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10 legalities involved in dry needling

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10 legalities involved in dry needling

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10 legalities involved in dry needling

  1. 1. DR. SUBHANJAN DAS, PT Subhanjan_82@yahoo.co.in +91 8967549104 Dry Needling Instructor MPT (Musculoskeletal & Sports) Assoc. Prof., BIMLS, Burdwan
  2. 2. Also in the series  http://www.slideshare.net/SubhanjanDas/introduction-to-dry-needling  http://www.slideshare.net/SubhanjanDas/2-brief-hisory-of-needling  http://www.slideshare.net/SubhanjanDas/3-superficial-dry-needling  http://www.slideshare.net/SubhanjanDas/4-indications-of-dry-needling  http://www.slideshare.net/SubhanjanDas/6-dangers-of-dry-needling  http://www.slideshare.net/SubhanjanDas/7-physiologic-background-of-dryneedling  http://www.slideshare.net/SubhanjanDas/8-dn-vs-acupuncture  http://www.slideshare.net/SubhanjanDas/9-electroacupuncture  http://www.slideshare.net/SubhanjanDas/10-legalities-involved-in-dry-needling
  3. 3. Issue: is it within the scope of physiotherapy?  Dry needling is practiced by physical therapists in many countries, including South Africa, Bangladesh, the Netherlands, Spain, Switzerland, Canada, Chile, Ireland, the United Kingdom, Australia and New Zealand1
  4. 4. Issue: is it within the scope of physiotherapy?  Of the approximately 9,000 physical therapists in South Africa, over 75% are estimated to employ the technique at least once daily2
  5. 5. Issue: is it within the scope of physiotherapy? In the United States 33 states allow dry needling by physiotherapists, 4 states ( California, Hawaii, New York, and Florida) prohibit practice of dry needling, in fact they do not allow physical therapists to penetrate the skin1,3. Rest of the states do not have clear guidelines regarding physical therapists practising DN.
  6. 6. Issue: is it within the scope of PT? As DN is a comparatively new modality, many authorities are in the process of recognizing DN, example, Arizona State Board of Physical Therapy allowed PTs to perform DN only in 22 Oct 20134! HISTORICAL PERSPECTIVE  In the initial days of spinal manipultion Dr. Janet Travel discouraged Stanley Paris from manipulation by saying, “Manipulation is a diagnostic and therapeutic tool to be reserved for physicians only.”5
  7. 7. Scenario in India  No clinical practice guideline exists regarding physiotherapy.  The D&C act 1940 prevents PT’s to administer prescription drugs. Dry needling does not use any drug.  Lidocaine or corticosteroids, sometimes injected to the trigger point can not be independently administered by a physio.
  8. 8. Who can perform acupuncture? Various organizations run acupuncture courses, e.g. Singhania university (UGC & AICTE approved)has a certificate course where the eligibility is 10th pass. The web is full of certificate, diploma, degree and even MD courses. There is need for definitive guidelines.
  9. 9. Final word Physiotherpists in India can legally perform needling within present system. It is highly unlikely that this locus standi will change in future.
  10. 10. 1. http://en.wikipedia.org/wiki/Dry_needling 2. Dommerholt et. al, Trigger point dry needling, The Journal of Manual & Manipulative Therapy Vol. 14 No. 4 (2006), E70 - E87 3. Hawaii Revised Statutes. Chapter 461J; Physical Therapy Practice Act. Article §461J-2.5 Prohibited practices, 2006. 4. http://www.ptboard.az.gov/docmgt/docs/dryneedli ngbyPT.pdf 5. Paris SV. In the best interests of the patient. Phys Ther 2006;86:1541-1553.

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