Consent for Dry Needling
Dry needling is a technique used in physical therapy practice to treat myofascial,
muscular, and connective tissues for the management of neuromuscular pain and
movement dysfunction. Dry needling technique should not be confused with an
acupuncture treatment performed by a licensed acupuncturist. As with any treatment,
there are possible risks associated with dry needling. Mild side effects such as bleeding,
bruising, and temporary pain have been associated with dry needling. Other mild side
effects include aggravation of symptoms, drowsiness, feeling faint, headache, and
nausea. Rare side effects associated with dry needling are infection and pneumothorax
(lung puncture), which requires immediate medical attention. Please seek immediate
medical attention if you experience shortness of breath, increased breathing rate, chest
pain, dry cough, excessive sweating, and/or bluish discoloration of the skin.

I understand the risks involved in dry needling, and I consent to the treatment of dry
needling from Lindsey Hughey, PT, DPT, OCS, FAAOMPT. I understand I will need to
obtain a script from my MD prior to receiving dry needling treatment.
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I acknowledge that I have received a copy of drivePT’s Consent for Dry Needling Policy. *
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