The final course of three required to receive certification with Myopain Seminars Dry Needling Program - CMTPT/DN. The final practical and theoretical examinations will be administered on day 3.


The DN-3 Advanced course features an in-depth study of the hand muscles, several lower extremity and foot muscles, the craniofacial and craniomandibular muscles, the scalenes, and the longus colli muscles. Students will review the anatomy, function, and dry needling techniques for each muscle.

The Advanced dry needling course will bring the clinician to the highest level of clinical proficiency in the management of patients with myofascial pain. Completion of the DN-3 course fulfills the Florida requirement of the 25 supervised therapy sessions. During the DN-3 course, students will treat their fellow clinicians under the supervision of our qualified instructors. After all, we all have our aches and pains; this course offers students the opportunity to be treated, in addition to getting a great education!

Several states require between 46 and 54 hours of dry needling education to be able to use dry needling in clinical practice, which makes some students conclude that attending the DN-3 course would not be needed. In one of our blogs, we explain the clinical and legal considerations why clinicians should complete  the entire certification program in dry needling,

Dry Needling 3: Advanced is the third course in a three-course series by Myopain Seminars to attain certification as a Certified Myofascial Trigger Point Therapist - Dry Needling (CMTPT/DN). The third day of this course includes a comprehensive theoretical and practical examination. To pass, students must achieve 70% on a multiple-choice exam plus demonstrate competency in dry needling. Physical therapists licensed in Tennessee must achieve a passing score of 80%. The instructor-student ratio is minimally 1:10 and more examiners are brought in to assist with the practical examination.

The exam is based on the required textbook with a bias toward the lectures presented throughout the courses. We recommend focusing on what is known about trigger points; the endplate dysfunction as part of the TrP pathology; what chemicals have been found in the vicinity of TrPs and what does that mean; active vs. latent TrPs; local twitch responses; referred pain mechanisms; the Cinderella hypothesis, etc., but also some anatomy, needle technique, precautions, and adverse events.

Maryland PT's - If you are a physical therapist practicing in Maryland, you will need 40 theoretical hours and 40 practical training hours before you complete your application to use Dry Needling to the Maryland Board of Physical Therapy Examiners. The Maryland Board of Physical Therapy Examiners requires “in person … face-to-face session; or in real time through electronic means that allow for simultaneous interaction between the instructor and the participants.”  When you have completed Dry Needling 1, 2 & 3 with Myopain Seminars, you will be short 6.75 hours of theory. (You will have met the 40-hour practical requirement) Myopain Seminars offers webinars every other month to meet this theoretical requirement, although you can also take another approved dry needling course to meet the hours. We offer three different webinars that you can take at any time and in any order. We do not recommend that you wait until you have completed the live courses! You must meet the minimum requirements, complete the application, submit it and be approved before you will be eligible to use dry needling in Maryland. To learn more about Dry Needling in Maryland click here: Maryland Regulations Title 10.

Course CEUs

Myopain Seminars DN3 has been approved by:

APTA of Alaska for 2.3 CEUs. Approval #: 03-08-22-04

APTA of Maryland for - 10 Theory, 12.75 Practical - 22.75 Total Dry Needling Hours

APTA of Tennessee - 2.9 CEUs or 29 contact hours

Illinois Physical Therapy Association - 25 traditional hours and 4 self-study hours

Florida Physical Therapy Association - 27.5 CEH (continuing education hours); FPTA Approval Number: CE22-811746; CE Broker Tracking #:20-811746

Maryland Board of Physical Therapy Examiners - 3.4 hours CEUs or 34 contact hours

NOTE: Many states, such as Connecticut, Georgia, New Hampshire, North Carolina, Kansas, Kentucky, South Carolina, Virginia, and Wisconsin, among many others, accept the CEUs approved by the Maryland Board of Physical Therapy Examiners.

If you are not sure about another state, check out your state board's website and look for language like (from South Carolina - 

At least fifteen (15) of the required thirty (30) contact hours shall be from Certified Activities. Certified Activities include [...] attendance at conferences and completion of continuing competency activities provided by the American Physical Therapy Association (APTA), South Carolina Chapter of the American Physical Therapy Association (SCAPTA), other chapters and sections of the APTA, as well as other state boards of physical therapy

Course Objectives

- Discuss three indications for dry needling of the longus colli muscle.

- Discuss three different dry needling techniques for needling the intrinsic hand muscles.
- Demonstrate two different dry needling approaches for the zygomaticus muscles
-Name at least four anatomical structures to avoid when needling the scalene muscles
- Demonstrate three different dry needling approaches for the lateral pterygoid muscle
- Compare and contrast three differences between dry needling of the adductor pollicis and the adductor hallucis
- Name three differences and similarities between superficial dry needling, intramuscular stimulation (Gunn) and Fu’s subcutaneous 

Course Schedule

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

Day 1 

07:00 - 07:30 Registration*
07:30 - 08:30 Lecture: Other needling approaches
08:30 - 10:00 Anterior and lateral compartment lower leg
10:00 - 10:15 Questions & Answers
10:15 - 12:00 Popliteus, FDL, FHL, posterior tibialis
12:00 - 01:00 Lunch
01:00 - 02:00 The foot
02:00 - 03:30 The hand
03:30 - 03:45 Questions & Answers
03:45 - 06:30 Temporalis, masseter & pterygoids

Day 2

07:00 - 07:30 Registration & continental breakfast     
07:30 - 09:00 Lecture: Review of all theory
09:00 - 10:00 Anterior and Posterior Digastric
10:00 - 10:15 Questions & Answers
10:15 - 11:15 Longus colli
11:15 - 12:30 Corrugator supercilii, procerus, occipito-frontalis
12:30 - 13:30 Lunch
01:30 - 03:00 Facial muscles
03:00 - 03:15 Questions & Answers
03:15 - 06:30  Practical review of all muscles

Day 3

08:00 - 10:30 Theoretical examination  
10:30 - 11:00 Last Minute Practice Prep
11:00 -  Practical examinations

* Due to Covid-19 measures, breakfast will not be provided


Successful completion of the Myopain Seminars Dry Needling 1: Foundations I & Dry Needling 2: Foundations II courses are the pre-requisite for taking Dry Needling 3: Advanced.

Required Reading

Please read the following chapters from the required textbook prior to class: Chapters 7, 8, 9, 10, 11, 12, 13, 14, 15 and 16. This information will be included in the final exam.

Required Textbook

Trigger Point Dry Needling: An Evidence and Clinical-Based Approach, 2nd Edition By Jan Dommerholt and Fernández-de-las-Peñas. 

Click Here to purchase the book from Myopain Seminars

Who Should Attend

Practicing clinicians from the following professions:
Physical Therapists
Physician Assistants
Occupational Therapists
Athletic Trainers
Nurse Practitioners
Physical Therapy Assistants and Occupational Therapy Assistants are not eligible to attend any Myopain Seminars dry needling courses.