02/04/2026
Steelers star T.J. Watt reportedly suffered a partially collapsed lung after a dry needling session at the team facility.
That’s not to scare anyone — it’s a reminder that any needle-based technique near the ribcage carries real (though uncommon) risk, including pneumothorax (punctured lung), which has been documented after dry needling.
The big takeaway for athletes:
“Needles” aren’t the problem — training + licensure matter.
Dry needling certification can involve relatively short, technique-focused training (sometimes as little as a weekend course), while licensed acupuncturists complete extensive education in anatomy, physiology, diagnosis, and safe needling practice.
In states like New Jersey,
acupuncturists must have at least 80 credits in science courses and a bachelor’s degree before embarking on their acupuncture education, which involves thousands of hours of training.
Physical Therapist performing dry needling (NJ): must complete a dry needling CE/competency program including 40 hours academic + 40 hours hands-on, and NJ law explicitly states patients must be told they are not receiving acupuncture by a licensed acupuncturist.
Before anyone puts a needle in you, ask:
What license are you practicing under?
How many supervised hours of needling training do you have?
What’s your protocol for higher-risk areas (neck/ribs/upper back)?
Do you use clean needle technique + informed consent?
If you’re in North Jersey and want needle-based sports recovery delivered by a licensed acupuncturist, Synergy Acupuncture is led by Michael Zakko, L.Ac.