Clinical implications for applying dry needling to primary and secondary pain classifications



Dry needling is NOT a one-size fits all intervention. This course will cover different pain classifications (local-spinal-widespread) and the implications for dry needling practice in order to optimize patient outcomes. Known pathophysiological pain mechanisms will be described as it relates to inflammation, soft tissue, and nervous system adaptation that leads to spinal and widespread hyperalgesia.  The neurophysiological effects for the different applications of dry needling will be presented including; superficial and deep, percutaneous electrical stimulation, as well as various needle manipulation techniques. A framework for approaching these different pain classifications using dry needling will be outlined based on the presented neurophysiological mechanisms of the therapy. Case application exercises will be completed by participants to reinforce these concepts.


The purpose of this course is for participants to gain an understanding for how various pain classifications (primary or secondary) can alter the way dry needling is applied in clinical practice.


This course is designed for licensed healthcare professionals, PT’s, DC’s, M.D.’s, D.O.’s. PA’s, ATC’s and CNP’s that specialize in treating musculoskeletal pain.

Learning Objectives

  1. Define primary (local) and secondary (spinal and widespread) pain classifications.
  2. Understand the pathophysiologic mechanisms involved in primary and secondary pain classifications.
  3. Identify various methods for examining primary and secondary pain classifications.
  4. Understand the neurophysiologic analgesic response from dry needling at local, segmental, and systemic levels.
  5. Develop dry needling treatment strategies to appropriately address the presenting pain classifications.

Approved CEU's

This course has been approved for 6 academic/theory CEU's in New Jersey. 

Course Agenda

Download the course agenda HERE.


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Integrative Dry Needling

The 4th generation of dry needling education and treatment
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