Hi ktinflorida! If you had a negative reaction, I would definitely consider pausing further acupuncture sessions until you check in with your physician. If you had a positive reaction, then it is entirely up to you as to whether or not you choose to continue. Like any RA treatment, what works for one person may not work for another. I believe some of our members have tried acupuncture and some have found it helpful; others, not so much. As the person living with RA, you are fully within your rights to refuse or request treatments as you see fit. Now, a physician can also choose not to treat patients, but a PT should have no problem with you declining a treatment that you don't find helpful. You can read a little bit more about RA and acupuncture here -- https://rheumatoidarthritis.net/alternatives-therapies/acupuncture-and-homeopathy/. Should this be a viable treatment option for you, it is absolutely critical that you use a reputable, licensed acupuncturist. I believe most states have a licensing requirement. Since I am in Indiana, I am just linking to my state's information -- http://www.in.gov/pla/2345.htm. You should be able to find yours by typing in your state's initials, followed by .gov. I hope this helps and please feel free to elaborate, should you feel comfortable doing so. Best, Erin, RheumatoidArthritis.net Team Member.