Dry Needling Courses


In response to a 2009 inquiry by the Maryland Acupuncture Board, in 2010 the Attorney General of Maryland declared that the Board of Physical Therapy Examiners would need to develop regulations for dry needling. Eight years (!) later on October 1, 2018, the dry needling regulations will go into effect .

See https://health.maryland.gov/bphte/Pages/comar.aspx for more details.

See Dry Needling Check List.

At its Board meeting on May 15, 2019, the Maryland Board of Physical Therapy Examiners voted to modify the Dry Needling Registry Application. The modification removes the requirement for a third-party signature of the required supervised practical hours. The applicant will still have to submit the application under penalty of disciplinary sanctions, and the applicant bears the burden of establishing the accuracy of all of the information contained therein.

Myopain Seminars has registered all dry needling courses with the APTA of Maryland and we are in the process of going through ProCert as well.

To view the sponsored courses through the APTA of Maryland, visit this website.

The following dry needling courses and webinars have already been approved:

Course Title Total Hours # Practical  # Theory
Dry Needling Program DN1: Foundations Webinar 4 0  4
Dry Needling Program DN2: Foundations Webinar 4 0 4
Dry Needling Program DN3: Foundations Webinar 4 0  4
Dry Needling Program DN1: Foundations I 27 16  11
Dry Needling Program DN2: Foundations II 27 14.75  12.75
Dry Needling Program DN3: Advanced 22 12.75  10
Dry Needling Program 4 Course Format DN1 25 15.5  9.5
Dry Needling Program 4 Course Format DN2 25 15.75  9.25
Dry Needling Program 4 Course Format DN3 Advance I 25 15.5 9.5
Dry Needling Program 4 Course Format DN4 Advanced II 19.25 14.75  4.5


To assist physical therapists in Maryland who currently use DN in their practice, but who may not meet the Board’s requirements of “in person […] face-to-face session; or in real time through electronic means that allow for simultaneous interaction between the instructor and the participants,” Myopain Seminars is offering webinars “in real time through electronic means that allow for simultaneous interaction between the instructor and the participants.”

To check the dates for the webinars, visit http://myopainwebinars.com/.

Each webinar has been approved for 4 hours. Saturday webinars start at 9 am; Monday webinars start at 6 pm. Register at http://myopainwebinars.com/

Employees from Pivot Physical Therapy will receive detailed information from their employer.

Members of the APTA of MD will receive a discount to attend the webinars.

According to our analysis of our current and previous dry needling courses,

  • graduates of the 5-course format are likely to meet the new requirements and should not have to take any additional courses. We calculated that the 5-course program included 52 theoretical and 60 practical hours. The 5-course dry needling courses and additional Review course included 54 theoretical and 66 practical hours of education. Click on 5-COURSE FORMAT for more information
  • graduates of the 4-course format are likely not meeting the requirements for theoretical education. We calculated that the 4-course format included 31 theoretical and 57.25 practical hours. Click on 4-COURSE FORMAT  for more information
  • graduates of the 3-course format are likely not meeting the requirements for theoretical education. We calculated that the 3-course format included 33.5 theoretical and 43.25 practical hours.  Click on 3-COURSE FORMAT  for more information.
  • graduates of the Pelvic Pain DN course likely will have completed 10.5 theoretical and 13.5 practical hours of education. Click on PELVIC PAIN DN COURSE  for more information.
  • graduates of the Orofacial DN course likely will have completed 22.75 theoretical and 20.25 practical hours of education.  Click on ODN COURSE   for more information.


As an alternative, physical therapists could consider repeating one of the other dry needling courses at a 50% discount. We recommend the DN-2 course.

If you have taken DN courses from another course provider, we would to invite you to attend the Myopain Seminars DN-1 course at a 50% discount! Submit your course certificates and we will apply the 50% discount.

Make sure you register with the Board as a PT who performs dry needling.

  • Submit a completed application on a form supplied by the Board
  • Pay a registration fee as established by COMAR 10.38.07
  • DO NOT wait until your next license renewal!!
  • Register by clicking here

The new regulations in summary:

  • The new regulations require completion of 40 hours of theory and 40 hours of practical instruction before a PT is allowed to use DN in clinical practice. This makes Maryland the most rigorous state in the country and likely in the entire world!  To the best of our knowledge, no other jurisdiction in the world requires this many hours for a physical therapist to use DN.
  • The Board requires that the 40 hours of theoretical education must be done either “in person at a face-to-face session; or in real time through electronic means that allow for simultaneous interaction between the instructor and the participants.”
  • According to the new regulations, a physical therapist is not allowed to use DN at all until completion of 80 hours of education. Jan Dommerholt, President of Myopain Seminars, has expressed to the Board that by not allowing a PT to use DN after the first course for muscles that were taught in the course, the Board may inadvertently have increased the potential of risk of injury. Many PTs take 2-3 years before they can complete 80 hours of continuing education in DN, which means that what a PT learned in the first course is no longer fresh in memory by the time that PT attends the final course. After 22 years of teaching DN courses all over the world, we have learned that allowing PTs to use DN immediately after the first DN course makes for safer DN practice.
  • According to the new regulations, “a physical therapist shall have practiced physical therapy for at least 2 years before performing dry needling in the State.” We would like to emphasize that it is permitted to attend DN courses during the two-year period since graduating from PT school.

The requirement for theoretical education has serious consequences for many physical therapists who are currently using dry needling in Maryland. Myopain Seminars includes more theoretical education in our dry needling courses than most other course providers and yet, according to the new dry needling regulations, graduates of the Myopain Seminars dry needling program may not have enough theoretical hours to continue dry dry needling in their practices.

Although all Myopain Seminars dry needling courses have been approved by the Maryland Board of Physical Therapy Examiners during the past 21 years, this is not a guarantee that the courses will meet the new requirements.

Each previous course programs will be re-evaluated by the Board. It is entirely up to the Board to determine whether Myopain Seminars dry needling graduates  indeed meet the demands of the new dry needling regulations.

If you do not meet the requirements of the new DN regulations, you will not be allowed to use dry needling after October 1, 2018. The Board has ruled against a grandfather clause!

About the Myopain Seminars DN courses

Dry Needling Photo GalleryThe Myopain Seminars Dry Needling course program consists of two Foundation courses (DN-1 and DN-2) and one Advanced course (DN-3). The Myopain Seminars Dry Needling courses incorporate a strong pain science perspective.  In addition to the main DN program, Myopain Seminars also conducts specialized DN courses, such as Orofacial DN courses, and a Pelvic Pain DN course.

All courses include online lectures that students will complete in the comfort of their own home or office.

The textbook Trigger Point Dry Needling: An Evidence and Clinical-Based Approach by Jan Dommerholt and Cesar Fernández-de-las-Peñas is the required course book for all Dry Needling courses. Students can purchase the book from Myopain Seminars or from any other vendor. In addition, all participants will receive a well-illustrated full-color course workbook and a reader with pertinent scientific studies.

The Dry Needling courses are competitively priced at $995 per course for the DN-1 and DN-2 courses and $1,095 for the DN-3 course, which includes the examination fee. The Dry Needling courses feature excellent instructor-student ratios. Note that on September 1, 2018, the costs per course will increase to $1,095 for the DN-1 and 2 courses and $1,195 for the DN-3 course.


The Dry Needling courses are taught by Myopain Seminars Dry Needling Faculty, which includes


Myopain Seminars sets very high standards for its instructors.  Did you know that all instructors and senior instructors of our dry needling courses, for example, have passed our certification examinations, have at least 10 years of clinical experience and have a combination of

  • A minimum of 5 years of clinical dry needling experience
  • A PhD degree
  • A transitional DPT degree
  • Fellowship status in the American Academy of Orthopedic Manual Physical Therapists
  • OCS certified
  • A minimum of 5 years of teaching experience in a master or doctoral physical therapy program

Corporate Sponsorship

Myopain Seminars offers the Dry Needling courses as “open” or host courses, and “corporate” or sponsored courses for private companies. To explore bringing Myopain Seminars’ course programs to your practice or hospital, please contact usClick here to learn more about sponsoring a course or view our current Partners.

Taking DN courses as part of your Nxt Gen Residency or FellowshipNxt Gen Institute of Physical Therapy

Through an exclusive partnership with Nxt Gen, the Myopain Seminars DN-1 and DN-2 courses can count as an elective track in the Nxt Gen Fellowship.
Click here for more information.


The workshops are designed for licensed healthcare practitioners, who are allowed to use dry needling in their practice and jurisdiction, including physicians and physician assistants, dentists, veterinarians, physical therapists, occupational therapists, chiropractors, acupuncturists, athletic trainers, nurses, and nurse practitioners. Medical residents and physical therapy residents are eligible for these courses.

Massage therapists, bodyworkers, neuromuscular therapists, physical therapy assistants, and occupational therapy assistants are not eligible to attend the DN courses and are encouraged to attend courses offered through the Myopain Seminars Manual Trigger Point Program.


Pregnant healthcare providers are welcome to attend the dry needling courses. Each individual practitioner can decide whether they want to be needled during the courses. While in clinical practice we recommend against dry needling during the first trimester, there are no known risks associated with dry needling during pregnancy.

Some acupuncture groups and individual acupuncturists have suggested that dry needling of so-called “forbidden points” could be abortifacient, but multiple scientific studies have refuted this outdated concept. See for example the review article by Carr published in Acupuncture in Medicine 2015;33:413–419.

Dry Needling Program: Foundations I & II

chart_seminars-eligibility-dnMyofascial trigger points are a common feature of nearly all pain syndromes, including fibromyalgia, and are characterized by persistent pain, loss of function and movement impairments. Treatment may involve manual therapy techniques, including dry needling or injections, correcting biomechanical and postural dysfunction, and restoring normal movement patterns.

The Foundations courses consist of two three-day hands-on workshops to teach the techniques of trigger point identification and the concepts of dry needling with an emphasis on the most common muscles seen in clinical practice. The Foundations courses have to be taken in other.

Prior to the courses, students will receive several home study modules, consisting of videos of lectures, hand-outs and several scientific articles.

Prior to the DN courses, students will be required to complete a multiple choice pre-test to assess the current knowledge of dry needling and the scientific background. At the completion of the DN-1 and DN-2 courses, students will be required to complete a post-test with 15 multiple choice questions. A passing score of 10/15 questions (66%) is required to receive the course certificate.

The DN-1 course included a brief historical review of myofascial pain, pain models and the neuro-matrix, an introduction to relevant pain sciences, inter- and intra-rater reliability, motor endplate dysfunction, elastography, and the characteristics of trigger points.

The DN-2 course includes a review of the scientific basis of myofascial pain, the chemical environment of trigger points, the role of botulinum toxin, the etiology of trigger points, and other theoretical hypotheses. In addition students will be introduced to various clinical aspects of myofascial pain, such as tension-type headaches, migraines, low back pain, plantar fasciitis, carpal tunnel syndrome, and post-mastectomy. Much attention will be paid to peripheral and central sensitization and the consequences for clinical practice.

Students can review the lectures in the comfort of their home or office. During the actual course, the most pertinent aspects of the theoretical modules will be reviewed with time for questions and comments.  Each teaching block consists of an introductory lecture and demonstration, followed by supervised hands-on practice in small groups. This is a training program with immediate clinical applicability upon completion. The Foundation courses (DN-1 and DN-2) must be taken in order and are prerequisites for the Advanced Level course (DN-3). Each course includes a standardized, theoretical quiz, that must be passed with a 66% proficiency. In addition, students must demonstrate safe dry needling of a muscle covered in the course.

Dry Needling (DN) Program: Advanced DN-3

Following successful completion of the Foundations courses, students are encouraged to attend the Advanced Dry Needling course (DN-3).

The Advanced dry needling course will bring the clinician to the highest level of clinical proficiency in the management of patients with myofascial pain. Other dry needling topics include the treatment of scar tissue, enthesopathy , and tendinopathy. This is a three-day course with comprehensive theoretical and practical examinations on the third day.

Students will learn to examine and treat all accessible muscles in the body, while gaining a profound understanding of the scientific literature. We do not believe that there are any other course programs in the US that offer the same level of instruction and depth.

Dry Needling Certification

Myopain-Certificate_blankImmediately following the second day course of the DN-3 course, Myopain Seminars offers students the opportunity to demonstrate mastery of contemporary pain science insights and research by completing our comprehensive theoretical examination.  The theoretical examination consists  of 80 multiple choice questions. To pass the examinations a minimum score of 70% is required.  Upon completing the theoretical exam, students continue with practical examinations, which consist of a demonstration of dry needling therapy for two randomly selected muscles.  One of the muscles is on the chest wall, while the other muscles is selected from other parts of the body.

Successful completion of the theoretical and practical examinations allows graduates to use the CMTPT distinction, which stands for “Certified Myofascial Trigger Point Therapist.”

“The Myopain Seminars dry needling courses are the best courses I have taken and I have taken them all. The instructors’ professionalism, knowledge, and passion were evident and they were one of the reasons the courses were that great. I am more proud of my CMTPT credentials than any of my other credentials. I highly recommend this dry needling program!” —Sam Anderson, PT, DPT, OCS, MTC, ATC/L, CMTPT, Mesa, AZ

“I have taken a basic and advanced Dry Needling series with another provider and have been practicing Dry Needling for 3 years. I recently took the first Myopain Seminars Trigger Point Dry Needling course because I wanted the perspective of Jan Dommerholt, who has done an impressive amount of writing and research on this technique. Myopain’s approach is much more thorough, specific and refined relative to what I had been exposed to. I know that my practice of this technique is more effective and safe following the first Myopain course and I plan on completing their full certification curriculum.” —Phil Rolfe PT, DPT ATC, Durham, NC

Select a course from the list below to see full information, including prerequisites.

DN-1, Foundations I
DN-2, Foundations II
DN-3, Advanced