Advanced Course Information

The IDN Advanced Neurologic Dry Needling for Pain Management and Performance Enhancement course is designed for licensed healthcare professionals specialized in treating musculoskeletal pain and dysfunction. This is one of a kind course providing original information that can only be acquired through our institute. The participant will be provided with a deeper understanding of the physiologic and therapeutic effects of dry needling on inflammation, circulation, reducing neuromuscular pain and performance enhancement. Integration of electrical nerve stimulation (ENS) and vacuum therapy (cupping) will be included as an adjunct to dry needling treatment. This primarily lab-based course focuses on assuring safe and effective advanced dry needling skills with emphasis on clinical decision-making.

Participants will be required to complete a pre-course multiple choice assessment based on the foundation course material and clinically relevant questions. At the conclusion of the course participants are required to pass a practical examination based on a clinical case study demonstrating clinical reasoning and decision-making related to the Advanced course concepts. A passing score of 80% is required to be considered Certified in Integrative Dry Needling (CIDN).

Pre-requisite: Completion of Neurologic Dry Needling for Pain Management & Sports Rehabilitation.

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Description

IDN Advanced Neurologic Dry Needling for Pain Management and Performance Enhancement

Course Specific Content:

  • A full understanding of the peripheral nerve mapping concept and how to apply it to patient treatment for pain management and performance optimization.
  • Radiculopathic and neuropathic pain and dysfunction are explained and a treatment model is discussed.
  • Expansion of the 360-degree treatment model taught in the foundation course into a 720-degree treatment model to fully integrate a systemic approach.
  • Develop further understanding and incorporation of the 3 S's of treatment - Symptomatic, Segmental, and Systemic for all neuro-musculoskeletal dysfunction.
  • Preventative care is a different use for Dry Needling; we instruct you on how to use the IDN system to integrate this service into your practice.
  • Performance optimization is between prevention and pain management on our continuum. Many patients today are active and want to optimize their athletic or just their general physical performance. This often occurs in the absence of pain. Understanding how the nervous system is involved in neuro-inhibition of optimal function is the key to being able to develop a logical plan to help your athletes both pre and post event.
  • Understanding how to use other treatment techniques that compliment dry needling like Electric Nerve Stimulation (ENS). We discuss and practice how these modalities can maximize treatment effect when used together.
  • Expand the peripheral nerve treatment concept to include advanced nerve points, many are the same areas that are used during pain blocking techniques by anesthesiologists. The difference is DN does not have injectate and therefore has minimal to none of the risks of "wet needling."
  • Advanced muscular needling points in the head, neck and lumbopelvic region.
  • Review of the current evidence-based research data.

Objectives

Learning Objectives

At the end of this course, participants will be able to:
  1. Independently identify a minimum of three peripheral neuro-trigger points in a given case study.
  2. Independently integrate the physiological mechanisms into a treatment plan for a given musculoskeletal condition.
  3. Independently evaluate peripheral nerve (soft tissue) dysfunctions relating to a given musculoskeletal condition and pain.
  4. Formulate a strategy of prevention and management for adverse responses to dry needling based on OSHA requirements during a case study.
  5. Independently choose the correct neuro-trigger point treatment sites for safe application of dry needling treatment during lab sessions.
  6. Correctly defend the IDN system for treatment of musculoskeletal pain based on the unique neurology and physiology of neuro-trigger points.
  7. Independently integrating the IDN system into the participant’s physical therapy practice in relation to current clinical, legislative and billing barriers.

Learning Activities

The structure of this course 27-hour intensive practical classroom program addresses theory and key principles with extensive supervised participant practice.
  • Multiple Keynote presentations with video support begin each new section.
  • Instructor technique demonstrations with ample time for questions.
  • Interactive lab sessions practicing and discussing each new technique and concept.
  • Course technique summary with question and answer session.

Agenda

 
Day 1
8:00–8:30 Registration/sign in.
8:30-9:30 Update Physiological mechanisms of dry needling associated with peripheral sensitization. (lecture)
9:30-9:45 Break
9:45-12:00 Major neuromuscular point of the Craniofacial pain. Cervical Facets and Greater Occipital Nerve. [Lab]
12:00-1:00 Lunch Break
1:00-3:15 Major neuromuscular points of Anterior Cervical region. (Lab)
3:15–3:30 Break
3:30–4:45 Electrical Needling Stimulation (Lab)
4:45-6:30 Major neuromuscular points of the upper limbs: Axillary/Radial N. (Lab)
Day 2
8:00-8:30 Review and Questions
8:30-9:15 Major neuromuscular points of the upper limbs: Musculocutaneous N. (Lab)
9:15-9:30 Break
9:30-11:30 Major neuromuscular points of the upper limbs: Median N. & Ulnar N. (Lab)
11:30-1:00 Major neuromuscular points of the lumbopelvic region. (Lab)
1:00-2:00 Lunch
2:00-4:00 Major neuromuscular points of the lower limbs: Lateral Femoral Cutaneous N., Femoral N. & Obturator N. (Lab) -Break 3:00-3:15 if needed
4:00-6:30 Major neuromuscular points of the lower limbs: Sciatic N. (Lab)
Day 3
8:00-10:00 Specialty needling of Subscapularis (axillary and mid scapular approach), Quadratus Lumborum (posterior and side lying approach). (Lab)
10:00-12:30 Specialty needling of Psoas (posterior approach), Iliacus, Lateral & Medial Pterygoids. (Lab)
12:30-1:45 Working Lunch- Discussion on administrative / clinical practice /marketing / legal / billing and any other practice issues.
1:45-2:30 Review of the Written Test- Final Question and Answer discussion period.
2:30-5:30 Practical Certification Examinations.

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