Dry Needling Level 2 - Advanced Techniques

Dr. Laeth Hamil graduated from Kansas University Medical Center in 2017. He has been practicing in the Kansas City area since his graduation, and is currently the clinic director at KC Rehab Physical Therapy and Sports Medicine in Liberty Missouri. His practice has a sports and manual therapy focus and has been utilizing dry needling for several year. Laeth has a passion for complex cases and working with people who have failed other conservative treatments. In treating those cases he has found that using a multifaceted approach including manual therapy, exercise progression and Dry needling is much more efficient at improving his patients function than a single system of thought. In addition to treating complex patients Laeth has a passion for teaching. He takes on multiple clinical students and teaches dry needling to help develop practitioners skill bases. He partnered with Taylor in 2019 to expand the teaching offerings of Dry Needling Pro.

Dr. Taylor Bushnell graduated from the University of St. Augustine in 2009. Since then he has practiced in Boston, Ma, Eugene Or, and St. Louis Mo. He has been utilizing dry needling in his practice since 2011, working with average orthopedic patients to elite level professional athletes. He is passionate about treating patients and teaching effective dry needling skills to all practitioners. Taylor pairs dry needling with other manual therapy, strength training and postural training. Taylor currently is the clinic director at Peak Sport and Spine - The Grove in St Louis, and is the owner of Momentum Lab PT a cash-based PT practice and the owner and creator of Dry Needling Pro.

Advanced dry needling training with review from level 1, face, hand and foot dry needling, needling with stimulation, tendon pecking, fascial spinning.

To take this course you must have previously taken DN-1 or email for permission to take it. It is at the discretion of Dry Needling Pro to approve or deny as we see fit. This course is open to PT, MD, DO, DC, ATC, LAC, PA, NP.

This course is 27 continuing education contact hours.

1. Learn the theory behind dry needling with E-stim
2. Understand the basic physiology of muscular tendinopathy and dry needling tendon pecking
3. Understand common trigger point referral patterns and how they differ from radicular patterns
4. Demonstrate and understand dry needling safety, including:
   • Understand emergency preparedness for adverse dry needling effects
     • Physiological (shock, vasovagal)
     • Psychological (claustrophobia, anxiety, agitation)
   • Understand precautions related to:
     • Blood thinners
     • Clots
     • Pregnancy
     • Surgical sites, etc
   • Learn contraindications to dry needling related to:
     • Wounds
     • Infections
     • Blood thinners
     • Pacemakers/defibrillators
   • Demonstrate proper PPE utilization and safe blood borne pathogen precautions
   • Demonstrate safe needle insertion and show proper needle redirection
   • Demonstrate proper hygiene and needle site sterility
5. Learn basic upper extremity, lower extremity, and spine dry needling application including:
   • Learn anatomical landmarks, borders, origin and insertion, referral patterns
   • Demonstrate safe patient positioning
   • Demonstrate needle direction and depth for a given muscle
   • Demonstrate proper palpation and trigger point identification
   • Demonstrate differentiation of active vs latent trigger points
   • Understand choosing proper needle size for each muscle

Day 1
7:30-8:00 Pre Test, and Introduction
8:00-8:30 Safety and handling review
8:30-9:30 Advanced Needling Techniques Tendon Pecking, Tenting and Fascial Spinning
9:30-10:00 Pec Major, Pec Minor
10:00-10:30 Serratus Ant, Middle/Lower Trap/Rhomboids
10:30-11:00 Theory on DN with electrical stimulation
11:30-12:30 Advanced Needling Techniques (DN with electrical stimulation)
12:30 LUNCH
1:30-2:30 Muscles of Mastication-TMJ Med/Lat Pterygoids
2:30-3:30 Masseter, Temporalis
3:30-4:00 Cervicogenic Headaches mapping out the headache
4:30-5:00 Cervicogenic Dry Needling Obliquus Capitis Inferior, suboccipitals, Upper Trap Review
5:00-5:30 Group Case Studies

Day 2
7:30-8:30 Review from First day
8:30-9:00 Scalenes, Levator Scap, Supraspinatus
Piriformis
9:00-9:30 Flexor Hallucis Longus/Flexor Digitorum Longus
9:30-10:00 Ankle: Extensor Hallucis Longus, Extensor Digitorum Longus
10:00-10:30 Tib Posterior
10:30-11:00 Foot: Extensor Hallucis Brevis, Extensor Dig Brevis
Flexor Hallucis Brevis, Adductor Hallucis
11:00-11:30 Flexor Digitorum Brevis ,Abd Hallicus, Abductor Digiti Minimi
11:30-12:00 Flexor Carpi Radialis, Flexor Carpi Ulnaris, Flexor Digitorum Profundus of Superficialis
12:30-1:30 LUNCH
1:30-2:30 Level 1 class review 3:00-3:30 Group Case Studies
3:30-4:30 Review
4:30-5:30 Post Test and Certificates