 Acupuncturists claim that dry needling is a form of acupuncture that doesn't fall in the scope of physical therapists, chiropractors, or the majority of other healthcare professionals; whereas those healthcare professionals claim dry needling is not acupuncture, but rather a procedure that is rooted in biomedical modern sciences.To become a certified acupuncturist requires hundred of hours spent in educational programs, national level exams, and good professional standings.On the other hand, to be certified in dry needling requires continued education or a certification program that is not yet regulated with strict standards; in addition, there is a general lack of policymakers, evaluation systems, or healthcare standards governing the technique of dry needling.