Physiotherapist wants to do dry needling to neck and forearm for chronic bilateral wrist pain (1 yr roughly)thoughts on opinions on this procedure ? he thinks there is compression of nerves.

Acupuncture instead: I suggest consulting with an experienced acupuncturist first. "dry needling" sticks acupuncture needles directly into muscular trigger points, and can be painful. Training in dry needling may last a weekend. The process of acupuncture is not painful, is much more encompassing, and acupuncture needles are directed into acupuncture points for energy flow. Training may require years.

Treatment options: Dry needling is very helpful for trigger points. I didn't actually know that dry needling could be used in the manner you described. There are many treatment options depending on the cause of wrist pain. Has the source of your wrist pain been diagnosed? I can't comment on the treatment plan that was offered to you. As a medical acupuncturist, I am not familiar with this approach to wrist pain.

I do not know: much about the procedure you state is called dry needling but cannot understand how it would help nerve compression that supposedly manifests itself as wrist pain. see a hand surgeon or a t least get some X-rays