Dry Needle Level-2 Course
MASTER DRY NEEDLING – LEVEL 2
This course is a three day introductory course to enhance and expand upon the foundational principles offered in our 27-hour Level I course, Introduction to Dry Needling. While this course is still designed to place heavy emphasis on practical, hands-on training and practice, the attendee will be introduced to more detail of current research regarding DN efficacy, physiological effects, controversies and potential adverse effects. Peripheral and central sensitization issues will be discussed. The participant will be familiarized not only with HOW to needle but also WHAT functional outcomes may be influenced by needling, which is WHY we needle. As always, an emphasis will be placed on patient and clinician safety and proper handling of potential blood-borne pathogens. While many of the tissues covered in the Level One course were larger and more common clinically encountered muscle groups, more complex anatomical regions such as the face, hand and foot intrinsics will be taught in Level II. Relevant regional and three-dimensional anatomy (utilizing state-of-the-art software programs) as well as pathophysiology of common disorders will be covered as the weekend progresses. Level II also dedicates more time of DN beyond trigger point techniques to other soft tissue applications in musculotendinous, tenoperiosteal and ligamentous tissues. The art of “needle palpation” will be emphasized, allowing the participant to correctly distinguish between normal and abnormal tissue in different body types. Pre and post DN functional assessments will be included. Prior to post-course proficiency testing, multiple case studies will be presented. Each attendee will be expected to sign a waiver and practice DN on a lab partner. Pregnant females are not allowed to participate in the course as all attendees are expected to needle lab partners.
*State practice act that includes dry needling as being within scope of practice.
*Active malpractice insurance.
*Signed liability waiver by all attendees. Female attendees must sign to certify they are not pregnant.
*Master Dry Needling Level I seminar or equivalent
Upon completion of this course, attendees will be able to:
1. Have a thorough understanding of DN history and clinical applications.
2. Discuss controversial professional issues in regards to DN interventions.
3. Properly handle potential blood-borne pathogens and OSHA compliance.
4. Apply pre and post DN functional outcome testing.
5. Understand normal and abnormal muscle contraction physiology.
6. Understand peripheral and central sensitization issues.
7. Apply DN techniques safety and effectively to craniofacial tissues as well as hand and foot intrinsics.
8. Identify muscle attachments and trigger points by surface anatomy and muscle testing.
9. Identify ligamentous and tenoperiosteal tissues by surface anatomy and palpation.
10. Properly insert needles into each tissue identified including depth and angle of penetration.
11. Understand absolute and relative contraindications to DN therapy.
12. Identify type of normal and abnormal tissue encountered at the end of a needle using “needle palpation.”
13. Utilize the different needling techniques and stimulation performed across the field.
14. Discuss and apply electrical stimulation to inserted needles.
Day 1 (10 hours) Day 2 (10 hours) 8:00-10:00 – LE Part II: Foot Intrinsics– Needle Insertion and Practice Day 3 (7 hours) 8:00-9:30 – Central and Peripheral Sensitization9:30-11:00 Pre and Post DN Functional Testing & Practice
8:00-9:00 – Introductory Lecture (including literature review, recent controversies)
9:00-10:00 – DN I REVIEW: Safety, Contraindications, Adverse Effects, Needle Handlingand Disposal
10:00-11:00 – DN I REVIEW: Needle Palpation Techniques of muscle, MTJ, TPJ, ligaments, scars
11:00-1:00 – UE Part I: Elbow and Forearm– Needle Insertion and Practice
2:00-4:00 – UE Part II: Hand Intrinsics–Needle Insertion and Practice
4:00-5:30 – LE Part I: Smaller muscles of the leg—Needle Insertion and Practice
6:30-7:00 – Review and Discussion
10:00-1:00 – Anterior and Lateral Cervical Needle Insertion and Practice
1:00-2:00 – Lunch
2:00-6:30 – Craniofacial Needle Insertion and Practice
6:30-7:00 – Review and Discussion
11:00-1:30 – Specific Syndromes and Case History Presentations
1:30-2:00- Update on Electrical DN
2:00-3:00 – Review and Discussion and Post-course Testing
Day 1 (10 hours)
Day 2 (10 hours)
8:00-10:00 – LE Part II: Foot Intrinsics– Needle Insertion and Practice
Day 3 (7 hours)
8:00-9:30 – Central and Peripheral Sensitization9:30-11:00 Pre and Post DN Functional Testing & Practice