In Quebec all acupuncturists are licensed to insert thin needles under the skin. However, only physiotherapists having completed a rigorous training through the Ordre Professionnel de la Physiothérapie du Québec may do so. 

Physiotherapy Approach: Licensed physiotherapists will utilize needles in the hopes of reducing muscle tension or “knots”, known as trigger points. In some cases, the needling can influence swelling and trigger a favorable inflammatory response. However, all needles are inserted locally, meaning at or near the site of pain. They are officially referred to as PPAS, or “punctures physiothérapiques à l’aiguille sèche” in the province of Quebec.

Acupuncture approach: Acupuncture is deeply rooted in traditional Chinese medicine, which typically utilizes acupuncture to balance energy in the body. Although an acupuncturist may use the needle as a physiotherapist can, their approach is typically different. The use of chinese meridians is used by some therapists, whereas others may base their approach on point charts to guide their treatments. In all cases, a global energetic evaluation is first completed to guide treatment.