 What further distinguishes dry needling from traditional acupuncture is that it does not use the full range of traditional theories of Chinese Medicine which is used to treat not only pain, but also other non-musculoskeletal issues that often cause pain.The distinction between trigger points and acupuncture points for the relief of pain is blurred.The debated distinction between dry needling and acupuncture has become a controversy because it relates to an issue of scope of practice of various professions.