Luke Avery Moore alias The Pain-Ends-Here Clinic

Luke Avery Moore is not approved to offer Dry Needling within a Chiropractor scope of practice under Kansas State Board of Healing Arts (Chiropractic).

Dry Needling

Supports

High-quality evidence, including randomized controlled trials and systematic reviews, shows that dry needling of myofascial trigger points can reduce pain and improve short‑term function in conditions such as myofascial pain syndrome, neck pain, and low back pain. Multiple RCTs demonstrate that dry needling is more effective than sham dry needling or no intervention for reducing pain and improving quality of life in myofascial pain syndrome and trigger‑point related pain, typically over short- to medium-term follow‑up (days to a few months). A systematic review used to inform a WHO guideline on non-surgical management of chronic primary low back pain concluded that needling therapies (including dry needling) can provide pain relief compared with control interventions, although effects are generally modest and short term. Additional systematic reviews and RCTs (outside the list but within current academic literature) consistently report that dry needling improves pain, pressure pain thresholds, and sometimes range of motion over short-term follow-up in myofascial trigger point–related conditions and low back pain. This body of evidence supports the general efficacy of dry needling as a physical/needling therapy when performed by trained practitioners.

Contradicts

The available evidence does not specifically support a unique benefit of chiropractic delivery of dry needling versus delivery by other trained providers (eg, physical therapists or physicians); most trials and reviews evaluate dry needling as a technique, not tied to a specific profession. There is also important evidence that the benefit of dry needling is mainly short term, with insufficient or inconsistent evidence for durable long-term outcomes beyond several months. Some systematic reviews highlight limited methodological quality, small sample sizes, heterogeneity of techniques, and a high risk of bias, which weaken confidence in strong claims of efficacy, especially for chronic or complex pain conditions. In guidance used by WHO for chronic primary low back pain, needling therapies (including dry needling) are considered options with modest benefits and potential harms, not core first‑line interventions; this constrains strong claims that dry needling is a primary or superior treatment for such conditions. Furthermore, mainstream medical coverage and some payer policies still classify dry needling as investigational or not medically necessary for myofascial pain, reflecting ongoing uncertainty and the need for more robust evidence. Overall, there is no high‑quality evidence that chiropractic dry needling is more effective than other needling or non‑needling physical therapies, and broad, strongly positive claims about its efficacy or uniqueness are not supported.

Mainstream view

The mainstream medical and scientific position is that dry needling is one of several physical interventions that can provide short‑term pain relief and functional improvement in myofascial trigger point–related pain and some musculoskeletal conditions, when performed by appropriately trained clinicians. Systematic reviews and guideline‑informing evidence characterize dry needling as having modest, mainly short‑term benefits, with limited data on long‑term effectiveness, disability outcomes, and comparative superiority over other conservative treatments. Major guidelines for chronic primary low back pain and tension‑type headache do not place dry needling as a core first‑line therapy; instead, they emphasize exercise, education, psychological therapies, and multi‑modal conservative management, with needling therapies considered adjunct or optional interventions when benefits, risks, and patient preferences are carefully weighed. Regarding provider type, mainstream medicine treats dry needling as a technique that can be used by various trained professionals (eg, physical therapists, physicians, some chiropractors) under local regulatory frameworks, rather than a treatment uniquely associated with chiropractic practice. Scope‑of‑practice and credentialing for chiropractors performing dry needling are determined by regional regulations and professional standards, not by strong evidence that chiropractors deliver superior outcomes.

Papers listed for this claim:[1][2][3][4][5][6][7][8][9][10][11][12]

In their own wordsView sourceArchived copy

“Dry Needling”

Rule: KSA 65-2871