Pain Science: Dry Needling 3 – Theory Webinar

  1. Home
  2. |
  3. Pain Science: Dry Needling...

Pain Science: Dry Needling 3 – Theory Webinar

Instructor: Jan Dommerholt, PT, DPT, MPS, DAAPM
Clock Hours: Four (4) contact hours
Grading method: online multiple-choice exam and passing score is ≥70%.


Instructional methods

  • Webinar



  • Nakashima, H, Yukawa, Y, Suda, K, Yamagata, M, Ueta, T & Kato, F, 2015. Abnormal findings on magnetic resonance images of the cervical spines in 1211 asymptomatic subjects. Spine (Phila Pa 1976), 40, 392-398.
  • Moseley, GL & Butler, DS, 2015. Fifteen Years of Explaining Pain: The Past, Present, and Future. J Pain, 16, 807-813.
  • Moseley, GL, 2003. A pain neuromatrix approach to patients with chronic pain. Man Ther, 8, 130-140.
  • APTA Practice Department and Apta State Government Affairs 2011. Physical therapists & dry needling; a compendium for state policy makers. Alexandria: American Physical Therapy Association.
  • American Physical Therapy Association 2015. Guide to Physical Therapist Practice 3.0. 3 ed. Alexandria: American Physical Therapy Association.
  • Meakins, A, 2015. Soft tissue sore spots of an unknown origin. British Journal of Sports Medicine, 49, 348.
  • Geneen, LJ, Martin, DJ, Adams, N, Clarke, C, Dunbar, M, Jones, D, Mcnamee, P, Schofield, P & Smith, BH, 2015. Effects of education to facilitate knowledge about chronic pain for adults: a systematic review with meta-analysis. Syst Rev, 4, 132.
  • Wijma, AJ, Speksnijder, CM, Crom-Ottens, AF, Knulst-Verlaan, JMC, Keizer, D, Nijs, J & Van Wilgen, CP, 2017. What is important in transdisciplinary pain neuroscience education? A qualitative study. Disability and Rehabilitation, 1-11.
  • Bier, JD, Scholten-Peeters, WGM, Staal, JB, Pool, J, Van Tulder, MW, Beekman, E, Knoop, J, Meerhoff, G & Verhagen, AP, 2018. Clinical Practice Guideline for Physical Therapy Assessment and Treatment in Patients With Nonspecific Neck Pain. Physical Therapy, 98, 162-171.
  • Blanpied, PR, Gross, AR, Elliott, JM, Devaney, LL, Clewley, D, Walton, DM, Sparks, C & Robertson, EK, 2017. Neck Pain: Revision 2017. Journal of Orthopaedic and Sports Physical Therapy, 47, A1-A83.
  • Puentedura, EJ & Flynn, T, 2016. Combining manual therapy with pain neuroscience education in the treatment of chronic low back pain: A narrative review of the literature. Physiother Theory Pract, 32, 408-414.
  • Tellez-Garcia, M, De-La-Llave-Rincon, AI, Salom-Moreno, J, Palacios-Cena, M, Ortega-Santiago, R & Fernandez-De-Las-Penas, C, 2015. Neuroscience education in addition to trigger point dry needling for the management of patients with mechanical chronic low back pain: A preliminary clinical trial. Journal of bodywork and movement therapies, 19, 464-472.
  • Quintner, JL, Bove, GM & Cohen, ML, 2015. A critical evaluation of the trigger point phenomenon. Rheumatology, 54, 392-399.
  • Dommerholt, J & Gerwin, R, D., 2015. A critical evaluation of Quintner et al: Missing the point. J Bodyw Move Ther, 19, 193-204.
  • Paulett, JD, 1947. Low back pain. Lancet, 2, 272–276.
  • Hartvigsen, J, Hancock, MJ, Kongsted, A, Louw, Q, Ferreira, ML, Genevay, S, Hoy, D, Karppinen, J, Pransky, G, Sieper, J, Smeets, RJ, Underwood, M & Lancet Low Back Pain Series Working, G, 2018. What low back pain is and why we need to pay attention. Lancet.
  • Steinbröcker, O, 1944. Therapeutic injections in painful musculoskeletal disorders. JAMA, 125, 397-401.
  • Brav, EA & Sigmond, H, 1941. The local and regional injection treatment of low back pain and sciatica. Ann Int Med, 15, 840–852.
  • Travell, J & Rinzler, SH, 1952. The myofascial genesis of pain. Postgraduate Medicine, 11, 425-434.
  • Lewit, K, 1979. The needle effect in the relief of myofascial pain. Pain, 6, 83-90.
  • Lewit, K 1999 Manipulative therapy in rehabilitation of the locomotor system. Oxford, Butterworth-Heinemann.
  • Frost, FA, Jessen, B & Siggaard-Andersen, J, 1980. A control, double-blind comparison of mepivacaine injection versus saline injection for myofascial pain. Lancet, 1, 499-501.
  • Gunn, CC, Milbrandt, WE, Little, AS & Mason, KE, 1980. Dry needling of muscle motor points for chronic low-back pain: a randomized clinical trial with long-term follow-up. Spine, 5, 279-291.
  • Caramagno, J, Adrian, L, Mueller, L & Purl, J 2015. Analysis of competencies for dry needling by physical therapists. Alexandria: Federation of State Boards of Physical Therapy.
  • Cerezo-Tellez, E, Torres-Lacomba, M, Fuentes-Gallardo, I, Perez-Munoz, M, Mayoral-Del-Moral, O, Lluch-Girbes, E, Prieto-Valiente, L & Falla, D, 2016. Effectiveness of dry needling for chronic nonspecific neck pain: a randomized, single-blinded, clinical trial. Pain, 157, 1905-1917.
  • Arias-Buria, JL, Valero-Alcaide, R, Cleland, JA, Salom-Moreno, J, Ortega-Santiago, R, Atin-Arratibel, MA & Fernandez-De-Las-Penas, C, 2015. Inclusion of trigger point dry needling in a multimodal physical therapy program for postoperative shoulder pain: a randomized clinical trial. Journal of Manipulative and Physiological Therapeutics, 38, 179-187.
  • Gerber, LH, Shah, J, Rosenberger, W, Armstrong, K, Turo, D, Otto, P, Heimur, J, Thaker, N & Sikdar, S, 2015. Dry Needling Alters Trigger Points in the Upper Trapezius Muscle and Reduces Pain in Subjects With Chronic Myofascial Pain. PM R, 7, 711-718.
  • Calvo-Lobo, C, Pacheco-Da-Costa, S & Hita-Herranz, E, 2017. Efficacy of Deep Dry Needling on Latent Myofascial Trigger Points in Older Adults With Nonspecific Shoulder Pain: A Randomized, Controlled Clinical Trial Pilot Study. J Geriatr Phys Ther, 40, 63-73.
  • Fernández De Las Peñas, C, Layton, M & Dommerholt, J, 2015. Dry needling for the management of thoracic spine pain. J Man Manip Ther, 23, 147-153.
  • Pecos-Martin, D, Montanez-Aguilera, FJ, Gallego-Izquierdo, T, Urraca-Gesto, A, Gomez-Conesa, A, Romero-Franco, N & Plaza-Manzano, G, 2015. Effectiveness of dry needling on the lower trapezius in patients with mechanical neck pain: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 96, 775-781.
  • Koppenhaver, SL, Walker, MJ, Su, J, Mcgowen, JM, Umlauf, L, Harris, KD & Ross, MD, 2015. Changes in lumbar multifidus muscle function and nociceptive sensitivity in low back pain patient responders versus non-responders after dry needling treatment. Man Ther, 20 769-776.
  • Mason, JS, Crowell, M, Dolbeer, J, Morris, J, Terry, A, Koppenhaver, S & Goss, DL, 2016. The Effectiveness of Dry Needling and Stretching Vs. Stretching Alone on Hamstring Flexibility in Patients with Knee Pain: A Randomized Controlled Trial. Int J Sports Phys Ther, 11, 672-683.
  • Perez-Palomares, S, Olivan-Blazquez, B, Arnal-Burro, AM, Mayoral-Del Moral, O, Gaspar-Calvo, E, De-La-Torre-Beldarrain, ML, Lopez-Lapena, E, Perez-Benito, M, Ara-Loriente, V & Romo-Calvo, L, 2009. Contributions of myofascial pain in diagnosis and treatment of shoulder pain. A randomized control trial. BMC musculoskeletal disorders, 10, 92.
  • Perez-Palomares, S, Olivan-Blazquez, B, Perez-Palomares, A, Gaspar-Calvo, E, Perez-Benito, M, Lopez-Lapena, E, De La Torre-Beldarrain, ML & Magallon-Botaya, R, 2017. Contribution of Dry Needling to Individualized Physical Therapy Treatment of Shoulder Pain: A Randomized Clinical Trial. Journal of Orthopaedic and Sports Physical Therapy, 47, 11-20.
  • Martin-Pintado-Zugasti, A, Rodriguez-Fernandez, AL & Fernandez-Carnero, J, 2016. Postneedling soreness after deep dry needling of a latent myofascial trigger point in the upper trapezius muscle: Characteristics, sex differences and associated factors. J Back Musculoskelet Rehabil, 29, 301-308.
  • Mahmoudzadeh, A, Rezaeian, ZS, Karimi, A & Dommerholt, J, 2016. The effect of dry needling on the radiating pain in subjects with discogenic low-back pain: A randomized control trial. J Res Med Sci, 21, 86.
  • Brennan, KL, Allen, BC & Maldonado, YM, 2017. Dry Needling Versus Cortisone Injection in the Treatment of Greater Trochanteric Pain Syndrome: A Noninferiority Randomized Clinical Trial. Journal of Orthopaedic and Sports Physical Therapy, 47, 232-239.
  • Casale, R, Ceccherelli, F, Buttacchio, G, Calabrese, M, Labeeb, A & Symeonidou, Z, 2017. Dry needling reverses vibration-induced changes in spinal motoneuronal pool: is there any basis for its action on muscle tone? J Pain Relief, 6, 2.
  • Salom-Moreno, J, Sanchez-Mila, Z, Ortega-Santiago, R, Palacios-Cena, M, Truyol-Dominguez, S & Fernandez-De-Las-Penas, C, 2014. Changes in spasticity, widespread pressure pain sensitivity, and baropodometry after the application of dry needling in patients who have had a stroke: a randomized controlled trial. Journal of Manipulative and Physiological Therapeutics, 37, 569-579.
  • Mendigutia-Gomez, A, Martin-Hernandez, C, Salom-Moreno, J & Fernandez-De-Las-Penas, C, 2016. Effect of Dry Needling on Spasticity, Shoulder Range of Motion, and Pressure Pain Sensitivity in Patients With Stroke: A Crossover Study. Journal of Manipulative and Physiological Therapeutics, 39, 348-358.
  • Dilorenzo, L, Traballesi, M, Morelli, D, Pompa, A, Brunelli, S, Buzzi, MG & Formisano, R, 2004. Hemiparetic shoulder pain syndrome treated with deep dry needling during early rehabilitation: a prospective, open-label, randomized investigation. J Musculoskeletal Pain, 12, 25-34.
  • Calvo, S, Quintero, I & Herrero, P, 2016. Effects of dry needling (DNHS technique) on the contractile properties of spastic muscles in a patient with stroke: a case report. International Journal of Rehabilitation Research, 39, 372-376.
  • Calvo, S, Navarro, J, Herrero, P, Del Moral, R, De Diego, C & Marijuán, PC, 2017. Electroencephalographic changes after application of dry needling [DNHS_ Technique] in two patients with chronic stroke. MYOPAIN, online 1-6.
  • Pavkovich, R, 2015. Effectiveness of Dry Needling, Stretching, and Strengthening to Reduce Pain and Improve Function in Subjects with Chronic Lateral Hip and Thigh Pain: A Retrospective Case Series. Int J Sports Phys Ther, 10, 540-551.
  • Bond, BM & Kinslow, C, 2015. Improvement in clinical outcomes after dry needling in a patient with occipital neuralgia. J Can Chiropr Assoc, 59, 101-110.
  • Waldock, C, 2017. Myofascial pain masquerading as neuropathic pain. Acupuncture in Physiotherapy, 29.
  • Chang, SH, 2017. Complex Regional Pain Syndrome is a Manifestation of the Worsened Myofascial Pain Syndrome: Case Review. Journal of Pain & Relief, 06.
  • Gonzalez-Perez, LM, Infante-Cossio, P, Granados-Nunez, M, Urresti-Lopez, FJ, Lopez-Martos, R & Ruiz-Canela-Mendez, P, 2015. Deep dry needling of trigger points located in the lateral pterygoid muscle: Efficacy and safety of treatment for management of myofascial pain and temporomandibular dysfunction. Med Oral Patol Oral Cir Bucal, 20, e326-333.
  • Mesa-Jimenez, JA, Sanchez-Gutierrez, J, De-La-Hoz-Aizpurua, JL & Fernandez-De-Las-Penas, C, 2015. Cadaveric validation of dry needle placement in the lateral pterygoid muscle. Journal of Manipulative and Physiological Therapeutics, 38, 145-150.
  • Kearns, G, Gilbert, KK, Allen, B, Sizer, PS, Jr., Brismee, JM, Pendergrass, T, Lierly, M & York, D, 2018. Accuracy and safety of dry needle placement in the piriformis muscle in cadavers. J Man Manip Ther, 26, 89-96.
  • Brady, S, Mcevoy, J, Dommerholt, J & Doody, C, 2014. Adverse events following dry needling: A prospective survey of Chartered Physiotherapists. J Manual Manipul Ther, 22, 134-140.
  • Karavis, MY, Argyra, E, Segredos, V, Yiallouroy, A, Giokas, G & Theodosopoulos, T, 2015. Acupuncture-induced haemothorax: a rare iatrogenic complication of acupuncture. Acupuncture in medicine: journal of the British Medical Acupuncture Society, 33, 237-241.
  • Steentjes, K, De Vries, LMA, Ridwan, BU & Wijgman, AJ, 2016. Infectie van een heupprothese na ‘dry needling’. Nederlands Tijdschrift van de Geneeskunde, 160, A9364.
  • Callan, AK, Bauer, JM & Martus, JE, 2016. Deep spine infection after acupuncture in the setting of spinal instrumentation. Spine Deformity, 4, 156-161.
  • Jung, JW, Kim, SR, Jeon, SY, Bang, SR, Kim, YH & Lee, SE, 2014. Cardiac Tamponade Following Ultrasonography-Guided Trigger Point Injection. J Musculoskeletal Pain, 22, 389–391.
  • Cummings, M, Ross-Marrs, R & Gerwin, R, 2014. Pneumothorax complication of deep dry needling demonstration. Acupuncture in medicine : journal of the British Medical Acupuncture Society, 32, 517-519.
  • Ji, GY, Oh, CH, Choi, WS & Lee, JB, 2015. Three cases of hemiplegia after cervical paraspinal muscle needling. Spine J, 15, e9-13.
  • Domenicucci, M, Marruzzo, D, Pesce, A, Raco, A & Missori, P, 2017. Acute Spinal Epidural Hematoma After Acupuncture: Personal Case and Literature Review. World Neurosurg, 102, 695 e611-695 e614.
  • Soriano, PK, Bhattarai, M, Vogler, CN & Hudali, TH, 2017. A Case of Trigger-Point Injection-Induced Hypokalemic Paralysis. Am J Case Rep, 18, 454-457.
  • Ganesh, GS, Singh, H, Mushtaq, S, Mohanty, P & Pattnaik, M, 2016. Effect of cervical mobilization and ischemic compression therapy on contralateral cervical side flexion and pressure pain threshold in latent upper trapezius trigger points. Journal of bodywork and movement therapies, 20, 477-483.
  • Nunes, AMP & Moita, JPaM, 2015. Effectiveness of physical and rehabilitation techniques in reducing pain in chronic trapezius myalgia: a systematic review and meta-analysis. International Journal of Osteopathic Medicine.
  • Rojo et al 2016. Efectividad de la terapia combinada de compression isquémica con estiramiento poscontracción isométrica para la recuperación del rango de movimiento cervical en el tratamiento de puntos gatillo. Fisioterapia, 38(2):85-89
  • Stuner, A & Delafontaine, A, 2016. Compression ischémique des points gâchettes du trapèze supérieur chez la personne âgée. Revue de kinésithérapie, 16, 17–22.
  • Webb, TR & Rajendran, D, 2016. Myofascial techniques: What are their effects on joint range of motion and pain? – A systematic review and meta-analysis of randomised controlled trials. Journal of bodywork and movement therapies, 20, 682-699.
  • Bohlooli, N, Ahmadi, A, Maroufi, N, Sarrafzadeh, J & Jaberzadeh, S, 2016. Differential activation of scapular muscles, during arm elevation, with and without trigger points. Journal of bodywork and movement therapies, 20, 26-34.
  • Schneider, K, Sohn, S, Licht, G, Dommerholt, J & Von Piekartz, H, submitted for publication. Do active myofascial trigger points alter the muscle activation pattern of five select shoulder muscles during controlled arm abduction? Short-term effects of placebo-controlled myofascial therapy on muscle activation patterns.
  • Bowen, AG, Goff, LM & Mcgowan, CM, 2017. Investigation of myofascial trigger points in equine pectoral muscles and girth-aversion behavior. J Equine Veterinary Science, 48, 154–160.
  • Kuan, TS, Lin, YC, Lien, WC, Hsieh, PC, Chung, YT, Lin, SH & Chou, LW, 2015. The Effect of Monochromatic Infrared Photo Energy on the Irritability of Myofascial Trigger Spot of Rabbit Skeletal Muscle. Evid Based Complement Alternat Med, 2015, 816956.
  • Jafri, MS, 2014. Mechanisms of Myofascial Pain. Int Sch Res Notices, 2014.

Call Us Today!

Roland Park

200 W Cold Spring Ln #300
Baltimore, MD 21210

(410) 662-7977


5005 Signal Bell Ln #202
Clarksville, MD 21029

(410) 531-2150

Hunt Valley

Onelife Fitness
126 Shawan Rd, Suite 300
Cockeysville, MD 21030

(443) 318-4242

Rosedale/White Marsh

9110 Philadelphia Rd #100
Baltimore, MD 21237

(410) 574-4966

Appointment Request

    By clicking here, I agree to be contacted at the number or email provided