Manual Trigger Point TherapyThe Manual Trigger Point Therapy (MTT) program is a three-course program.


The MTT Program consists of three practical workshops of three days each for a total of 72 hours and a 28-hour home study program. The program is a highly practical and immediately applicable course series.

MTT-1 covers 70 muscles that Czech neurophysiologist, Vladimir Janda, considered to be tonic muscles, i.e., muscles tending to become short and tight.

MTT-2 covers another 70 muscles, which Dr. Janda considered ‘phasic’, tending towards inhibition and weakness. At the end of the MTT-1 and MTT-2 courses, students will take a practical competency test.

MTT-1 and MTT-2 are prerequisites for MTT-3. MTT-3 covers 30 muscles of the neck, cranium, jaw and face on day 1, a review of all the theory and practical resources on Day 2 and theoretical and practical examinations on day 3. In this intensive training program over 170 muscles of the body are addressed.

The textbook Myofascph_mtt-5ial Trigger Points by Drs. Jan Dommerholt and Peter Huijbregts is required for all courses. The book can be ordered directly from Myopain Seminars or purchased elsewhere. The Muscle Manual book by Nikita Vizniak is strongly recommended and can be purchased at the workshops or from regular booksellers.


  • Stewart Wild developed the MTT course program and he is the main instructor. Born in New Zealand, Mr. Wild taught in his home country and in the United Kingdom, before moving to the United States. He was the first person to certify in the St. John version of Neuromuscular Therapy (NMT) at the New Zealand College of Massage (NZCM) in Auckland, NZ and became an NMT instructor in 1998.  In 2009, Stewart became the first massage therapist to become a Certified Myofascial Trigger Point Therapist (CMTPT) via Myopain Seminars. This is what course participants in Dubai, UAE had to say about Stew when he taught the MTT-1 course there on March 27-29, 2015:
    –  “Stew Wild is one of the best instructors I have come across and I have learnt to palpate every single muscle and treat individually rather than as a group”
    –  “I have learnt so much from the course and thanks to the instructor Stew Wild for his great teaching skills”


All workshops are 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.

The MTT workshops include demonstrations and practical hands-on training using a selection of appropriate manual therapies found to be highly effective in treating patients with myofascial trigger points. All Janet G. Travell, MD Seminar Series features excellent instructor-student ratios, which ensures precise identification and deactivation of each trigger point.

Prerequisites for Attending the MTT Course Program

  • In-depth anatomy of the muscles appropriate to each course must be studied in advance; the course will be very detailed and concentrated and proceed at a fast pace
  • Prior knowledge of bony landmarks (BLM), muscular attachments and muscle fiber direction is mandatory before attending each course.

Recommended Reading



Why Study Manual Trigger Point Therapy?

  • Study for a fulfilling career in a branch of massage therapy that specializes in the treatment of the difficult area of longstanding myofascial pain and movement dysfunction.
  • Study on courses developed by instructors that continue to add to the Travell legacy by writing the emergent books and research articles on myofascial pain.
  • Study with instructors that have over ten years teaching experience and continue to have daily clinical contact with clients suffering from pain and dysfunction.
  • Study on courses that are modified annually to keep up with the latest clinical and laboratory research.
  • Study on courses that strive to set one of the highest standards in the massage therapy industry.
  • Study to pass the MTT Theory and Practical Certification examinations that selectively permit only the most knowledgeable and competent graduate.
  • Use this Certification to enable liaison and integration with other allopathic health professionals that treat myofascial pain.
  • Use this Certification to attain professional membership of the National Association of Myofascial Trigger Point Therapists (NAMTPT) and other professional organizations.
  • The Myopain Seminars graduate will attract an ever-growing number of clients whose recovery from pain will provide a hugely rewarding career.


Most students complete the Manual Trigger Point Therapy (MTT) workshops within one or sometimes two years. The achievement of full certification follows successfully passing the final theoretical and practical examinations. The MTT course program does require a significant amount of time to study for certification. The course is intended to only certify trigger point therapists of the highest standard.

Requirements for certification:

  • Attendance at all theory and practical components; MTT Module 1–MTT Module 3
  • Passing each of the workshop quizzes online
  • Passing each of the end-of-workshop practical test outs
  • Passing a final theory certification
  • Passing a 75-question multiple choice theoretical examination (70% pass mark)

Becoming a “Certified Myofascial Trigger Point Therapists (CMTPT)” makes graduates eligible to join the National Association of Myofascial Trigger Point Therapists (NAMTPT) as professional members.

Select a course from the list for further course-specific information: