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


Neurologic Dry Needling for Cranio-Cervical Pain & Dysfunction (home study) is an advanced level training program designed for clinicians that have prior dry needling training and clinical experience.  This course will develop the knowledge and clinical skills required to safely and effectively diagnose and treat painful neuromuscular conditions in the cranial, facial and cervical regions.  Details of the musculoskeletal and neuroanatomical relationships, both peripheral and central, that exist between the regions will be discussed.  The role of inflammation (neurogenic) in the production of pain and dysfunction is described. Peri-neural needling techniques for both peripheral and cranial nerves is explained and demonstrated.  This course focuses on improving clinical decision-making and treatment outcomes in this challenging patient population.  Complex clinical conditions such as concussions, migraines, TMD, otological symptoms and cervicogenic dizziness are discussed and treatment plans are presented. 

[Prerequisite-This is an Advanced level DN course so prior DN training/experience is required to participate in this course. Your training can be with a different DN education provider; you do not need to be trained specifically by  IDN]

The purpose of the Neurologic Dry Needling for Cranio-Cervical Pain & Dysfunction home study course is to obtain knowledge and clinical skills necessary to diagnose and treat cranial and cervical soft tissue pain and dysfunction.

The Integrative Dry Needling Specialty Home Study Course: Neurologic Dry Needling for Cranio-Cervical Pain and Dysfunction covers:

  • Dry needling techniques- (80% of the needling technique is virtually pain-free)
  • Detailed, tried and tested needling safety techniques and contraindications for dry needling therapy to avoid human error in clinical practice.
  • Adaptable dry needling system that easily adapts to clinical practice and to the specific needs of each patient.
  • Neuro- trigger point concept (physiological and biomechanical approach).
  • Clinical scenarios of common clinical diagnoses are discussed and dry needling treatment techniques demonstrated.

Lecture 1: Introduction of the systems: Physiological mechanisms of Neurologic Dry Needling (NDN), including neurogenic inflammation; peripheral and central mechanisms 

Lecture 2: Craniofacial- Trigeminal and Greater Auricular nerve distributions: Effect on Migraine and Cervicogenic pain - 3D Anatomy lecture- Needling Technique Lab: 


Lecture 3: Temporomandibular Dysfunction: Lateral and Medial Pterygoids, Masseter, Temporalis, Suprahyoids - 3D anatomy lecture - Needling Technique Lab.

Lecture 4:  Posterior cervical spine including suboccipital region; Greater, Lesser and. Third Occipital Nerves and their effect on cranial pain - 3D anatomy lecture - Needling Technique Lab.

Lecture 5:  Anterior Cervical Plexus Transverse and Supraclavicular Nerves, Spinal Accessory Nerve (UT/SCM) and their influence on Cervico-Cranial pain referral - 3D anatomy lecture - Needling Technique Lab.


Student Testimonials

Well organized course for dry needling. Best dry needling course I have taken so far. The knowledge base supports understanding of treatment process.

Best dry needling course I have taken TAEYONG KIM, PT

I've really enjoyed all the IDN courses. The Cranio- Cervical course will be very useful to help the patient population I see in private practice.

Really enjoyed the IDN courses RYAN RABORN, PT

Frank makes the course and practical lab materials very comfortable and easy to practice/perform. The hands-on aspect is exceptional!

Hands on aspect is exceptional CHRIS SMOLKO, PT

I have taken training on many medical topics at some of the finest medical institutions, including Johns Hopkins, Mayo and others. Dr. Frank Gargano is the best instructor I've ever had.

Best instructor I've ever had DR. RICHARD LOECHINGER, DC

Course was very clear and direct. All course materials were well presented with very good illustrations. Lots of research articles to go with the lecture. Learned a practical application to enforce proper technique.

Lots of research articles DAVID MALLGRAVE, PT

The comprehensiveness and depth of the IDN courses is unmatched. Being able to walk into the clinic and having the knowledge and skills to treat patients is the best part.

IDN course is unmatched JOHN GRIFFITH, PT

Frank provided great clinical examples to help develop a deeper understanding of application. The practical application and getting greater understanding of the muscles of mastication and how they impact other body parts was very helpful.

Clinical examples to help develop a deeper understanding JENNIFER BRADLEY, PT



    Integrate the physiological mechanisms of dry needling when developing a treatment plan for a given craniocervical condition.


    Independently identify a minimum of three peripheral cranio-cervical neuro-trigger points in a given case study.


    Independently identify and deliver dry needling to each of the three types of craniocervical neuro-trigger points (homeostatic, paravertebral and symptomatic) in a given case study.


    Discuss and demonstrate the prevention and management of adverse responses to craniocervical dry needling based on OSHA requirements with 100% accuracy during case study.


    By the conclusion of the course the participant will be able to correctly defend the IDN system for treatment of neuromusculoskeletal pain based on the unique neurology and physiology of neuro-trigger points.


    Independently integrate the IDN system into the participant’s clinical practice based on the current clinical guidelines.


    The structure of this 6.75-hour  online course addresses theory and key principles with extensive instructor demonstration of dry needling techniques and safety considerations.  
    This is an advanced level course that is only open to licensed clinicians that have prior dry needling training.  If you do not have prior training, you do not qualify to participate in this course.

    • A pre-reading packet

      Sent out one month prior to the course to orient participants on the foundational contents and concepts that will be presented in full, during the course.

    • Keynote presentations

      Multiple Keynote presentations with video support will begin each new section.

    • 3D video technology

      Use of 3D video technology to improve the participants understanding and appreciation for the neurology and anatomical structures.

    • Instructor demonstration

      Interactive Instructor demonstrations of the techniques using multiple camera angles to provide you an up close view of each technique.

    • Post-course multiple choice assessment

      Participants will be required to complete a post-course multiple choice assessment based on a relevant case study to demonstrate understanding of the key objectives. A score of 80% or > is the required.


    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!



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


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    The 4th generation of dry needling education and treatment