IDN Advanced Clinical Integration of the Pelvis, Lumbar, Hips, & Abdomen – San Marcos, TX

IDN Advanced Clinical Integration of the Pelvis, Lumbar, Hips, & Abdomen – San Marcos, TX

February 26 - February 27

The purpose of the Advanced Clinical Integration of the Pelvis, Lumbar, Hips, & Abdomen course is to obtain knowledge and clinical skills necessary to diagnose and treat soft tissue pelvic pain and dysfunction.  This 16-hour applied-learning course combines interactive lectures and practical hands-on labs. Students participate in several practical sessions, which are intended to provide feedback to students regarding their comprehension of key concepts and techniques. These practical lab sessions enable students to critically self-evaluate if additional instruction or self- study is needed for clinical practice.

*This advanced level course is intended for clinicians with prior dry needling training and experience. It is not a pre-requisite to have attended an IDN course prior to attending this course; the clinician can have obtained dry needling training from a different educational provider.

Learn more about the course instructor: Mark Hernandez

CEU Approval Information



IDN – Advanced Clinical Integration of the Pelvis, Lumbar, Hips, & Abdomen

Advanced Clinical Integration of the Pelvis, Lumbar, Hips, & Abdomen (2-day) is built on the foundation of Neurological Dry Needling to develop the knowledge and clinical skills required to effectively diagnose and treat painful lumbopelvic conditions.  This course teaches you to assess and treat pelvic floor, lumbar, lower abdomen and anterior hip systemically in women and men. Because of the neuroanatomy of the pelvic floor the dry needling techniques taught in this course do not require direct needling of the external genitalia and can be performed without fully disrobing the patient. Treatment of patients with lumbopelvic pain and dysfunction related to sport and fitness activities is discussed in detail. The main goal is to improve the clinical outcomes with these difficult conditions that many clinicians shy aware from or do not have the advanced knowledge to manage effectively such as:
• Abdominal Pain and Cramping
• Bowel Dysfunction – (Bloating & Constipation)
• Bladder Dysfunction – (Frequency & Urgency)
• Sexual Dysfunction
• Ischial, groin, and abdominal pain related to sports and exercise

*Due to the neuroanatomy of the pelvic floor, abdomen, and anterior hip, the dry needling techniques taught in this course do not require direct needling of the external genitalia and can be performed without disrobing the patient.  Appropriate patient clothing, draping, and positioning to maximize patient modesty will be emphasized during the teaching of all techniques.


Advanced Clinical Integration of the Pelvis, Lumbar, Hips, & Abdomen Course 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.
  • Modifiable dry needling system that easily adapts to clinical practice and to the specific needs of each patient.
  • Systemic Homeostatic trigger point concept (physiological and neuromechanical approach).
  • Paraspinal trigger point concept (neurosegmental and dermatomal approach).
  • Symptomatic trigger point concept (neuromyofascial pain in the pelvic floor, lower abdominal and anterior pelvis).
  • Neural entrapment points for clinically relevant pain patterns
  • Addresses pudendal and perineal areas discretely without disrobing.

Learning Objectives:

At the end of this course that participant will be able to:

  1. Independently identify each of the three types of trigger points (homeostatic, paravertebral and symptomatic) in a given case study.
  2. Independently identify neural entrapment points for clinically relevant pain patterns.
  3. Discuss the prevention and management of adverse responses to dry needling based on OSHA requirements with 100% accuracy during case study.
  4. Independently apply dry needling treatment safely into neuro-trigger points during lab sessions.
  5. Independently evaluate soft tissue dysfunctions relating to a given musculoskeletal condition and pain.
  6. Correctly defend the IDN system for treatment of musculoskeletal pain based on the unique neurology and physiology of neuro-trigger points.
  7. Independently integrate the IDN system into the participant’s clinical practice in relation to current clinical guidelines.

Learning Activities:

The structure of this course 16-hour intensive practical classroom program addresses theory and key principles with extensive supervised participant practice.

  • Multiple PowerPoint presentations with video support will begin each new section.
  • Use of 3-dimensional video technology to improve the participants understanding and appreciation for the anatomical structures.
  • Instructor demonstration of the techniques allowing ample time for questions.
  • Interactive lab sessions will follow where the participants practice and discuss each new technique and concept with each other and with the instructor.
  • After each interactive lab section is concluded there is an instructor summary and time for participants to ask additional questions.





Day 1
8:00-9:00 Lecture I: Introduction of concept, physiological mechanisms of dry needling, peripheral and central mechanisms, specific and non-specific mechanisms.
9:00 – 9:30 Safety Lecture (Adverse Reactions, OSHA guidelines, BBP, Precautions)
10:00- 10:30 Ergonomic and dexterity tips.  Needling insertion techniques using 1.5” needle.   Lab practice.
10:30-10:45 15 minute break
10:45-12:00 Lecture 2:  Definition of pelvic pain, symptoms, and causes. Review of relevant anatomy and neuroanatomy.
12:00- 1:00 Lunch Break
1:00 – 1:15 Lab I Anatomy:  Relevant Sensory Nerve/Homeostatic Points.
1:15 – 2:15 Needling Lab I: Relevant Sensory Nerve/Homeostatic Points: Saphenous (4), Tibial (6), Superior Cluneal (14)
2:30 – 3:30 Needling Lab II: Bilateral Paravertebral NTP’s, Quadratus Lumorborum, S1-3, & Anocyccygeal N. S4-5  
3:30 – 3:45 15 minute break
3:45 – 4:00 Lab III Anatomy:  Relevant Pelvic Floor/Posterior Hip Dry Needling 
4:00 – 5:30 Lab III: Piriformis S1-2 (L5), Ilioccygeus S3-4, Coccygeus S5, Pudendal N. S2-4  
5:30-6:00 Lab IV Anatomy: Relevant Lateral and Anterior Abdominal Wall Points
Day 2
8:00-9:00 Needling Lab IV: Superior Pubic Ramus
9:00-10:30 Needling Lab IV continued:  Lateral and Anterior Wall 
10:30-10:45 Lab V Anatomy: Relevant Ant. and Post. Psoas Dry Needling for T12-L2 Nerve Entrapments
10:45-11:00 15 minute break
11:00-12:00 Needling Lab V:  Anterior and posterior psoas 
12:00-12:15 Lab VI Anatomy: Relevant Ant./Med Hip Thigh Dry Needling for L1-4 Nerve Entrapments 
12:15 – 1:15 Needling Lab VI: Relevant Ant./Med. Thigh Dry Needling:  Adductor Magnus, Gracilis. Adductor Longus/Brevis, Pectineous
1:15 – 2:15 Lunch Break
2:15 – 4:15 Lecture and Lab VII:  Integration:  Kinesio Taping, Vacuum Therapy, Manual Therapy, Exercise 
4:15 – 5:00 Written test and case study as groups.
5:00 – 5:45 Case study and clinical integration discussion.  Final questions and answers.

Course Information

Course Preparation Information

*If you are registered for this course please login to your IDN account to view information specific to this course.  Information will be available on your account dashboard 1 month prior to the start of the course.

Location :

Fyzical Therapy & Balance San Marcos/Wimberley
915 Hwy 80
San Marcos, TX 78666

Airport : 

Austin-Bergstrom International Airport (AUS) – 30 mile north

Hotel Options : 

Fairfield: 1250 North Ih-35, San Marcos, TX 78666
Best Western: 917 IH 35 S, San Marcos, TX 78666

Miscellaneous : On site parking



February 26
February 27
Event Categories:


Fyzical Therapy & Balance San Marcos/Wimberley
915 Hwy 80
San Marcos, TX 78666 United States
+ Google Map


Dr. Frank Gargano
(404) 594-4221
View Organizer Website


Mark Hernandez


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IDN Advanced Clinical Integration of the Pelvis, Lumbar, Hips, & Abdomen - San Marcos, TX
$ 795.00
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