Advanced Neuromuscular Dry Needling: Level 2

Advanced Neuromuscular Dry Needling: Level 2

Utilizing Dry Needling Techniques as an Evidence-Based Modality for Progressive Neuromuscular Rehabilitation

This is part two of the MMIM Neuromuscular Dry Needling Certification. Following successful completion of all required elements practitioners will be credentialed with the MMDN-C designation. Medical Minds in Motion is not a board authority; therefore, it is up to the individual attendee to verify if they are allowed to use Dry Needling in their state. This MMIM certification does not release the practitioner from state specific board requirements. It is the responsibility of the individual clinician to understand their regulatory board rules and guidelines regarding Dry Needling before implementing learned techniques and guidelines into his/her practice.

THIS COURSE IS LIMITED TO 24 PARTICIPANTS. MMIM strives to achieve a 12:1 student to teacher ratio for this course. As a result there may be multiple instructors for your location.



Number of Students            *Early-Rate       Standard-Rate

Single Registrant:                    $945                  $995

2-4 Registrants:                       $920                  $970

5+ Registrants:                        $895                  $945

*Early-Rate expires 30 days prior to the course NO EXCEPTIONS.  All group registrations must be made via phone or fax to receive the group discount.  Phone: 1-888-989-MMIM (6646) or Fax: 201-266-5356


     Day 1: 8am to 5:30pm

     Day 2: 8am to 5:15pm

     Day 3: 8am to 4:30pm


Dry Needling is a rapidly growing, skilled intervention using a thin myofilament needle as part of a patient’s treatment plan that has been shown to help with the management of various movement impairments and pain reduction through various neuromuscular pathways.  By inserting these thin needles, clinicians can gain access to tissue that they simply can’t address with their hands.  The American Physical Therapist Association has recognized Dry Needling as an appropriate method of treatment for Physical Therapists to utilize and currently is approved by a large number of state regulatory boards.  This Advanced course is open to any professional where Dry Needling is an accepted form of practice as determined by your state regulatory board and is designed to be taken after Fundamentals of Neuromuscular Dry Needling through Medical Minds in Motion.

In this extensive advanced neuromuscular dry needling class, you will build off your knowledge from Level 1 and incorporate it into techniques with a higher degree of skill and risk.  Safe and effective needling techniques for the upper quarter, lower quarter and spine will be discussed, demonstrated and practiced with great extent.  During this 3-day class you will have the opportunity to tie everything together and learn how to use Dry Needling as part of the treatment plan by incorporating IASTM, Taping and comprehensive exercise programs.  Emphasis will be placed on safety and precautions of needling and the “why” component of needling.  Upon understanding the why, clinicians will be able to pin point what they need to needle safely and efficiently prior to completing the rest of their treatment plan.  At the end of this course, clinicians will feel comfortable to begin implementing advanced needling techniques into their practice as allowed by their regulating board.


  1. Explain precautions for preventing a pneumothorax in patients receiving dry needling.
  2. Demonstrate safe needling techniques for periosteal, Perineural and Tendon structures.
  3. Recite important anatomical landmarks critical to safe and effective advanced dry needing.
  4. Perform advanced needling techniques for the upper/lower quarters and the spine in a safe and effective manner.
  5. Demonstrate safe needle insertion and handling techniques
  6. Describe various advanced needling techniques and the rationale for their use in conjunction with other rehab methodologies.
  7. Competently perform dry needling techniques for proper needle depth, angulation and advanced techniques for needle manipulation to various structures listed in the course outline.
  8. Explain the rationale for implementing IASTM, Taping and Movement along with dry needling in the patient plan of care.
  9. Recite and explain the various contraindications and precautions for advanced dry needling.
  10. Implement an integrative rehabilitation plan of care based on case studies presented.


1.5 Hours Online Education: Released 30 Days prior to Seminar

  1. Pneumothorax articles (30 Min)
  2. Needling to facilitate rehabilitation (30 min)
  3. Review of safety and universal precautions (15 Min)
  4. Review of APTA and FSBPT Stance on Dry Needling (15 min)


25 Hours Live Education

Section 1:

  1. Review of Neuromuscular Dry Needling Level 1 – 8:00-9:00
  • Questions for discussion
  • Key Points from Level 1 and Carry over to Level 2 –Integrating Knowledge

Section 2: Upper Quarter – Day 1: 9:00-5:30 (Day 1:Lunch Break – 12:00-12:45)

  1. Anatomy Review of the Upper Quarter (30 min)
  2. Palpation of the Upper Quarter (LAB (30 min)
  3. Technique Demonstrations and LABS:
  • Pec Minor
  • Thumb
  • Brachialis
  • Supraspinatus
  • Levator Scap and Latissimus Dorsi
  • Craniofacial: Masseter, Temporalis, Pterygoids
  1. Treatment Plans and Integration of Needling/IASTM/Taping/Exercise
  • Shoulder Impingement/Rotator Cuff
  • Elbow Pain
  • Thumb/Hand Pain
  • Craniofacial

Section 3: Lower Quarter – Day 2: 8:00-4:00  (Day 2: Lunch Break – 12:00-12:45)

  1. Anatomy Review of the Lower Quarter
  2. Palpation of the Lower Quarter
  3. Technique Demonstrations and LABS:
  • Quad femoris
  • Piriformis
  • Hip flexor
  • Flexor longus of the foot group
  • Popliteus
  • Tibialis posterior
  • Medial heel
  • Interossei
  1. Treatment Plans and Integration of Needling/IASTM/Taping/Exercise
  • Patellar Femoral Syndrome
  • Achilles Tendinopathy and Foot Pain
  • Hip Impingement

Section 4: Spine (5 hours) Day 2: 4:00-5:15 and Day 3: 8:00 – 12:15 (Day 3: Lunch Break – 12:15-1:00)

  1. Anatomy Review of the Cervical and Thoracic Spine
  2. Palpation of the Cervical and thoracic Spine
  3. Technique Demonstrations and LABS:
  • Suboccipitals
  • Cervical paraspinals and multifidi
  • Thoracic paraspinals and multifidi
  1. Treatment Plans and Integration of Needling/IASTM/Taping/Exercise
  • Mechanical Neck Pain
  • Mechanical Low Back Pain
  • Mechanical Mid Back Pain

Section 5: Various techniques of needling – Day 3: 1:00-3:00

  1. Periosteal needling
  2. Perineural needling​
  3. Tendinopathy Needling
  • Resting for healing and progressive activity

Section 6: Review and Competency Exam – Day 3: 3:00-4:30

  1. Review/Questions/Answers
  2. Competency Check Off
  3. Exam to be completed online and post course

MMIM Neuromuscular Dry Needling: Policies and Procedures

Fundamentals of Neuromuscular Dry Needling Level 1

Section 1: Who Can Attend?

  • Primarily licensed Physical Therapists but open to any professional who is allowed to Dry Needle by their state board.  Medical Minds in Motion is not a board authority; therefore, it is up to the individual attendee to verify if they are allowed to use Dry Needling in their state.  Medical Minds will provide resources to help attendees find the appropriate information, but strongly suggests individuals call their state board to clarify rules and requirements.
  • MMIM Will verify licensure of all registered participants.  Practice license information must be provided at registration.

Section 2: Course Progression to Full Certification

  • Medical Minds in Motion will offer two levels of Dry Needling Education equaling 50 hours of live education.  Some pre-course reading/online education will be required, but the 50 hours of live education will satisfy most state board education requirements. It is the responsibility of the individual clinician to understand their regulatory board rules and guidelines.
  • Participants must complete Level 1 prior to taking Level 2 and are required to have completed 200 treatment sessions prior to the start of level 2 (a treatment log is required).  If you have previous needling experience and would like to just take Level 2 please contact Rick Daigle at Medical Minds in Motion and we’ll determine on a case by case basis.  Email:

Section 3: Certification Requirements

Level 2 Certification:

  • Pass the written test and lab assessment of Level 1.
  • Documentation and submission to MMIM of treatment log showing 200 treatment sessions prior to Level 2.
  • Successful completion of all 25 live hours and pre-course material for level 2.
  • Pass the written test and lab assessment: Must have 75% score on each test and demonstrate proper safety at all times
  • Designation: Level 2: “MMDN-C”

Section 4: Post-Course Access to Instructors/Information

  • All attendees will receive the instructor and lab assistants direct email address for communication and mentorship
  • All attendees will receive an invitation to a private group on FB for discussion and collaboration between instructors and other participants.
  • Attendees will receive periodic updates on course content and any important news regarding dry needling

Section 5: Course Materials

  • Pre-Course content, course manual and any other associated documents will be provided 30 days prior to the seminar
  • All necessary course materials (needles, gloves, etc.) will be provided at the seminar
  • It is recommended that individuals bring the following items with them to the seminar
    • Anatomy Atlas of their choice (Trail Guide for the Body is one example)
    • Anatomy App for smart phone or tablet of your choice
    • If you have a latex allergy, bring latex free gloves though we will have some
    • Portable electric stim unit with alligator clips though we will have a limited amount at the course.

Section 6: Waivers and Consent

  • All participants will be required to consent to and sign a waiver of liability form in order to participate.
  • It is important that the course participants gain a full understanding of DN from both the clinician and patient point of view.  With this in mind, participants will be both practicing the techniques and experiencing them during the live portion.  If there is a reason you cannot have needling performed on you, please contact MMIM prior to the course.
    • Women who are pregnant will not be allowed to have needling performed on them due to contraindications.  You will still be allowed to take the course, just not experience the needling techniques.
    • Any individuals with recent surgical procedures or any other medical issues that precludes them from being needled please notify us prior to the class.
    • Any other circumstances where dry needling is contraindicated.
    • Attendees will be provided a sample “Consent to Treat” form at the end of the course that they can use in their clinical practice.

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