#PTonICE Podcast Episode 1975 - Dry needling: a nationwide policy & legislation update
Nov 20, 2025
Dr. Paul Killoren, a seasoned physical therapist and dry needling expert, dives into the nation's dry needling policies and the significant turf battles surrounding them. He explains the historical context of legislation, emphasizing the differences between dry needling and acupuncture. Paul discusses safety data, advocating for dry needling as a conservative treatment option and highlighting the necessity for clinician advocacy. With insights on training requirements and the future of dry needling, he inspires professionals to engage in policy change for better patient access.
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Why Dry Needling Laws Differ By State
- Dry needling legality varies by state because many practice acts predate the intervention and must be updated.
- Some states permit it under an "innovative techniques" clause if competency and safety are proven.
Turf Battles Drive Opposition
- Legislative resistance to PT dry needling is primarily a turf battle with acupuncturists and occasional physicians.
- Opponents use safety and profession-overlap arguments while PTs emphasize training and patient access.
Time Your Advocacy Contacts
- Don't contact legislators until a bill or rulemaking is active; they tune in when votes are required.
- Work with your state association and lobbyists so outreach matches the legislative timeline.