and Drug Administration (FDA) restricted the sale, distribution, and use of an acupuncture needle “to prescription use” . In addition, FDA further restricted the sale, distribution, and use of an acupuncture needle “to qualified practitioners of acupuncture as determined by the States” . (FDA determined that this restriction is required for the safe and effective use of an acupuncture needle .) Therefore, it is a violation of Federal law when unqualified practitioners of acupuncture, such as physical therapists, purchase, possess, or use an acupuncture needle .
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