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Program Overview

The MTT-3 course builds on the knowledge and skills of the MTT-1 and MTT-2 courses. Students will learn manual treatment techniques for about 30 orofacial muscles.  The second day of the course focuses on a review of all the materials and techniques of the entire MTT course program.  On the third day, students will complete theoretical and practical examinations.

The following muscles are included: platysma, suprahyoids, infrahyoids, longus coli, capitis, rectus capitis lateralis and the muscles of the styloid process, the pterygoids, frontalis and occipitalis, masseter and temporalis, intra-oral muscles, zygomaticus and other facial muscles, and the superior pharyngeal constrictor. Students will review the anatomy, function, and manual therapy techniques for each muscle.


MTT-1 and MTT-2

Eligibility Requirements

The MTT-3 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.


  • 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-3 Daily Schedule (click to view the schedule)

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