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Myofascial trigger points are a common feature of nearly all pain syndromes, including pelvic pain. Trigger points in the spine and abdomino-pelvic region may refer to the pelvis and pelvic floor, producing symptoms such as pain, urinary urgency, and rectal fullness. Pelvic pain can be debilitating. Trigger point dry needling is one intervention in a comprehensive plan of care to address pelvic pain.

Program Overview

This 3-day course will introduce the concepts of trigger point dry needling as it relates to the muscles of the pelvis and perineum. It will integrate pain science research with anatomy and biomechanics of the pelvis and pelvic floor. Students will learn techniques to safely perform trigger point dry needling to the region. They will also learn clinical patterns that may facilitate improved clinical reasoning as to when and where to utilize trigger point dry needling. Muscle groups include the hip abductors, adductors, flexors, abdominal muscles, urogenital triangle, levator ani and coccygeus. Students will review the anatomy, function, and dry needling techniques for each muscle.

The Dry Needling for Pelvic Pain course is designed with the pelvic health practitioner in mind. It improves the proficiency of dry needling skills in these providers while maintaining focus on the muscles most commonly treated in people with chronic pelvic pain and other types of pelvic floor dysfunction.

This is a three-day course including a practical examination on the third day.

Prerequisites

Successful completion of the Myopain Seminars DN-1 course.
Successful completion of a level 1 course in pelvic health / pelvic floor dysfunction. Registrants must submit a course certificate or other proof that course has been completed to satisfaction before becoming eligible to participate in the Dry Needling for Pelvic Pain course.

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 waiver) absolving 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.

Course Objectives

Upon completion of the course, participants will be able to:

  1. Become familiar with common referral patterns for the muscles of the pelvic floor and the muscles which commonly refer pain to the pelvic region.
  2. Integrate pain science in a comprehensive approach to treating the pelvic floor
  3. Understand the precautions (relative and absolute) to performing trigger point dry needling in the pelvic region – biological, emotional and psychological
  4. Learn appropriate and safe positioning, needle insertion and post-needling instruction for the muscles of the pelvis and perineum
Schedule

Note: The actual times may vary with each program at the discretion of the instructors. Coffee breaks are provided; meals are on your own.

Day 1
8:30 am-5:00 pm
8:30-9:00 Introductions
9:00-10:15 Review Myofascial pain and central sensitization theory
Review needle safety
10:15-10:30 Break
10:30-12:30 Lab: Dry needling techniques
Gluteus maximus/medius/minimus, quadriceps, hamstrings, adductors, pectineus (review from DN-1)
12:30-1:30 Lunch
1:30-2:30 Lab: Dry needling techniques
Lumbar and sacral multifidus, thoracolumbar junction
2:30-3:30 Lab: Dry needling techniques
Quadratus Lumborum, Psoas, Iliacus
3:30-3:45 Break
3:45-5:00 Lab: Dry needling techniques
Tensor Fascia Lata, Abdominal Wall
End Day 1 End of Day 1
Day 2
8:00 am-5:00 pm
8:00-8:30 Day 1 Review and Q&A
8:30-10:00 Lecture: Introduction to Pelvic Floor
Dysfunction, Hypertonic / Overactive
Pelvic Floor, Pelvic Pain
10:00-10:15 Break
10:15-12:30 Lab: Dry Needling Techniques
Piriformis, deep hip rotators, quadratus femoris, obturator internus
12:30-1:30 Lunch
1:30-2:00 Lecture: Pelvic Floor Anatomy
2:00-3:00 Lab: Pelvic Floor anatomy / external palpation
3:00-3:15 Break
3:15-5:00 Lab: Dry Needling Techniques
Bulbospongiosus, ischiocavernosus, Superficial Transverse Perineal
End Day 2 End Day 2
Day 3
8:00 am-5:00 pm
8:00-8:30 Day 2 review and Q&A
8:30-9:30
Lecture:
Clinical Correlations : Irritable Bowel /constipation, Bladder Pain Syndrome / Urgency andFrequency, Vulvar Pain, Pudendal Neuralgia,  Endometriosis
9:30-9:45 Break
9:45-12:00 Lab: Dry Needling Techniques
Review Urogenital Triangle (from Day 2) Levator ani, Coccygeus
12:00-1:00 Lunch
1:00-2:30 Quiz / Review
2:30-2:45 Break
2:45-5:00 Competency