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Janet G. Travell, MD Seminar Seriessm

Manual Trigger Point Therapy (MTT) Program

Starting in January 2014, the Manual Trigger Point Therapy (MTT) program will consist of a three-course program.

The MTT Program is a one hundred hour course consisting of three 3-day practical workshops (68 hours) and a home study program (32 hours).

This course program is a highly practical and immediately applicable series of workshops. In this intensive program over 170 muscles of the body are addressed. Courses can be taken in any order.

The textbook Myofascial Trigger Points by Drs. Jan Dommerholt and Peter Huijbregts is required for all courses. The book can be ordered directly from Myopain Seminars or purchased elsewhere. The Muscle Manual book by Nikita Vizniak is recommended and can be purchased at the workshops.

All workshops are designed for licensed healthcare professionals using manual or hands-on techniques to reduce pain and dysfunction, especially licensed massage therapists (LMT) and branches of that profession, physical therapists (PT) and assistants (PTA), and occupational therapists (OT) and assistants (OTA). This is an alternative course for physical therapists who work in states where dry needling therapy has not been approved. Physicians and physician assistants, dentists, chiropractors, athletic trainers, nurses, and nurse practitioners are also eligible.

The MTT workshops provide demonstrations and practical hands-on training using a selection of appropriate manual therapies found to be highly effective in treating myofascial trigger points. All Janet G. Travell, MD Seminar Series features excellent instructor-student ratios. This ratio ensures precise identification and deactivation of each trigger point. Each participant is required to test out on two randomly chosen muscles at the end of each workshop.

Stewart Wild teaching an MTT course

After registration students will have online access to the theory lectures, research papers, quizzes, Ted Talks and other resources. Early registration is recommended for immediate access to this information and the ability to pre-practice the techniques.

Mr. Stewart Wild, LMT, CMTPT, CNMT is the coordinator of the MTT Program. Contact him directly at or check out Mr. Wild’s blog at


Course Objectives

  • To peruse and digest the historical and current literature regarding myofascial pain.
  • To understand optimal musculoskeletal anatomy and physiology and the role of the sensory, motor and autonomic nervous systems; and to differentiate sub-optimal function.
  • To understand normal pain mechanisms; reception, transmission and modulation.
  • To understand the aberrant neurophysiology of peripheral and central sensitization.
  • To understand the contribution of myofascial trigger points to soft tissue pain and dysfunction.
  • To understand the biochemical environment of the trigger point.
  • To understand the various causes of myofascial trigger point formation.
  • To understand the various mechanisms that perpetuate myofascial trigger points.
  • To understand the position of primary or secondary trigger point involvement in many common conditions like osteoarthritis, low back pain and other regional pain syndromes.
  • To develop the highest standards of palpation, applicable to most soft tissue abnormalities.
  • To understand and perfect the detection and full de-activation of myofascial trigger points.
  • To use a variety of adjunct myofascial, heat, stretch, muscle play and movement therapies to reinforce the deactivation of these noxious points and return the client to full function.
  • To be able to prescribe appropriate Home Care Exercises (HCA) and other beneficial advice for permanent resolution of myofascial trigger points.

Prerequisites for Study with MTT

  • Open to all state registered massage therapists
  • Open to any other registered health professional wishing to use manual technique for trigger point deactivation e.g. PT, PTA, DO, DC, DDS, OT etc.
  • In-depth anatomy of the muscles appropriate to each course must be studied in advance; the course will be very detailed and concentrated and will proceed at a fast pace
  • Completing MTT Module 1–MTT Module 3 allows one to attempt the certification exam

Required Reading and Prior Study

  • Myofascial Trigger Points, Dr. Jan Dommerholt, Dr. P Huijbregts (2010)
  • Muscle Manual, Dr. Nikita Vizniak (this course book is also available from 360NMT)
  • Prior knowledge of bony landmarks (BLM), muscular attachments and muscle fiber direction is mandatory before attending each course.
  • A list of muscles to study before each course will be sent out upon registration.
  • Early registration allows a more relaxed pre-study period.

Recommended Reading

  • Myofascial Pain and Dysfunction, The Trigger Point Manual, Vol 1&2, Travell and Simons
  • Clinical Mastery in the Treatment of Myofascial Pain, Whyte-Fergusson and Gerwin
  • Clinical Application of Neuromuscular Techniques, Chaitow and DeLany, Vol 1&2
  • Tension Type and Cervicogenic Headache, Fernandez de las Peñas
  • Muscle Pain: Understanding the Mechanisms, Mense and Gerwin
  • Muscle Pain: Diagnosis and Treatment, Mense and Gerwin
  • Myofascial Pain and Fibromyalgia Syndromes, Peter Baldry
  • A Massage Therapist’s Guide to Understanding, Locating and Treating Myofascial Trigger Points, Chaitow and Fritz
  • The Trigger Point Therapy Workbook, Clair and Amber Davies
  • The Frozen Shoulder Workbook, Clair Davies
  • Trigger Point Therapy for Low Back Pain, Sauer and Biancalana
  • Healing through Trigger Point Therapy: A Guide to Fibromyalgia, Myofascial Pain and Dysfunction, Starlanyl and Sharkey
  • Clinical Sports Medicine, Brukner and Khan
  • Journal of Musculoskeletal Pain (quarterly)
  • Journal of Bodywork and Movement Therapies (quarterly)


Why Study Manual Trigger Point Therapy?

  • Study for a fulfilling career in a branch of massage therapy that specializes in the treatment of the difficult area of longstanding myofascial pain and movement dysfunction.
  • Study on courses developed by instructors that continue to add to the Travell legacy by writing the emergent books and research articles on myofascial pain.
  • Study with instructors that have over ten years teaching experience and continue to have daily clinical contact with clients suffering from pain and dysfunction.
  • Study on courses that are modified annually to keep up with the latest clinical and laboratory research.
  • Study on courses that strive to set one of the highest standards in the massage therapy industry.
  • Study to pass the MTT Theory and Practical Certification examinations that selectively permit only the most knowledgeable and competent graduate.
  • Use this Certification to enable liaison and integration with other allopathic health professionals that treat myofascial pain.
  • Use this Certification to attain professional membership of the National Association of Myofascial Trigger Point Therapists (NAMTPT) and other professional organizations.
  • The Myopain Seminars graduate will attract an ever-growing number of clients whose recovery from pain will provide a hugely rewarding career.


The complete Manual Trigger Point Therapy (MTT) workshops can be studied over one year or two. The achievement of full certification follows successfully passing the final exam online. The MTT course program will require a significant amount of time to study for certification. The course is intended to only certify trigger point therapists of the highest standard.

Requirements for certification:

  • Attendance at all theory and practical components; MTT Module 1–MTT Module 3
  • Passing each of the workshop quizzes online
  • Passing each of the end-of-workshop practical test outs
  • Passing a final theory certification
  • A 75-question MCQ theory exam (70% pass mark)

Graduates of the Manual Trigger Point Therapy course program can call themselves Certified Myofascial Trigger Point Therapists (CMTPT) and are eligible to join the National Association of Myofascial Trigger Point Therapists (NAMTPT) as professional members.

Select a course from the list below to see full information for it.