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Program Overview

DN-2 Applied CourseThe DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization, the etiology and scientific basis of myofascial pain and dry needling.

Many muscles commonly addressed in clinical practice are included, such the posterior cervical muscles, the oblique capitis inferior, the cervical and thoracic and lumbar multifidi, levator scapula (partially), the latissimus dorsi (partially), supraspinatus, teres major and minor, pectoralis major (partially), pectoralis minor, the coracobrachialis, pronator teres, wrist flexors, oblique abdominal muscles and rectus abdominus, the lumbar paraspinals, the deep hip rotators, the lower and middle trapezius, the serratus anterior, and the rhomboids muscles. Students will also be introduced to the current scientific basis for dry needling for scar tissue, fascial adhesions, enthesopathies, and tendinopathies. Note:  the pelvic floor muscles are no longer part of the DN-2 course, as Myopain Seminars will soon launch a new Pelvic Pain Dry Needling course.

Students will review the anatomy, function, and dry needling techniques for each muscle.

Prerequisites

DN-1 Foundations I

Eligibility Requirements

The workshops are designed for licensed healthcare practitioners, who are allowed to use dry needling in their practice and jurisdiction, including physicians and physician assistants, dentists, physical therapists, occupational therapists, chiropractors, acupuncturists, athletic trainers, nurses, and nurse practitioners. Entry-level students are not eligible for the dry needling courses, but medical residents and physical therapy residents are welcome to attend.

All participants are expected to participate in the hands-on portion of the course. By registering for this course, participants agree to practice the various manual and needling techniques on each other. Prior to the course, all participants must sign a waiver (view sample waiverabsolving Myopain Seminars, the program directors, and the instructors of any liability in the event of injury.

Massage therapists, bodyworkers, neuromuscular therapists, physical therapy assistants, and occupational therapy assistants are not eligible to attend the DN courses and are encouraged to attend courses offered through the Myopain Seminars Manual Trigger Point Program.

Pre- and post test

Prior to the DN-2 course, students will be required to complete a multiple choice pre-test to assess the current knowledge of dry needling and the scientific background. At the completion of the DN-2 course, students will be required to complete a post-test with 15 multiple choice questions. A passing score of 10/15 questions (66%) is required to receive the course certificate.

Course Objectives

By the end of the training weekend, participants will be able to

  • compare and contrast three principles of dry needling the posterior cervical muscles and the oblique capitis inferior muscle
  • demonstrate two different dry needling methods for the serratus anterior muscle
  • name three key features of central sensitization
  • demonstrate at least two principle differences between dry needling of the cervical and thoracic multifidi muscles
  • discuss at least 4 potential adverse events that can occur when needling muscles in the region of the trunk
  • discuss at least 4 different forms of muscle overload that can lead to the formation of trigger points
  • name three characteristics of the Cinderella Hypothesis relevant for trigger points
  • discuss the basic premise of three different trigger point hypotheses
  • demonstrate three different dry needling approaches for the rhomboid, middle trapezius and pectoralis muscles
Schedule

Note: Actual times may vary with each program at the discretion of the instructors.  Refreshments, including coffee, tea, water, and snacks, are provided throughout the day; meals are on your own.

Day 1
7:30 am–6:30 pm
7:30-9:30 MFP and Sensitization lecture review (module 5-7)
9:30-9:45 Questions & Answers
9:45-10:00 Precautions and Needle Review Slides
10:00-11:00 Teres Major and Minor
11:00-11:45 Coracobrachialis
11:45-12:45 Lunch
12:45-2:15 Pronator Teres, Wrist Flexors and FPL
2:15-3:15 Pectoralis Minor
3:15-3:30 Questions & Answers
3:30-4:30 Levator Scapulae
4:30-5:30 Supraspinatus
5:30-6:30
End Day 1
SCM Review
End Day 1
Day 2
7:30 am–6:30 pm
7:30-8:30 Clinical Aspects of MFP Review
8:30-10:00 Posterior Cervicals including Cervical Mutifidi and Cranial Attachments
10:00-10:15 Questions & Answers
10:15-11:15 Oblique Capitis Inferior
11:15-12:30 Thoracic and Lumbar Multifidi and Lumbar Iliocostalis
12:30-1:30 Lunch
1:30-2:30 Iliacus and TFL
2:30-3:45 Deep Hip Rotators
3:45-4:00 Questions & Answers
4:00-5:15 Abdominal Muscles
5:15-6:30
End Day 2
Serratus Anterior
End Day 2
Day 3
7:30 am–4:00 pm
7:30-8:30 Lower Trap, Mid Trap, Subscap (medial approach)
8:30-10:15 Rhomboids, Serratus Posterior Superior, Longissimus, and Iliocostalis Muscles
10:15-10:30 Questions & Answers
10:30-12:00 Serratus Posterior Inferior, Latissimus Dorsi and Pectoralis Major on Trunk
12:00-1:00 Lunch
1:00-1:45 Quiz and Review
1:45-2:45 Muscle Competency
2:45-4:00 Scar Tissue, Adhesions, Enthesopathies, and Tendinopathies

** In addition, students will have 5 hours of home study modules to review prior to each course.

Dry Needling (DN) Program DN-1: Foundations

Dry Needling (DN) Program DN-3: Advanced