Dry Needling

What Physical Therapists need to do in order to practice Dry Needling in Maryland

  • NEW Deadline to meet the Dry Needling Regulations is October 1, 2018
  • Checklist to guide you in reviewing education needs to meet requirements
  • There is NO grandfathering
  • Courses taken prior to Oct. 1 must be approved by either FSBPT, APTA, or the Maryland Chapter or they will not count - check with your course educators
  • The instruction required for the 40 hours of theory must be: 
    (1) In person at a face-to-face session; or 
    (2) In real time through electronic means that allow for simultaneous interaction between the instructor and the participants. 
  • PTs must register with the Maryland Board of Examiners prior to October 1st through an online application and submit the required fee OR you cannot practice dry needling in Maryland

The APTA of Maryland is working with dry needling course providers to identify opportunities and discounts for any needed coursework to meet the NEW deadline of Oct. 1., 2018.

  • Dry Needling Regulations​ ​​

    The Dry Needling Regulations promulgated the Maryland Board of Physical Therapy Examiners are effective as of June 19, 2017.   This includes the Standards of Practices in Performing Dry Needling.

    Minimum Education and Training Necessary to Perform Dry Needling.

    A. In order to perform dry needling, a physical therapist shall have at least 80 total hours of instruction, which includes: 

    (1) A total of at least 40 hours of instruction in the following dry needling-specific course content areas: 
         (a) Theory and application of dry needling; 
         (b) Dry needling technique, including spine and extremities; 
         (c) Dry needling indications and contraindications; 
         (d) Infection control, the Occupational Safety and Health Administration’s Bloodborne Pathogen Protocol, and safe handling of needles; 
         (e) Emergency preparedness and response procedures related to complications associated with dry needling; and 
         (f) Appropriate documentation of dry needling; and 

    (2) At least 40 hours of practical, hands-on instruction in the application and technique of dry needling, under the supervision of a licensed health care practitioner competent in dry needling procedures who has: 
         (a) Completed the requisite course work under §A(1) of this regulation; and 
         (b) Practiced dry needling for at least 5 years. 

    B. The instruction required under §A (1) of this regulation shall be provided by a continuing education course sponsored by the: 
    (1) American Physical Therapy Association;
    (2) The APTA of Maryland; or 
    (3) The Federation of State Boards of Physical Therapy. 
    * Note - if the courses you previoulsy took are not sponsored by any of the 3 above then they will not count as of Oct. 1, 2018. 

    C. A continuing education course taken before Oct. 1, 2018 shall qualify for instruction if the same course, in substantially similar form, is later sponsored by the American Physical Therapy Association, the APTA of Maryland, or the Federation of State Boards of Physical Therapy.
    *Note  - check with your course providers to see if they are sponsored by any of these and or if they will be by the Oct. 1 deadline.
     
    D. All instruction required under this regulation shall include an assessment of competency.
     
    E. The instruction required under §A(1) of this regulation shall be offered:  (1) In person at a face-to-face session; or 
    (2) In real time through electronic means that allow for simultaneous interaction between the instructor and the participants. 


    F. A physical therapist may not fulfill any portion of the practical, hands-on instruction required under §A(2) of this regulation with online or distance learning. 
          G. A physical therapist shall have practiced physical therapy for at least 2 years before performing dry needling in the State.
 
          H. Registration (this link will take you to the Board of Physical Therapy Examiners Registration Application)
         (1) A physical therapist shall be registered with the Board as having the appropriate education and training required by this regulation
         before the physical therapist may practice dry needling. 

          (2) In order to be registered to practice dry needling, a phyiscal therapist shall:  (a) Submit a completed application on a form
          supplied by the Board; and 
               (b) Pay a registration fee as established by COMAR 10.38.07. 

          I. A physical therapist who practices dry needling without the education and training required by this regulation shall be subject
          to discipline pursuant to COMAR 10.38.10.04A(4). 

         J. This regulation shall take effect Oct. 1, 2018.

  • Dry Needling Continuing Education​ - FSBPT Certified

    FSBPT Certified through ProCert - Because this information can change quite frequently, the best way for you to have access to the most current and correct information on certified courses is to research them in aPTitude. Through this link you can search for and confirm the current status of certified courses. aPTitude is a free service to any PT, PTA and PT/PTA student and all that is required is a name and an email address to register for and use the system.

    Note - KinetaCore is in final stages of ProCert approval for all dry needling courses.

    Previous Coursework approved by the Maryland Board of Physical Therapy Examiners does not count towards any course for the purpose of dry needling registration identified in COMAR 10.38.12.03.  The Board has approved courses for continuing education purposes; those licensees who have paid monies to take those courses for continuing education credit will not lose their continuing education credits. The regulations do permit for the evaluation of coursework taken prior to the required registration date. Specifically, continuing education coursework take before the required registration date “shall qualify for instruction if the same course, in substantially similar form, is later sponsored by the American Physical Therapy Association, the APTA of Maryland, or the Federation of State Boards of Physical Therapy.” (COMAR 10.38.12.03C) Licensees have the opportunity to use prior coursework if the requirements of the regulations are met.

  • Discounts and Promotions for Dry Needling Education

       If you have already taken a KinetaCore course, and you want to audit or re-take
       
    it for any reason, they have discounted rates for auditing.  This is changing
       soon - the audit/re-take price will be 50% — please be advised!
    KinetaCore recently sponsored 2 PT’s from MD to take our course series of FDN1, FT and FDN2 - FREE of charge.  They are compiling research for our company CEO, Edo Zylstra, in exchange for this offer.      Best KinetaCore offer is  40% off their U.S. FDN1 course, offered to anyone
       who has taken a DN course of at least 23 CEUs by any DN provider. (It must
       be dry needling and not acupuncture.)  Simply submit your certificate, and
       they will provide a code to register with a 40% discount.

If you have specific questions regarding the dry needling regulations, please email them to:If you have specific questions regarding the dry needling regulations, please email them to: mdh.dryneedling@maryland.gov .  The Board will develop a Frequently Asked Questions (FAQ) document based upon inquiries sent to the email address. - (Revised 8/17)