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DN3: Advanced Dry Needling


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This course focuses on advancing skills of dry needling technique and clinical reasoning for implementing the intervention. Participants can expect to be proficient with identification of trigger points and treatment using dry needling. Safety with dry needling is emphasized with each technique. Furthermore, evidence based approaches for the use of dry needling will be emphasized.

Target Audience: PTs
Instructional Level: Advanced

Pre-requisite: Completion of DN1 and DN2, or other approved previous training in dry needling as well as consistent practice with dry needling in the clinic setting for more than 6 months.


CEU Approval Information

For individual state approval, please contact us

16 Hour Course
17 CCUs awarded through ProCert

Cancellation policy


Additional information


July 17-18, 2021 Atlanta, GA, November 6-7, 2021 New Orleans

Course Agenda

Day 1


Course Introductions and Experience with DN


Needle Stimulation: Electro-Dry Needling, Needle Manipulation: Introduction and Evidence




DN of Facial MMS


Break for Lunch


DN of non-contractile structures: scar tissue management, tendinous, ligamentous, etc.


DN of advanced UQ (Scalene, mid-portion Rhomboid, Supraspinatus tendon,)




Peri-Neural DN of the UQ (Radial, Median and Ulnar Nerves)

Day 2


Round Robin Practice Day 1


Other considerations: Needle Size




DN of Thorax/Ribs




DN of hip flexors


Break for Lunch


DN peri-neural LQ (Sciatic)


DN LQ (Clusters for Hip and Knee OA, Popliteus)


Patient Cases

Course Objectives

By the end of the course, participants will be able to:

Demonstrate proficient handling of dry needles from initial preparation to discarding following the OSHA Blood Borne Pathogen Standards

Given a case study of craniofacial pain, participants will describe the evidence for dry needling in the management of temporomandibular joint dysfunction.

Identify 3 key studies supporting the use of dry needling as an intervention for musculoskeletal dysfunction.

Identify which patients are most appropriate for dry needling interventions

Given a case study on craniofacial pain, participants will be able will correctly identify 3 differential diagnoses and eliminate red flags.

Given a case study on plantar heel pain, participants will be able will correctly identify 3 muscles that could produce such a presentation.

Compare and contrast the differences between acupuncture and dry needling

Identify all bony landmarks in high risk areas for dry needling around the rib cage.

Independently demonstrate effective muscle palpation techniques for identifying tender points of all muscles instructed in the course.

Demonstrate how to effectively add electrical stimulation to dry needling technique in a safe and effective manner.

Given a case study for a patient with lumbar radiculopathy, participants will integrate dry needling as part of a comprehensive treatment program including the use of other interventions

Course Rationale

The use of dry needling as an intervention has become increasingly utilized and accepted as a part of clinical practice by the APTA and AAOMPT. Furthermore, state practice acts are including the technique as a part of practice. Dry needling can be an effective adjunct intervention option for musculoskeletal dysfunctions. While evidence is limited pertaining to the technique, emerging evidence is supportive and will be explored. Course Logistics Lab will be two days Saturday to Sunday.

Course Instructors

Elizabeth Lane

Grace Mollohan




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