I was having a discussion with a coworker today regarding a patient that was referred to him for dry needling. He received the referral from a neurologist specifically for dry needling of patient with a C7 SCI (we think complete based on phone calls, but the patient has not been in for an eval yet). The patient and MD are requesting DN to the RUE and c-spine. We both have concerns about proceeding with dry needling due to the risk of autonomic dysreflexia and decreased (or loss) of sensation in the UE - does anyone have any experience utilizing dry needling with this patient presentation?