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Advanced Dry Needling Concepts: Comprehensive Orthopedic Approach to the Lumbo-Pelvic- Hip Complex

Course Description:

In this 16 hour lab-based course, the clinician will learn a diagnosis-focused approach to the Lumbo-Pelvic- Hip Complex with the addition of specific advanced Dry Needling strategies for the pelvic floor, coccyx, symphysis pubis, hip joint, sacroiliac ligaments, and regional nerves. Advanced mobilization labs will focus on lumbar, pelvis and coccyx techniques, and the integrated approach to dealing with complex diagnosis will be reviewed through a discussion of case studies, current research, and the instructor’s specialty clinical expertise.

Areas of the body to be covered in class include:

  • Anterior Pelvic/Hip pathologies (Iliopsoas Bursitis, Obturator internus/externus strain (Groin pain), symphysis pubis shearing, review of hip anterior compartment from Foundations)
  • Lateral Hip and Pelvis (Gluteus medius, TFL, Quadratus lumborum, Obturator Internus, piriformis)
  • Posterior Lumbar hip and Pelvis (Sacrospinous ligament, sacrotuberous ligament, sacro-iliac ligaments, Coccygeus, Ischial tuberosity/bursa, Pudendal nerve, sciatic nerve, ili-ococcygeus, sacrococcygeal joint, S1-S3 nerve roots, etc.)

Upon completion of this module, the therapist will be able to:

  • Consider mechanism of injury for the patient and how the injury can affect spinal mechanics, functional ADL restrictions and overall movement dysfunction
  • Consider Differential Diagnoses and streamline spinal and pelvic evaluation, implementing provocation strategies for effective data collection and manual treatment selection.
  • Integrate surface anatomy palpation and layered anatomy application for safety considerations when inserting a dry needle into a patient.
  • Considering structural and soft tissue anatomy, appropriately insert a dry needle and consider depth for application of effective intervention to address patient complaints and therapist expected outcome.
  • Demonstrate manual therapy techniques to address facet and sacroiliac subluxations, hypomobile segments, coccyx deviations and muscle spasm in the lumbo-pelvic regions.
  • Be able to thoroughly explain an assigned case study including differential diagnosis, appropriate intervention including mobilization and dry needling to achieve a favorable outcome. Demonstrate techniques in a practical exam.

All supplies necessary for the course will be provided with the following exception:

  • If you have a latex allergy, it is recommended for you to bring your own gloves for use during lab. A latex free option is available for use, but supplies are limited based on the number of people with an allergy. Therefore, it is recommended to bring a box of latex free gloves with you for use.

Course Supplies Requirements:

  1. An anatomy reference
    1. Human Anatomy Atlas for iPad/iPhone/Android - $24.99 App Store
      1. You should have received the code for a free one-year download after taking the Foundations for Dry Needling.
  2. Portable TENS Unit. The following is recommended. Links open in a new window.
    1. Analog 250 TENS unit
    2. Alligator Clips
  3. Cupping Set. The following is recommended but others are acceptable. Links open in a new window.
    1. 17 piece Cupping Set

Prerequisites:

  • Structure and Function’s Foundations in Dry Needling for Orthopedic Rehabilitaiton and Sports Performance
  • Other medical licensing per below

Professionals who may take this course include:

  • Physical Therapists
  • Athletic Trainers
  • Chiropractors
  • Medical Doctors
  • Doctors of Osteopathic Medicine
  • Physician Assistants
  • Registered Nurses
  • Nurse Practitioners
  • If you do not see your health care profession listed, or practice outside of the United States, please contact Sue Falsone directly for more information.

Required Reading:

  1. Dunning J, Buts R, Mourad F, Young I, Flannagan S Perreault T. Dry needling: a literature review with implications for clinical practice guidelines. Phys Ther Rev. 2014;19(4):252-65
  2. Perreault TD, J. Butts, R. The local twitch response during trigger point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther. 2017;47(3):133-49
  3. Si-you W, Guo-mei C, Li-hui L. “Four sacral needles” therapy for female stress incontinence. J Acupunt Tuina Sci. 2006;4(3):170-173

Suggested Reading:

  1. Dung, H. Acupuncture: An Anatomical Approach. 2nd Edition. CRC Press: Boca Raton, FL; 2014.
  2. Herrera, I. Ending Female Pain. 2nd Edition. Duplex Publishing: NY; 2014.

Recommendations:

Each Therapist is to bring a concise summary of a current or former challenging pelvic health patient that they have treated and will discuss alternative strategies for pain management and return to function.

You will receive an email 7-10 days prior to the course you register for with the fol-lowing:

  1. Any course specific instructions such as location reminder, parking instructions etc.
  2. A code for the Visible Body App
    1. Instructions for the use of this code will be provided at that time. Please be sure to download and successfully access this app prior to class.
  3. Log-in information and instructions for the back end of www.structureandfunction.net
    1. This log in information will allow you to access power points, class forums, helpful forms, etc
    2. Please be sure to log in successfully to the back end of the website prior to class
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