Applications in MSK Ultrasound Utilizing Dry Needling - The Competency Course




Ultrasound Competency Course PreRegistration


This 3-day (27.25 hour) intensive hands-on course will further develop and fine tune your knowledge and build expertise in musculoskeletal ultrasound and dry needling treatment of the upper and lower extremity joints and soft tissue.  This is the final step in the MSK US certification process leading to becoming a Certified Musculoskeletal Ultrasound Clinician (Cert-MSUC) through the Integrative Dry Needling Institute.   Diagnostic US replaces many of the antiquated bedside clinical tests that have poor sensitivity and specificity leading to inaccurate conclusions about the patient’s condition.  Dry needling under ultrasound is paramount to specifically and effectively treat common MSK conditions such as partial tears and tendinopathies.  

[Prerequisite - Successful completion of both the MSK US home study courses and Diagnostic US for the Assessment and Dry Needling Treatment of Tendinopathy]

The purpose of this competency course is to master the knowledge and demonstrate the clinical skills necessary to visualize joints and associated soft tissues allowing development of an appropriate treatment intervention or to make a referral.   This applied-learning competency course combines live demonstrations, practical hands-on labs, and video learning.  Students participate in small groups of 2 or 3 to practice achieving reliable and reproducible MSK US images, which will be evaluated by the instructor with individualized feedback provided.   Supervised lab sessions are performed to safely and effectively visualize, and dry needle pathologic soft tissue structures.

Click here to view the full course agenda.

  1. Be able to recognize normal versus abnormal ultrasound anatomy of an upper extremity structure during a lab session.
  2. Be able to recognize normal versus abnormal ultrasound anatomy of a lower extremity structure during a lab session.
  3. Discuss the current research on the benefits of US guided dry needling for the treatment of tendinopathy in given case study example and during the practical examination.
  4. Independently demonstrate competence and safe technique in dry needling while utilizing ultrasound guidance during labs and during the practical examination.
  5. Demonstrate and produce high quality US images for an upper and lower extremity structures during lab and certification sessions.
  6. Explain and defend the role of musculoskeletal ultrasound in clinical practice.

Does the IDN MSKUS Course offer CEU credits?



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Student Testimonials

The pre-course handout was very helpful. There was plenty of time to really dive deep into assessing and then needling. Steve is extremely knowledgeable and there was enough lab time to really practice and learn the technique.

Enough lab time to really practice KATHERINE WELDON, PT

I have been to many continuing education courses and this course with Steve is one of the best I have attended. Steve is very knowledgeable and the course covered a ton of clinical material.

Course covered a ton of clinical material ERIK HOLMES, PT

Great course with very relevant clinical application. Being able to view, treat and diagnose is a game changer.

Game changer DAN FLEURY, PT

Great course, great instructor and a great new tool to add to the tool box. Very excited to use in the clinic.

Great course, great instructor KATE SERODIO, PT


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

    • PowerPoint presentations

      PowerPoint presentations supporting proper technique and current research.

    • Use of MSK ultrasound videos

      Improve the participants understanding and appreciation for the anatomical structures of what is normal.

    • Instructor demonstration of the techniques is enhanced with video technology

      Always providing you the best seat in the house!

    • Personalized practices

      Small group practice of MSK ultrasound imaging skills for specific structures in the upper and lower extremities

    • Multiples techniques

      Implement and practice utilizing different handling techniques of the transducer to optimize the MSK ultrasound image.


    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!