Trigger Point Dry Needling David G Simons Academy™ of Switzerland

Dry Needling 1 (DN1): 6-8th July 2017 3 days: Introduction, Safety & Extremities

Dry Needling 2 (DN2 – 3 days): 24th-26th August 2017 Safety, Spine, Head, Neck & Trunk dates

For further information see attached information

www.unitedphysiocourses.com or phone: (061) 339991

Venue DCU

Course Logistics etc

Course

The course is a 3 day course (DN1) : 24 hours CPD

It is the first part of a bi-modular (DN1 & DN2) course 6 days, 48 hours CPD

DN1 is completed first.

Course Dates Dry Needling 1: July 6th, 7th 8th (Thurs, Fri, Sat) 2017

Dry Needling 2: August 24th, 25th 26th (Thurs, Fri, Sat) 2017

Faculty Depending on course but will be one or more of DGSA instructors including :

Dr Johnson McEvoy PT

Venue Dublin City University

Cost

€995 for complete 6 day course / 48 hours*

Regular cost €1,350 27% discount

Includes: Course Booklets and information and course material electronically

Needles, Gloves etc, Starter Needle pack after DN1

Certificate of attendance will be supplied

*Please note that signing up for the course will mean attending all complete 6 days

Subsitution for other course dates is not available

Course Format

Lectures, Demonstrations, Practical sessions, Discussion

Aim is to have delegates work in twos - at times it may be required to work in threes

ISCP Guidelines for Dry Needling Practice (McEvoy et al 2012) form the basis of the safety approach to DN. Guidelines will be supplied.

Course Outline

DN1 – Course Contents

This 3-day indroductory course covers the foundations of dry needling, the myofascial pain syndrome

and trigger points. The course is a hands on course. Participants practice trigger point dry needling of the extremity

muscles among each other. This is a training program with immediate clinical applicability upon

completion.

DN2 – Course Contents

This 3-day advanced course covers dry needling of the spine, head neck and trunk. The course is a hands on

course. Participants practice trigger point dry needling among each other. This is a

training program with immediate clinical applicability upon completion

Course Duration: 24 Hours / 3 days Course Duration: 24 Hours / 3 days

Prerequisites: DN1

Course Objectives

Dry Needling 1: Intro, Safety, Extremities

Upon completion of the course, participants will ...

Understand the basic scientific background of the myofascial pain syndrome and of trigger points

Be able to identify the extremity muscles by surface anatomy, palpation and by function and know their clinical symptoms and perpetuating factors

Be able to identify the features of trigger points by physical examination and apply this knowledge to the extremity muscles

Understand the specific indications and contraindications of dry needling and be able to apply the safety rules for dry needling and be able to perform dry needling of the extremity muscles

Know possible side effects and complications of dry needling and will be able to react appropriately

Have updated their anatomy skills and knowledge

Dry Needling 2: Safety, Spine, Head, Neck Trunk

Upon completion of the course, participants will ...

Understand the basic scientific background of the myofascial pain syndrome and of trigger points

Be able to identify the spine, head, neck and trunk muscles by surface anatomy, palpation and by function and know their clinical symptoms and perpetuating factors

Be able to identify the features of trigger points by physical examination and apply this knowledge to spine, head, neck and trunk muscles

Understand the specific indications and contraindications of dry needling and be able to apply the safety rules for dry needling and be able to perform dry needling of spine, head, neck and trunk muscles

Know possible side effects and complications of dry needling and will be able to react appropriately

Have updated their anatomy skills and knowledge

Course Pathway

TrPDN Refresher & Advanced CPD

Dry Needling 1 (DN1) Introduction Technique Safety Extremities

Dry Needling 2 (DN2) Safety Technique Spine, Head Neck & Trunk

3 days

3 days

Pathway Design Completion of the David G Simons Academy™ TrPDN

courses requires 2 course modules. This is the traditional pathway for TrPDN courses in Switzerland

since 1995.

Trigger Point Dry Needling American Academy of Orthopaedic Manual Physical Therapy 2009

Support statement

“Dry needling is a neurophysiological evidence-based treatment technique

that requires effective manual assessment of the neuromuscular system.

Physical therapists are well trained to utilize dry needling in conjunction with

manual physical therapy interventions. Research supports that dry needling

improves pain control, reduces muscle tension, normalizes biochemical and

electrical dysfunction of motor endplates, and facilitates an accelerated

return to active rehabilitation.”

United Physiotherapy Clinic Unit 23 Whitethorns Castletroy, Limerick, Ireland

Phone (061) 339991 unitedphysiocourses.com

Trigger Point Dry Needling

This Trigger Point Dry Needling (TrPDN) course, by the David G Simons Academy™ of Switzerland, introduces the clinician to the concept of trigger point dry needling for myofascial trigger points (MTrPs) including theoretical and practical application of trigger point dry needling techniques for muscles of the extremities, spine, head, neck and trunk. Trigger point dry needling, is an invasive therapy in which a solid filament needle is inserted into the skin, fascia, and muscle to treat MTrPs. Different needling techniques and models are available, including trigger point, radiculopathy, and spinal segmental sensitization models. The two main MTrP needling techniques are superficial dry needling (SDN) and deep dry needling (TrP-DN). SDN usually entails inserting a needle into the skin or fascia overlying a trigger point, and was popularized by Dr. Peter Baldry in the early 1980s as a safer approach to needling certain more difficult muscles such as the scalene muscles. In contrast, during TrP-DN, the needle is inserted directly into the MTrP, and the main aim is to elicit LTRs, which occur during dynamic needle penetration of the MTrP. The reproduction of LTRs during needling therapy is essential and is associated with improved outcomes; direct needling of MTrPs appears to be an effective treatment for pain. Historically, TrP-DN developed from Travell’s trigger point injection technique, in which local anesthetic was injected into the MTrP while the hypodermic needle was moved through the muscle to elicit LTRs. Investigators proposed, and later supported, that the therapeutic effect was likely related to the mechanical movement of the needle and the elicitation of LTRs, as opposed to the anesthetic or fluid effect. The exact mechanism of action of TrP-DN on myofascial pain is not known, but investigators have reported that TrP-DN reduced nociceptive chemical concentrations in the vicinity of active MTrPs. In an animal study, TrP-DN was effective at diminishing spontaneous electrical activity (end-plate noise) when LTRs were elicited. Other modes of action of analgesia have been proposed from experimental animal studies including recovery of circulation and descending pain inhibitory system. Adapted from McEvoy, J. and J. Dommerholt (2012). Myofascial trigger point of the shoulder. Physical Therapy of the Shoulder. R. Donatelli. St Loius, Elsevier Churchill Livingstone: 351-380.

Introduction

About the David G Simons Academy™ From David G Simons MD

“The aim of the David G. Simons Academy™ (DGSA) is to internationally promote the understanding and knowledge of the myofascial pain syndrome (MPS) and trigger point therapy. To guarantee a high academic and didactic quality standard and impart the necessary, continuing and self-critical analysis of the scientific background, we have teamed up with leading trigger point instructors and basic researchers. I welcome this opportunity to emphasize my complete support for the concept of the David G. Simons Academy™ for the purpose of promoting better understanding and treatment of myofascial trigger points (MTrPs) and neuro-musculo-skeletal dysfunctions. Now, that this is the goal of my life, the David G. Simons Academy™ is a wonderful means of helping us make significant progress toward that goal. The lack of sufficient understanding and skilful treatment of MTrPs causes so many people unnecessary pain and motor dysfunction that it is a tragedy of modern medicine. When MTrPs are identified and treated effectively early, it can completely eliminate the development of a disastrous chronic pain condition that is incomparably more difficult to treat. I am absolutely delighted with the leadership and determination Christian Gröbli and Ricky Weissmann have demonstrated in establishing the David G. Simons Academy™ for this purpose.” David G. Simons, MD April 24, 2005 RIP April 2010 From www.dgsa.eu.com

United Physiotherapy Clinic Unit 23 Whitethorns Castletroy, Limerick, Ireland

Phone (061) 339991 unitedphysiocourses.com

Janet Travell MD David G. Simons MD

1 The courses are designed as CPD for professional healthcare clinicians

2 Member of ARTI or BASRaT MISCP or other WCPT member group / Medical Doctor / Other Healthcare Practitioner (Audit) For those using the title physiotherapist or physical therapist must be HSE physiotherapist and/or ISCP member or eligible

3 Insurance coverage for the clinical setting; Check with your insurer If MISCP insurance coverage is automatic for attending courses

4 Acceptance of the personal and professional responsibility of DN in clinical practice

5 You will be required to practice DN on other delegates and will be required to be practised upon and a waiver will be required for the practical sessions

6 Follow ISCP rules of professional conduct etc and ISCP Guidelines for Dry Needling Practice (2012)

7 Practice with clinical decision making with reference to Evidenced informed practice, Clinical Reasoning and Patient Orientated Care

8 Consider DN as an adjunctive therapy for MTrPs and recognise the wider aspects of treatment including perpetuating factors and the need for a comprehensive physiotherapy evaluation and education.

9 Clothing Please wear comfortable clothing and bring shorts and sports top (ladies) for the practical sessions

10 Recognise DN of trigger points is not acupuncture and agreement that patient education should make a clear delineation between the two.

Course Requirements

1 The international David G. Simons Academy™, DGSA offers courses in dry needling and manual trigger point therapy worldwide since 1995. We are Clinicians, Authors and Educators.

2 We take our role seriously. We have a practical focus and a strong scientific background. Our international, experienced instructor team guarantees highest professional and didactical competence. Our courses are designed for Physiotherapists and Medical Doctors. We have published the only TrPDN adverse event study (Brady, McEvoy, Doody, Dommerholt 2014)

3 We offer comprehensive professional Trigger Point Dry Needling courses available in Ireland Actually we offered the first TrPDN Courses for physiotherapists in Ireland. DGSA™ instructors are Physiotherapists or Medical Doctors.

4 We are authors in the new and only dedicated text book on Trigger Point Dry Needling. Dr Jan Dommerholt PT is co-editor. Trigger Point Dry Needling: An Evidence and Clinical-Based Approach by Jan Dommerholt and Cesar Fernández-de-las-Peñas Churchill Livingstone 2013.

5 We are policy makers and co-authored the ISCP Guidelines for Dry Needling Practice 2012. Dr Jan Dommerholt PT is on the DN policy working party for the American Physical Therapy Association (APTA).

6 We don’t teach DN from a purely biomechanical perspective. We appreciate the importance of understanding the Myofascial Trigger Point Construct and impart an understanding of the pain sciences model, peripheral and central sensitisation concepts.

7

We recognise the ability to accurately locate Trigger Points (for identification, manual therapy & DN) is directly linked to being knowledgeable and trained in trigger point palpation (McEvoy & Huijbregts 2011). If you are learning TrPDN without a focus on palpation skill, treatment may be less accurate, less effective and more difficult for patient and clinician. Your DN confidence and skill is important .

8 We offer clinical support from within Ireland by email or phone when required.

9 We offer regular TrPDN refresher courses to meet ISCP CPD demand.

10 We ensure strict participant / instructor ratios. This ensures improved supervision and learning. We don’t over allocate places.

10 Reasons to Train With the David G Simons Academy™?