Understanding Dry Needling vs. Acupuncture
Dry needling has gained popularity as a treatment for muscular pain, but concerns have been raised about the risks associated with practitioners who receive only a few hours of training compared to licensed acupuncturists who undergo 4 years of rigorous education.
Dry needling involves inserting thin needles into muscle trigger points to relieve tension and pain. Unlike acupuncture, which is rooted in traditional Chinese medicine and focuses on energy flow through meridians, dry needling is a modern technique primarily used by physical therapists. 1,2
Acupuncturists typically complete a four-year university degree, covering anatomy, physiology, pathology, and traditional Chinese medicine principles. In contrast, some dry needling practitioners receive only a few hours of training, raising concerns about safety and effectiveness. 1,2
Risks of Inadequate Training
Practitioners with minimal training may lack the necessary knowledge to safely insert needles, increasing the risk of complications such as:
- Nerve Damage: Incorrect needle placement can lead to nerve injury, causing pain or loss of function.
- Pneumothorax (Collapsed Lung): Poor technique when needling near the chest can puncture the lung, leading to serious respiratory issues. 1
- Infections: Improper sterilization and hygiene practices can introduce bacteria, leading to infections. 2
- Excessive Bruising and Pain: Without proper anatomical knowledge, practitioners may cause unnecessary discomfort or tissue damage. 2
Lack of Regulation
Unlike acupuncture, which is regulated in many countries, dry needling often lacks standardized oversight. This means that individuals with minimal training can legally perform the procedure, putting patients at risk. 1,2
1 – Dry Needling vs. Acupuncture: Which Is Right for You?
2 – Dry needling vs Acupuncture. How to choose.
Legal Precedents on Dry Needling Injuries in Australia
Dry needling, a technique used by physiotherapists and other allied health practitioners, has gained popularity in Australia. However, its invasive nature has led to legal disputes when injuries occur. While dry needling is generally considered safe when performed by trained professionals, documented cases of adverse effects—including pneumothorax and infections—have resulted in litigation. 1
Regulatory Framework and Practitioner Responsibility
In Australia, dry needling falls within the scope of physiotherapy and other health professions, but regulations vary by state 2. Practitioners must adhere to strict hygiene protocols, obtain informed consent, and ensure their training meets professional standards 3. Failure to do so can result in legal consequences if a patient suffers harm.
Notable Legal Cases
Several cases have set legal precedents regarding practitioner liability in dry needling injuries. One case involved a patient who developed a pneumothorax after a physiotherapist performed dry needling on their upper back. The court ruled that the practitioner had failed to adequately inform the patient of the risks, leading to a successful claim for damages 1.
Another case involved a patient who suffered a severe infection due to improper sterilization of needles. The practitioner was found negligent for failing to follow hygiene protocols, reinforcing the importance of infection control in dry needling practices 1.
Key Legal Considerations
- Informed Consent – Courts have emphasized that practitioners must fully disclose potential risks to patients before performing dry needling. 1
- Training and Competency – Practitioners must demonstrate adequate training and competency in dry needling techniques to avoid liability. 3
- Hygiene and Safety Standards – Failure to adhere to hygiene protocols can result in legal action if a patient suffers an infection or other complications. 1
- Scope of Practice – Practitioners must ensure that dry needling is within their professional scope and that they have the necessary qualifications. 2
Statistics on Dry Needling Complications
- A study involving 7,629 dry needling treatments found that 19.18% of cases resulted in mild adverse events, including bruising (7.55%), bleeding (4.65%), pain during treatment (3.01%), and pain after treatment (2.19%).
- Another study tracking 20,464 dry needling sessions reported bleeding in 16% of patients, bruising in 7.7%, and pain during treatment in 5.9% of cases.
- While serious complications like pneumothorax (collapsed lung) are rare, they are still a concern identified in research literature.
- In Australia, approximately 64% of physiotherapists use dry needling as part of their clinical practice.
These statistics highlight the importance of proper training and regulation to minimize risks. Here are two references that provide insights into the differences between dry needling and acupuncture, including training requirements:
- Dry Needling vs. Acupuncture: Clinical Decision-Making in Physiotherapy Practice
- Dry Needling Vs Acupuncture: A Comparative Guide – DX Physio
Conclusion
While dry needling can be effective when performed by trained professionals, the risks associated with underqualified practitioners highlight the importance of proper education and regulation. Patients should seek treatment from licensed Acupuncturists that have 1,000 hours of training over a 4-years University Degree. Why would anybody chose to go to a practitioner that has done a 2-day Acupuncture (Dry Needling) course?
Why would anybody chose to go to a practitioner that has done a 2-day Acupuncture (Dry Needling) course?
I have been practising Acupuncture (otherwise called “Dry Needling”) since 1982. That is over 40 years of experience!
Please call Dr Louis Gordon (Chinese Medicine) for more information on (07) 4636 6100.
MISSION STATEMENT
“I aim to get my patients as WELL as possible, as QUICKLY as possible, and then to KEEP them WELL”.
