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Integrative Dry Needling for the Upper Extremity and Hand





Neurologic Dry Needling for Cranio-Cervical Pain & Dysfunction (Home Study)

This specialty course is designed for licensed healthcare professionals who treat neuromusculoskeletal conditions in the upper extremity and hand. The participant will learn IDN’s neurologic model of dry needling and how to integrate this physical agent modality into their daily clinical model of treatment.  This lab-based course is focused on using dry needling as a tool to manage pain, restore function and to maximize soft tissue healing and elasticity. IDN’s peripheral nerve mapping model provides the framework for the clinician to address common neuromusculoskeletal conditions encountered in daily practice such as: tendinopathy, epicondylalgia, tenosynovitis, intrinsic and extrinsic tightness, shoulder rotator cuff/impingement syndromes, nerve entrapments, radicular pain, and OA. The course is designed for clinicians with and without prior dry needling training or experience to attend.   The main focus is for the clinician to obtain safe and effective dry needling skills using sound clinical decision-making.


*Financial Disclosures:  There are no products offered for sale during this course.  IDN Instructors have no relevant financial or nonfinancial relationships that might conflict with their involvement in the development or operation of the course.


The purpose of this course is to be able to utilize dry needling to effectively and efficiently manage any neuromuscular condition in the upper  extremity and hand . 

Dry needling has recently become an accepted treatment modality performed by Occupational and Physical Therapists to address the unique characteristics of soft tissue pain, dysfunction and loss of function.  The popularity, research and use of dry needling are increasing in the field of Occupational and Physical Therapy and there are several methods and schools of thought on how to integrate dry needling into clinical practice.   This course provides a working framework, within the scope of an Occupational and Physical Therapist’s knowledge and practice, to deliver effective and safe dry needling treatment to improve function.



This is all original content that can only be acquired through our institute

Integrative Dry Needling for the Upper Extremity and Hand will discuss:
    • Integration of dry needling as a preparation for soft tissue mobilization, functional activities and exercises to optimize human performance.
    • Specialty dry needling techniques to address local, segmental and systemic neurogenic pain.
    • Clinical safety issues for administering dry needling treatment
    • Understanding of the anatomy and physiology of soft tissue healing timeframe and dry needling technique for tissue remodeling,
    • Clinical techniques for examination and management of peripheral nerve inflammation and neuromuscular dysfunction,
    • Pre and post-symptom treatment for maximizing human performance,
    • How peripheral nervous system inflammation influences musculoskeletal dysfunction and how to manage it with Neurologic Dry Needling
    • Review of evidence-based research data.


8:00 am Registration – Course begins at 8:30 am to 6pm (lunch 12:00 – 1:00)


8:00 am to 6:00 pm (lunch 12:30 – 1:30)


8:00 am to 5:00 pm (working lunch 12:30 to 1:00)

Click here for full course schedule.

Learning Outcomes

Activity Completion Requirements: Participants will be required to read a pre-course manual.  At the conclusion of the course participants are required to pass a written and practical examination based on a clinical case study demonstrating clinical reasoning and decision-making related to the course content.  A passing score of 80% is required to successfully complete this course.

  1. Independently identify a minimum of three peripheral neuro-trigger points for a given case study.
  2. Independently evaluate peripheral nerve (soft tissue) dysfunctions relating to a given musculoskeletal condition and pain.
  3. Identify a strategy for the prevention and management of an adverse response to dry needling during a case study.
  4. Independently choose the correct neuro-trigger point treatment sites for safe application of dry needling treatment during lab sessions and practical examination
  5. Correctly defend the IDN system for treatment of musculoskeletal pain based on the unique neurology and physiology of neuro-trigger points
  6. Design a plan of care using dry needling to prepare and optimize tissue healing for exercise and functional activities for a given case study.
  7. Participants will develop a treatment plan based on a given case study that will utilize DN to facilitate the progression to ADLs.
  8. Participants will develop a treatment plan based on a given case study that will utilize DN to facilitate the progression to ADLs.

Licensed medical professional (PT, OT, DC, ATC, MD, DO, PA, CNP) -no prior dry needling training is required.  This course will go over all the safety requirements, OHSA, and Blood borne Pathogens training required by many states.  Because this course is focused on the Upper Extremity and Hand we will  also provide advanced treatment concepts to also provide experienced clinicians a new perspective on dry needling treatment.




Upper Extremity and Hand

Become the upper extremity expert!

  • Ability to treat all upper extremity and hand neuromuscular conditions after this one course
  • This course looks beyond the points and treats the system!
  • Safe and effective dry needling techniques
  • Add a new service line to your practice

Bundle Package

Get both courses and save $300!

$2090 regularly $2,390
  • Get the Upper Extremity & Hand Course (regularly $1095)
  • Get the Foundations Course (regularly $1295)


Get started with Dry Needling

  • Ability to needle the entire body after this one course
  • Safe and effective dry needling techniques
  • Add a new service line to your practice
  • Free marking through our media platforms

Psst... want to earn FREE training for your team?



Do you need additional CEU’s before you can dry needling or just want to be able to treat the entire body systemically?

We recommend the Foundation course (29 additional CEU’s) as it will provide you with a comprehensive view of how to assess and treat the spine and the lower extremities.

Does the IDN Upper Extremity & Hand Course offer CEU credits?



The Integrative Dry Needling Institute is an AOTA Approved Provider of professional development. Course approval ID#3908. This live activity is offered at 2.7 CEUs, as an introductory level, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

OT Scope of DN Practice

Interested in learning more about the U.S. Dry Needling scope of OT Practice Decisions?

Student Testimonials

It was so awesome to see new techniques and learn from a team as knowledgeable in neuroscience as this one. Truly the most knowledgeable instructors I have had in any CEU course-again so refreshing and appreciated!

This course was so refreshing! Lauren Wengerd OT, PhD

The content and conceptual ideology and theory of IDN is exceptional. This program provides a 720-degree view of the patient involvement. The IDN approach and techniques is unrivaled by other trigger point-based theories.

IDN is exceptional STEPHEN WINNER, PT

I always felt as a therapist that I was missing the link somewhere. Something was not adding up. Dry Needling is the answer I was looking for! It helped me connect the dots and I have a better understanding of the system as a whole. The course was very thorough and was an amazing review on anatomy.

Better understanding of the system as a whole MAMTA BERMEDA, OT

The course was highly effective. Having never needled prior, it was a great mix of basic and advanced material that allowed me to build confidence in a new skill.

Highly effective! Marissa Hammond, OT

I appreciate that IDN is ahead of the curve in acknowledging the role of the CNS in musculoskeletal pain and not solely focusing on tissues.

IDN is ahead of the curve JOHN KRAVIC , PT

IDN teaches you not only to how to needle but how to question and clinically reason through your treatments. It’s not a cookie cutter approach of “here’s one diagnosis, this is what you do”. The course makes your think critically and work hard, but you’ll come out with many ways to not only help patients using dry needles, but how to integrate the modality into any plan of care across all the spectrums of patients.

Not a cookie cutter approach LEIGH ALEXANDER, PT

The Upper Extremity course provided excellent details on how to treat UE and hand like it hasn't been treated before. Although I have been needling in clinic for 3 years using IDN technique, this course has changed the game for my 10 year shoulder problem- it feels much better already!

Game Changer Ashley Domec, DC

Thank you to Frank and Sonya for this new innovative UE dry needling course. I've been waiting for year for a course that included OT's at a level that was appropriate for all levels of practice.

Waiting for years for this course Dianne LaCerra, OT

Amazing! Takes you by the hand and teaches you how to dry needle the upper extremity and hand step-by-step. The multimedia approach lends itself to all learners and styles it was well structured so its easy to get inspired and learn now to implement your own technique.

Amazing! Bree Bauerschmidt OTR/L, OTD


The course is structured around practical hands-on clinical training in a supervised and supportive environment.

  • Clinically Relevant Lectures

    Instructors encourage active participation through digital media and group discussions.

  • Multiple PowerPoint Presentations

    With video support will begin each new section.

  • 3-Dimensional Video Technology

    Improving the participants understanding and appreciation for the neurological and anatomical structures.

  • Video Demonstration

    Instructor demonstration of the techniques is enhanced with video technology - always providing you the best seat in the house!

  • Interactive Lab Sessions

    Interactive lab sessions will follow where the participants practice and discuss the techniques and concepts with each other and with the instructor.

  • Instructor Summary

    After each interactive lab section  there is an instructor debrief to provide feedback and answer any remaining questions.


Have additional questions after the course? No problem -we got you! Your registration in any IDN course provides you unlimited access to our Professional Discussion Forum. You can get your questions answered by an IDN instructor or another IDN practitioner.

It is a great place to ask, answer and network with other IDN practitioners and instructors!

Integrative Dry Needling

The 4th generation of dry needling education and treatment
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any IDN Course!

*Valid for new registrations only and can not be combined with other discount codes.  Offer Expires: 7/7/2024

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