Pelvic Pain Course Infromation

The purpose of Neurological Dry Needling for Pelvic Pain and Dysfunction 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 the IDN Foundation course prior to attending this course; the clinician can have obtained dry needling training from a different educational provider.


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Description

IDN Neurological Dry Needling for Pelvic Pain and Dysfunction

IDN Neurological Dry Needling for Pelvic Pain and DysfunctionThis specialty course is the culmination of the work and clinical experience of Dr. Yun-tao Ma, Dr. Frank Gargano DPT, and Mark Hernandez, PT. The Integrative Dry Needling (IDN) training program will develop the knowledge and clinical skills required to effectively diagnose and treat painful neuromuscular conditions. This course teaches you to treat pelvic floor, lumbar, lower abdomen, and anterior hip systemically in women and men*; Our system is built on the foundation of Neurological Dry Needling that provides a logical and systematic process for addressing pelvic pain and dysfunction. As a result, course participants develop an adaptable clinical procedure allowing immediate integration of dry needling into clinical practice. *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.

Objectives

Neurological Dry Needling for Pelvic Pain and Dysfunction 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 pelvic 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 the case studies.
  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 the 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 participant's 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.

Agenda

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 Lumborum, S1-3, & Anococcygeal 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), Iliococcygeus 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, Pectineus
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.

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