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

SKU: N/A Category:

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 Objectives

  • Implement a collaborative learning approach to advance understanding of the use of dry needling
  • Complete OSHA blood borne pathogens course
  • Apply evidence based principles for the use of dry needling
  • Appraise the literature regarding evidence for dry needling
  • Detect which patients are best suited for dry needling interventions
  • Discuss the use of dry needling by physical therapists to patients with musculoskeletal disorders.
  • Review and discuss the APTA, AAOMPT an state board position statements
  • Compare and contrast the differences between acupuncture and dry needling
  • Compare and contrast active and latent trigger points
  • Proficiently and competently identify trigger points in muscles instructed in the course by using effective palpation techniques
  • Proficiently and competently handle a needle from initial preparation to discarding
  • Demonstrate clean needle technique
  • Proficiently and competently perform safe and appropriate dry needling on muscles
  • Provide the appropriate integration of dry needling as part of a comprehensive treatment program for patients with musculoskeletal dysfunction, including the use of other interventions
  • Articulate legal and ethical issues related to dry needling


Saturday Agenda

Time  Topic
7:30-8:00 Course Registration and Welcome
8:00-8:30 Course Introductions and Experience with DN
8:30-9:15 Needle Stimulation: Electro-Dry Needling, Needle Manipulation: Introduction and Evidence
9:15-9:30 Break
9:15-11:15 DN of Facial MMS
11:15-12:15 Break for Lunch (on your own)
12:15-1:15 DN of non-contractile structures: scar tissue management, tendinous, ligamentous, etc.
1:15-2:15 DN of advanced UQ (Scalene, mid-portion Rhomboid, Supraspinatus tendon,)
2:15-2:30 Break
2:30-5:00 Peri-Neural DN of the UQ: Radial, median, Ulnar
5:00-5:30 Q&A, wrap-up


Sunday Agenda

Time  Topic
8:00-8:30 Round Robin Practice Day 1
8:30-8:45 Other considerations: Needle Size
8:45-9:00 Break
9:15-10:45 DN of Thorax/Ribs
10:45-11:00 Break
11:00-12:00 DN of hip flexors
12:00-1:00 Break for Lunch (on your own)
1:00-1:30 DN peri-neural LQ (Sciatic)
1:30-4:30 DN LQ (Clusters for Hip, Knee OA, popliteus)
4:30-5:00 Case Study
5:00-5:30 Round Robin, Q&A, wrap-up


Elizabeth Lane
Grace Mollohan



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