Osteopaths have a scope of practice for Western Medical Acupuncture and Related Needling Techniques. Much of dry needling research, however, has been done with reference to acupuncture. Dry needling is sometimes also known as intramuscular stimulation (IMS). Mild adverse events following dry needling are commonly bleeding, bruising, and pain. Dry needling that elicits LTRs improves treatment outcomes, and may work by activating endogenous opioids. Dry needling has its own theoretical concepts, terminology, needling technique and clinical application. Dry needling is also being researched for treatment of plantar fasciitis. The most frequent mild adverse event was needling or unspecified pain, followed by bleeding. Their repartee included Clinton needling Palin about her "Tina Fey glasses". Today, bleu d'Auvergne is prepared via mechanical needling processes. There is currently no standardized form of dry needling. The origin of the term "dry needling" is attributed to Janet G. Travell. Billings, nonetheless, was sick of Dutch's needling about his various illegal actions.