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The MTT-1 course features a brief introduction to the history of trigger points and myofascial pain.  Many muscles commonly addressed in clinical practice will be addressed, including muscles that Janda considered as ‘tonic’ muscles: the trapezius, levator scapula, posterior neck muscles,  sub-occipital muscles,  pectoralis major and minor, subclavius, sternalis, coracobrachialis, pronator teres, flexor carpi radialis and ulnaris, palmaris longus, flexor digitorum superficialis and profundus, pronator quadratus, sternocleidomastoid, scalenii, latissimus dorsi, teres major, serratus posterior inferior, quadratus lumborum, iliacus and psoas, tensor fascia lata, sartorius, quadriceps, hamstrings, gastrocnemius, soleus, plantaris, and popliteus muscles, among others. Students will review the anatomy, function, and manual therapy techniques for each muscle.


None. The MTT-1 and MTT-2 courses can be attended in any order.

Eligibility Requirements

The MTT-1 course is designed for licensed healthcare professionals using manual or hands-on techniques to reduce pain and dysfunction, especially licensed massage therapists (LMT) and branches of that profession, physical therapists (PT) and assistants (PTA), and occupational therapists (OT) and assistants (OTA). This is an alternative course for physical therapists, working in states where dry needling therapy has not been approved. Physicians and physician assistants, dentists, chiropractors, athletic trainers, nurses, and nurse practitioners are also eligible.

During the MTT courses, the ratio student : instructor is always 15:1 or less. In other words, you will have direct access to the instructor(s) during the practical and theoretical components of the course.

Course Objectives

  • To identify the historical and current literature regarding myofascial pain.
  • To describe optimal musculoskeletal anatomy and physiology and the role of the sensory, motor and autonomic nervous systems; and to differentiate sub-optimal function.
  • To describe normal pain mechanisms; reception, transmission and modulation.
  • To describe the aberrant neurophysiology of peripheral and central sensitization.
  • To describe the contribution of myofascial trigger points to soft tissue pain and dysfunction.
  • To describe the biochemical environment of the trigger point.
  • To identify the various potential causes of myofascial trigger point formation.
  • To describe the various mechanisms that perpetuate myofascial trigger points.
  • To describe the position of primary or secondary trigger point involvement in many common conditions like osteoarthritis, low back pain and other regional pain syndromes.
  • To demonstrate the highest standards of palpation, applicable to most soft tissue abnormalities.
  • To demonstrate the detection and full de-activation of myofascial trigger points.
  • To describe the use a variety of adjunct myofascial, heat, stretch, muscle play and movement therapies to reinforce the deactivation of these noxious points and return the client to full function.
  • To create appropriate Home Care Exercises (HCA) and other beneficial advice for permanent resolution of myofascial trigger points.


MTT-1 Daily Schedule (click to view the schedule)

Note: The actual times may vary with each program at the discretion of the instructors. Coffee breaks are provided; meals are on your own.

In addition, students will have 2.5 hours of home study modules to review prior to each course.