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Chinese Journal of Integrative Medicine

, Volume 23, Issue 1, pp 3–9 | Cite as

Evidence and expert opinions: Dry needling versus acupuncture (I)

The American Alliance for Professional Acupuncture Safety (AAPAS) White Paper 2016
  • Arthur Yin Fan
  • Jun Xu
  • Yong-ming Li
Hot Topic

Abstract

In the last twenty years, in the United States and other Western countries, dry needling (DN) became a hot and debatable topic, not only in academic but also in legal fields. This White Paper is to provide the authoritative information of DN versus acupuncture to academic scholars, healthcare professional administrators, lawmakers, and the general public through providing the authoritative evidence and experts' opinions regarding critical issues of DN versus acupuncture, and then reach consensus. DN is the use of dry needles alone, either solid filiform acupuncture needles or hollow-core hypodermic needles, to insert into the body for the treatment of muscle pain and related myofascial pain syndrome. DN is sometimes also known as intramuscular stimulati on, trigger points (TrP) acupuncture, TrP DN, myofascial TrP DN, or biomedical acupuncture. In Western countries, DN is a form of simplified acupuncture using biomedical language in treating myofascial pain, a contemporary development of a portion of Ashi point acupuncture from Chinese acupuncture. It seeks to redefine acupuncture by reframing its theoretical principles in a Western manner. DN-like needling with filiform needles have been widely used in Chinese acupuncture practice over the past 2,000 years, and with hypodermic needles has been used in China in acupuncture practice for at least 72 years. In Eastern countries, such as China, since late of 1800s or earlier, DN is a common name of acupuncture among acupuncturists and the general public, which has a broader scope of indications, not limited to treating the myofascial pain.

Keywords

dry needling acupuncture biomedical acupuncture authoritative evidence experts’ opinions consensus 

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Notes

Acknowledgements

This White Paper reflects the official view of AAPAS. The authors would like to thank Drs. Jin Guan-yuan, Jerome Jiang, Yang Guan-hu, Wang Shao-bai, Wang Xiao-ping, Brent Foster, Lee DeLorme, Todd Gonzales for the valuable discussions and assistance during the drafting process.

References

  1. 1.
    American Physical Therapy Association. Description of dry needling in clinical practice: An Educational Resource Paper (2013). http://www.apta.org/StateIssues/DryNeedling/. Accessed July 28, 2016.Google Scholar
  2. 2.
    Ma YT. What is dry needling? http://www.acupuncture. ca.gov/about_us/materials/20100819_10e.pdf. Accessed September 23, 2016.Google Scholar
  3. 3.
    Dommerholt J. Dry needling-IMS, FAQ. http://www. bethesdaphysiocare.com/pdf/faq_dryneedling.pdf. Accessed September 23, 2016.Google Scholar
  4. 4.
    Council of Colleges of Acupuncture and Oriental Medicine. Position Paper on Dry Needling http://www.ccaom.org/downloads/CCAOM_Position_Paper__May_2011_Update. pdf. Accessed September 23, 2016.Google Scholar
  5. 5.
    National Institutes of Health. Acupuncture. https://nccih.nih. gov/health/acupuncture. Accessed September 23, 2016.Google Scholar
  6. 6.
    Centers for Medicare and Medicaid Services. Acupuncture for Osteoarthritis. Cited: Alberta Heritage Foundation for Medical Research Health Technology Assessment Unit. Acupuncture: evidence from systematic reviews and meta-analyses. https://www.cms.gov/medicare-coveragedatabase/details/technology-assessments-details.aspx?TA Id=19&NCAId=84&bc=AiAAAAAAAgAAAA%3D%3D&#back2. Accessed September 23, 2016.Google Scholar
  7. 7.
    World of Health. WHO International Standard terminologies on traditional medicine in the Western Pacific region. http://www.wpro.who.int/publications/docs/WHOIST_26JUNE_FINAL. Accessed September 23, 2016.Google Scholar
  8. 8.
    Zhou K, Ma Y, Brogan M. Dry needling versus acupuncture: the ongoing debate. Acupunct Med 2015;33:485–490.CrossRefPubMedGoogle Scholar
  9. 9.
    Peng ZF. Comparison between Western trigger point of acupuncture and traditional acupoints. Chin Acupunct Moxibust (Chin) 2008;28:349–352.Google Scholar
  10. 10.
    Peng ZF, Nan G, Cheng MN, Zhou K. The comparison of trigger point acupuncture and traditional acupuncture. World J Acupunct Moxibust (Chin) 2016;26:1–6.Google Scholar
  11. 11.
    Zhu H, Most H. Dry needling is one type of acupuncture. Med Acupunct 2016;28(4):1–10.CrossRefGoogle Scholar
  12. 12.
    Jin GY, Jin LL, Jin BX. Dry Needling: a de-meridian style of acupuncture. World J Acupunct Moxibustion 2016;26(2):1–5.Google Scholar
  13. 13.
    Simons DG, Travell JG, Simons LS, eds. Myofascial pain and dysfunction: the trigger point manual. 2nd ed. Baltimore: Williams &Wilkins; 1999:151–174.Google Scholar
  14. 14.
    Legge D. A history of dry needling. J Musculoskelet Pain 2014;22:301–307.CrossRefGoogle Scholar
  15. 15.
    Caramagno J, Adrian L, Mueller L, Rurl J. Analysis of competencies for dry needling by physical therapists (Final Report, 2015). https://www.fsbpt.org/Portals/0/documents/free-resources/DryNeedlingFinalReport_20150812.pdf. Accessed September 23, 2016.Google Scholar
  16. 16.
    Dascanio VC. Acupuncture in physiotherapy: a contemporary UK perspective. Acupunct Med 2015;33:442–444.CrossRefPubMedGoogle Scholar
  17. 17.
    Fan AY, He H. Dry needling is acupuncture. Acupunct Med 2016;34:241.CrossRefPubMedGoogle Scholar
  18. 18.
    Fan AY, Zheng L, Yang G. Evidence that dry needling is the intent to bypass regulation to practice acupuncture in the United States. J Altern Complement Med 2016;22:591–593.CrossRefPubMedGoogle Scholar
  19. 19.
    Sager MH, Ximenes R. Represent American Academy of Medical Acupuncture. AAMA Policy on Dry Needling(2015). http://www.medicalacupuncture.org/ForPhysicians/AbouttheAAMA/AAMAPositionStatement.aspx. Accessed September 23, 2016.Google Scholar
  20. 20.
    Komarow EW. NCCAOM/Dry Needling/A Young Profession. http://theacupunctureobserver.com/nccaomdry-needlingayoung-profession/. Accessed September 23, 2016.Google Scholar
  21. 21.
    Ries E. Dry needling: getting to the point. http://www.apta.org/PTinMotion/2015/5/DryNeedling/Accessed July 28, 2016.Google Scholar
  22. 22.
    Baldry P. The integration of acupuncture within medicine in the UK—the British Medical Acupuncture Society’s 25th anniversary. Acupunct Med 2005;23:2–12.CrossRefPubMedGoogle Scholar
  23. 23.
    Gunn CC, Ditchburn FG, King MH, Renwick GJ. Acupuncture loci: a proposal for their classification according to their relationship to known neural structures. Am J Chin Med 1976;4:183–195.CrossRefPubMedGoogle Scholar
  24. 24.
    Gunn CC, Milbrandt WE, Little AS, Mason KE. Dry needling of muscle motor points for chronic low-back pain: a randomized clinical trial with long-term follow-up. Spine 1980;5:279–291.CrossRefPubMedGoogle Scholar
  25. 25.
    Travell JG, Rinzler SH. The myofascial genesis of pain. Postgrad Med 1952;11:425–434.CrossRefPubMedGoogle Scholar
  26. 26.
    Seem M. Comments to Practice of dry needling in Virginia. http://www.townhall.virginia.gov/L/viewcomments. cfm?commentid=47915. Accessed September 23, 2016.Google Scholar
  27. 27.
    Hoyt J. Acupuncture, dry Needling and intramuscular manual therapy: understanding acupuncture’s therapeutic role in America. https://www.researchgate.net/publication/236899226. Accessed September 23, 2016.Google Scholar
  28. 28.
    Brav EA, Sigmond H. The local and regional injection treatment of low back pain and sciatica. Ann Int Med 1941;15:840–852.CrossRefGoogle Scholar
  29. 29.
    Liu LG, Fan AY, Zhou H, Hu J. The history of acupuncture anesthesia for pneumonectomy in Shanghai during the 1960s. J Integr Med 2016;14:285–290.CrossRefPubMedGoogle Scholar
  30. 30.
    Guo TJ, ed. Acupoint injection therapy. Jinan: Shandong People’s Press;1973:10.Google Scholar
  31. 31.
    Li D, Li P. Aqua-puncture therapy (Shui zhen Liao Fa). J New Chin Med Pharm (Chin) 1957;8(12):35–38.Google Scholar
  32. 32.
    Veith I, translator. Yellow Emperor’s Classic of Internal Medicine. Revised paperback edition. Berkeley. Los Angeles: University of California Press;1972.Google Scholar
  33. 33.
    Jin GY, Jin LL, Xiang JJ, eds. Contemporary medical acupuncture: a systems approach. Beijing: Higher Education Press—Springer, 2007.Google Scholar
  34. 34.
    Cheng XN, ed. Chinese acupuncture and moxibustion (Revised Ed). Beijing: Foreign Language Press; 1999:94–105.Google Scholar
  35. 35.
    Sun SM, ed. Beiji Qianjin Yaofang (translation as “Essential Recipes for Emergent Use Worth A Thousand Gold”). Chang’an, 651. Vol 19.Google Scholar

Copyright information

© Chinese Association of the Integration of Traditional and Western Medicine and Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.American Alliance for Professional Acupuncture SafetyGreenwichUSA
  2. 2.American Traditional Chinese Medicine AssociationViennaUSA
  3. 3.American Acupuncture Association of GreaterNew YorkUSA

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