Date of Course:
20 Mar 2019 - 24 Mar 2019
DRY NEEDLING COURSE; LEVEL 1&2 ; Zagreb, Croatia; 20-24 March 2019
Course times : 1.00 – 7.00 pm day 1 – registration from 12.30; 9 am – 5 pm on day 2-5
445 € / 400 pounds DN1 / 445 € / 400 pounds DN2
800 € / 700 pounds DN1&2 together
Early bird fees are 10% less if paid more than a month before course date – DN Practitioner exam fee is 50 euros
Why Dry Needling?
Dry Needling (DN) is a skilled intervention that uses a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular, and connective tissues for the management of neuromusculoskeletal pain and movement impairments.
DN is used to treat dysfunctions in skeletal muscle, fascia and connective tissue and diminish persistent peripheral nociceptive input and reduce or restore impairments of function leading to improved activity and participation. The physiological basis for DN depends upon the targeted tissue and treatment objectives. The treatment of myofascial trigger points ( TrPs) has a different physiological basis than treatment of excessive muscle tension, scar tissue, fascia, and connective tissues. TrPs are hyperirritable spots within a taut band of contractured skeletal muscle fibres that produce local and/or referred pain when stimulated.
TrPs are divided into active and latent TrPs dependent upon the degree of irritability. Active TrPs are spontaneously painful, while latent TrPs are only painful when stimulated. TrPs are physiological contractures, characterized by local ischemia and hypoxia, local and referred pain and altered muscle activation patterns. TrPs activate muscle nociceptors and are peripheral sources of persistent nociceptive input, thus contributing to the development of peripheral and central sensitization.
DN can be divided into deep and superficial DN. Deep DN has been shown to inactivate TrPs by eliciting local twitch responses (LTR) which are modulated by the central nervous system. A LTR is a spinal cord reflex that is characterized by an involuntary contraction of the contractured taut band, which can be elicited by a snapping palpation or penetration with a needle. The LTR has been shown to be associated with alleviation and mitigation of spontaneous electrical activity or motor endplate noise; a reduction of the concentration of numerous nociceptive, inflammatory, and immune system related chemicals and relaxation of the taut band.
Deep DN of TrPs is associated with reduced local and referred pain, improved range of motion and decreased TrP irritability both locally and more remotely. DN normalizes the chemical milieu and pH of skeletal muscle and restores local circulation. Suqerficial DN is thought to activate mechanoreceptors coupled to slow conducting unmyelinated C fibre afferents, and indirectly, stimulate the anterior cingular cortex. Superficial DN may also be mediated through stimulation of A delta fibres, or via stretching of fibroblasts in connective tissue. Superficial DN is associated with reduced local and referred pain and improved range of motion.
DN may be incorporated into a treatment plan when myofascial TrPs are present, which may lead to impairments in posture, pain and functional limitations. TrPs are sources of persistent peripheral nociceptive input and their inactivation is consistent with current pain management insights DN also is indicated with restrictions in range of motion due to contractured muscle fibres or taut bands, or other soft tissue restrictions, such as fascial adhesions or scar tissue. TrPs have been identified in numerous diagnoses and can treat radiculopathies, joint dysfunction, disk pathology, tendinopathies, cranio-mandibular dysfunction, headaches and migraines, tension-type headaches, carpal tunnel syndrome, computer-related or repetitive strain disorders, whiplash associated injury, spinal dysfunction, pelvic pain, post-herpetic neuralgia, complex regional pain syndromes, sports injuries, nocturnal cramps and other relatively uncommon disorders.
If you are a soft tissue therapist and DN is in your scope of practice, then is it time for you to learn this amazing new technique to help your patients and clients overcome their pain and dysfunction.
DN Level 1 Course
The Dry Needling Level 1 course is made up of 3 days of theoretical and practical needling training.
Level 1 Course Outline
Day 1: The Lumbar Spine and Pelvis
Day 1 covers the ‘how to’ of Dry Needling, current myofascial and trigger point concepts and research, superficial and deep DN, complications, the pain gate theory and needle types and choices.
Participants will begin their needling in the relatively safe areas of the buttock and progress to the ITB, TFL and the lumbar spine.
Muscle contraction and trigger points
Referred pain and reactor type
Clean and safe needling techniques;
Dangers & contraindications;
Informed consent and needle stick injuries;
Superficial Dry Needling Techniques
Deep Dry Needling techniques:
Gluteus maximus, medius and minimus
Piriformis, tensor fascia lata, iliopsoas.
The lumbar spine; multifidus, quadratus lumborum and the erector spinae.
Day 1 is the pre-requisite for days 2 and 3.
Level 1 Course Outline Day 2:
The Cervical Spine and Shoulder area
Day 2 gets you going! Having built up your needling confidence on day 1, we bring in the upper quarter to challenge your surface anatomy and palpation skills as you work around the Cervical spine, over the ribs and around the scapula and upper thorax. Knowledge of your surface and functional anatomy here is vital.
Myofascial sources of pain and dysfunction in the posterior cervical and shoulder area.
TP syndromes of the Cervical spioe;
Cervicogenic and analgesic headache.
Clinical application of MTrP release in the above areas will be discussed.
Dry Needling techniques for the posterior cervical region;
Dry Needling techniques for the traps, SCM, levator scapular, rhomboids, the rotator cuff, teres major, latisimuss dorsi and subscapularis.
Day 2 is the pre-requisite day 3.
Participants will be able to apply techniques they have learnt on the course immediately in their clinical situations for the areas they have learnt.
Level 1 Course Outline – Day 3;
On day 3, we take a look at the extremities and move down the upper and lower limbs to the arm and forearm, thigh and lower legs. Deltoid, biceps, tricps, bracialis, brachioradialis, supinator, pronator teres, the common flexors and extensor muscles, the quadriceps group, sartorius, the adductor group, the hamstrings, popliteus, gastrocs and soleus, tibialis posterior, flexor digitorum and flexor hallicus longus, tibialis anterior, extensor digitorum and hallicus longus, peroneus longus and brevis.
Course duration: One day
Needling techniques for the upper limb (deltoid, biceps, triceps, brachialis, brachioradialis, common extensors and flexors and more).
Needling techniques for the lower limb (quads, adductors, hamstrings, popliteus, gastrocs, soleus, tib ant and tib post and peroneals.
Day 3 is the final day for the Level 1 course.
Participants will be able to apply all the techniques they have learnt on this course immediately in their clinical situations.
Completion of the Level 1 course allows for admission to the advanced DN courses.
The Dry Needling Level 2 (DN2) course takes you to the next level in your journey using Dry Needling in your clinical practice and towards certifying as a dry needling practitioner.
Day 1 of the DN2 course provides a full theoretical and practical review of the basic DN info and techniques learned on DN1 course. You will be assessed practically and have to demonstrate your DN skills as part of your certification as a DN practitioner.
Day 2 completes all the muscles not covered in day 1 for example; the hands and feet, the abdomen, the head (temporalis), neck (scalenes) and face (TMJ muscles and facial muscles), the deep groin and hip (external rotators and ischium), the iliopsoas, subscapularis (axillary approach), the deep calf compartment and the deep thoracic muscles.
On day 3, we move into the clinical realm of dry needling incorporating your existing skills into treating more specific conditions by discussing patient presentation, differential diagnosis, pathology & treatment protocols for common conditions treated with dry needling.
You will learn by listening, discussing, practicing and dealing with specific clinical conditions like rotator cuff syndrome, cervical and sciatic neuropathies, groin and pelvic pain, tendinopathies, plantar fasciitis, sports injuries, tennis elbow, piriformis syndrome, headaches and migraines, needling chronic conditions and combination treatments and more.
You will learn efficiency, ie how to use less needles & spend less time, how to needle chronic, advanced & complex areas like the face and TMJ, the deep neck and cranium, the pelvis and deep groin area, the chest, axilla, abdominals, deep muscle needling, aggressive needling for chronic muscle tears and other advanced needling protocols.
Pre-requisite for booking and attending the Level 2 DN course:
You must have completed the DN1 course (or an equivalent 3 day introductory dry needling course) and have be practicing DN in your clinical practice for a minimum of 3-6 months.
For more information about Dry Needling, click here.
A Club Physio Dry Needling Courses registration includes:
• All supplies needed for the course as needles, tissues
• Coloured and illustrated course manual
• Tea, Coffee and Lunch on each day
• Certificate of attendance in a digital form
• One free premium listing of your practice on our website
Dry Needling courses are for healthcare therapists / professionals (clinical physiotherapists (PT’s), chiropractors (DC’s), osteopaths (DO’s), podiatrists, soft tissue and manual therapists, kinesiologists, doctors, nurses, medical specialists and acupuncturists) for whom dry needling is within your scope of practice and you are legally permitted to needle in your registered country / state. No minimum dry needling or previous acupuncture experience required but presumed anatomy, advaoced palpation skills and clinical expertise is expected due to the advanced nature and in depth structure of our DN courses. Professional indemnity insurance as per your professional body is also a pre-requisite.
Some sports / rehab / massage therapists can apply subject to scope of practice with your professional organization, theoretical and practical experience and having professional indemnity insurance.
If you are not sure whether DN falls within your scope of practice, ask your professional organization or you can email us here.
How To Book This Course:
• Step 1: Create an account; register your details here or click on the ‘My Profile’ button on the top menu: we need your details in order to reserve your seat and email you the preliminary materials for the course – ps; please note that registering your details does not book you onto the course – you need to follow step 2 below.
• Step 2: Book your place; Once you have registered your details, come back to this DN webpage to submit your booking below and choose your payment method; to book, click on the Submit button below.
• Step 3: Choose and make your payment method below; Payment by Bank Transfer: If you wish to pay via a bank transger, simply follow the payment details on the proforma invoice that has been emailed to you now that you have made your booking. Payment by PayPal or Credit Card: Click the “Buy Now” Paypal button above to pay via PayPal or Credit Card. You are now booked and will receive a confirmation email shortly!
View the course times:
- 1.00 – 7.00 pm day 1 – registration from 12.30; 9 am – 5 pm on day 2-5