Integrative Dry Needling for the Upper Extremity and Hand
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Integrative Dry Needling for the Upper Extremity and Hand.
This specialty course designed for licensed healthcare professionals that 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 with hand therapy, manual therapy, neurologic rehabilitation, electrical nerve stimulation and functional re-training. 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.
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Course Content
Neurologic Dry Needling for the Upper Extremity 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.
Learning Objectives
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- Independently identify a minimum of three peripheral neuro-trigger points for a given case study.
- Independently evaluate peripheral nerve (soft tissue) dysfunctions relating to a given musculoskeletal condition and pain.
- Identify a strategy for the prevention and management of an adverse response to dry needling during a case study.
- Independently choose the correct neuro-trigger point treatment sites for safe application of dry needling treatment during lab sessions and practical examination.
- Correctly defend the IDN system for treatment of musculoskeletal pain based on the unique neurology and physiology of neuro-trigger points.
- Design a plan of care using dry needling to prepare and optimize tissue healing for exercise and functional activities for a given case study.
- Independently integrate the IDN system into the participant’s clinical practice in relation to current clinical guidelines.
Learning Activities
The structure of this course 27-hour intensive practical classroom program addresses theory and key dry needling principles with extensive supervised participant practice.
- Multiple Keynote presentations with video support will begin each new section.
- 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.
- After each interactive lab section is concluded there is an instructor summary and time for any additional questions.
- Participant developed case studies that demonstrate how the integration of dry needling improves the patient’s ability to actively participate in the therapeutic process, which improves function.
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| Day 1 | ||
| 8:00-9:00 | Lecture 1: Introduction of concept, physiological mechanisms of dry needling, peripheral and central mechanisms, specific and non-specific mechanisms. | |
| 9:00-9:45 | Safety Lecture (Adverse Reactions, OSHA guidelines, BBP, Precautions) | |
| 9:45–10:45 | Needling insertion techniques using ½”- 1” needle. Lab practice | |
| 10:45-11:30 | Lecture 2: Neuroanatomy of neuro-trigger points and development of Homeostatic neuro-trigger points. | |
| 11:30–12:30 | Lab: Surface anatomy of neuro-trigger points in the upper quadrant | |
| 12:30-1:30 | Lunch Break | |
| 1:30– 2:00 | Electrical Needling Stimulation [ENS] (Lecture) | |
| 2:00-3:30 | Needling Lab-1”: Deep Radial (1), Superficial Radial (12), Lateral Antebrachial Cutaneous (9). | |
| 3:30– 4:30 | Scar Tissue techniques (Lab) | |
| 4:30-6:00 | The IDN Bedside Quantitative Sensory Testing | |
| Day 2 | ||
| 8:00-10:00 | Mid-Lower Cervical Needling Lecture and Lab- Cervical Paravertebrals, Upper Trapezius, and Levator Scapula. | |
| 10:00-12:00 | Major neuromuscular points of the upper limbs: Axillary/Radial N. (Lab) to include Supinator Syndrome, Lateral Epicondylalgia, and other neuro-entrapments and ENS | |
| 12:00-1:00 | Lunch Break | |
| 1:00-2:30 | Major neuromuscular points of the upper limbs: Musculocutaneous N. (Lab) to include Coracobrachialis entrapment and Bicipital Tendonitis and ENS | |
| 2:30 – 4:00 | Major neuromuscular points of the upper limbs: Median N. (Lab) to include Pronator Syndrome, Carpal Tunnel and other neuro-entrapments and ENS. | |
| 4:00- 6:00 | Major neuromuscular points of the upper limbs: Ulnar N. (Lab) to include Cubital Tunnel, Medial Epicondylalgia, Guyon’s Canal, and other neuro-entrapments and ENS. | |
| Day 3 | ||
| 8:00-9:30 | Shoulder: Rotator cuff needling and ENS (Lab) | |
| 9:30–12:00 | Hand: CMC OA considerations / DeQuervains Tenosynovitis / Hand Intrinsics / Trigger Finger (Lab) | |
| 12:00- 1:00 | Working Lunch- Discussion on administrative / clinical practice /marketing / legal / billing and any other practice issues. | |
| 1:00- 2:00 | Neurologic Dry Needling in the treatment of spasticity. | |
| 2:00- 4:30 | Written and Practical Examinations. |
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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.
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