Currently, Virginia has approved physical therapists to perform the Dry Needling technique.  It is required that therapists attend 54 contact hours of training.  Level 1 and Level 2 is the equivalent of 54 hours.  We have received some conflicting advice from the board regarding the KinetaCore requirement of needling 200 sessions prior to taking FDN Level 2.  We were originally told the 54 hours must be completed before needling patients, but recently received a letter form the Virginia board stating this is only a recommendation not a requirement.  Due to the mixed response we have received we are offering therapists the opportunity to take Level 1 again at a discounted rate to get the 54 hours.  See below for the letters of reference. 

Click here to read the letter supporting therapists taking Level 1 and practicing dry needling before completing Level 2 as KinetaCore recommends.

Letter quoted below:

After review with the executive Director, Lisa Hahn, on the regulation and Guidance Document 112-9 the following response was received.  The regulations do not address specific treatments or scope of practice.  The guidance document 112-9 was created on 2/15/2008 to address the issue of Dry Needling.  it is a reference document and not part of the regulations.  When created, the course that involves practice between level and level 2 was not presented to the board.

 The Guidance Document was not created to have you take a Level 1 class twice to meet the 54 hours of training, but to make sure you had a minimum of of training before practicing the specific treatment.  Any requirement of a course should be completed in order to gain competency, not repeated to meet a minimum hour requirement as this was not the intent of the Guidance Document.


Holly C.D. Manke

Commonwealth of Virginia

Board of Physical Therapy

KinetaCore serves only as an educational resource to clinicians and does not make any claim on professional licensure.  It is always the practitioner’s responsibility to determine what is within their scope of practice.  Participants are allowed to learn any technique through continuing education, but whether or not they can use this technique in their patient practice is determined by current licensing bodies.   KinetaCore is a strong advocate of advancing the field of physical therapy and will encourage physical therapists to continue to be advocates for their profession.

If you have specific questions about your scope of practice, please contact your licensing board.  KinetaCore recommends each practitioner be knowledgeable in their licensing body’s current decisions and rulings.

For further information and experience with KinetaCore’s Functional Dry Needling® we invite you to attend one of our Level 1 FDN training courses.