The MTT-2 course features the clinical aspects of myofascial pain, peripheral and central sensitization, the etiology and scientific basis of myofascial pain, and manual trigger point therapy.
Many muscles commonly addressed in clinical practice will be addressed, including muscles that Czech neurophysiologist Vladimir Janda considered as ‘phasic’ muscles, including those in Andre Vleeming’s sling mechanisms: infraspinatus, supraspinatus, teres minor, subscapularis, rhomboids and serratus posterior superior, the erector spinae, serratus anterior, deltoid, triceps and anconeus, biceps, brachialis, brachioradialis, wrist and finger extensors, supinator, several hand muscles, the abdominal muscles, diaphragm, intercostals, levator costarum, the gluteal muscles and deep rotators, gracilis, and the adductor magnus, longus and brevis muscles, pectineus, obturator externus. Students will review the anatomy, function, and manual therapy techniques for each muscle.
The theoretical home-study modules are the same as the home study modules for the Dry Needling course series and will include information about dry needling as well.
NOTE: The MTT course program consists of two courses leading to certification. Myopain Seminars no longer offers the MTT-3 course. Because of the re-organization of the MTT course program, the actual content of the MTT-1 and MTT-2 courses has changed starting in 2022.
- Identify the historical and current literature regarding myofascial pain
- Describe optimal musculoskeletal anatomy and physiology and the role of the sensory, motor, and autonomic nervous systems; and to differentiate sub-optimal function
- Describe normal pain mechanisms; reception, transmission, and modulation
- Describe the aberrant neurophysiology of peripheral and central sensitization
- Describe the contribution of myofascial trigger points to soft tissue pain and dysfunction
- Describe the biochemical environment of the trigger point
- Identify the various potential causes of myofascial trigger point formation
- Describe the various mechanisms that perpetuate myofascial trigger points
- Describe the position of primary or secondary trigger point involvement in many common conditions like osteoarthritis, low back pain, and other regional pain syndromes
- Demonstrate the highest standards of palpation, applicable to most soft tissue abnormalities
- Demonstrate the detection and full de-activation of myofascial trigger points
- Describe the use of a variety of adjunct reinforcement techniques; myofascial release, pin and stretch, opposing thumb glides, heat, stretch, muscle play, and movement therapies to reinforce the deactivation of these noxious points and return the client to full function
Note: The actual times may vary with each program at the discretion of the instructors. Refreshments are provided; meals are on your own.
08:30 – 9:45 Infraspinatus, teres minor, supraspinatus, subscapularis
9:45 – 10:00 Break
10:00 – 11:15 Rhomboids, serratus posterior superior, the thoracic erector spinae, serratus anterior
11:15 – 12:30 Deltoid, triceps brachii, anconeus
12:30 – 13:30 Lunch
13:30 – 15:00 The lumbar erector spinae, transversospinali
15:00 – 16:30 Rectus abdominis, pyramidalis, the external and internal obliques and TVA
16:30 – 16:45 Break
16:45 – 18:00 Diaphragm, intercostals, levator costarum
08:30 – 9:45 Gluteus maximus, gluteus medius, gluteus minimus
9:45 – 10:00 Break
10:00 – 11:15 Deep six lateral rotators: piriformis, GOGO, quadratus femoris
11:15 – 12:30 Gracilis, adductor magnus, adductor longus/brevis, pectineus, obturatur externus
12:30 - 13:30 Lunch
13:30 - 14:45 Biceps brachii, brachialis, brachioradialis
14:45 – 16:00 Extensor carpi radialis longus / brevis, extensor carpi ulnaris, extensor digiti minimi, extensor digitorum communis, supinator
16:00 – 16:15 Break
16:15 – 17:00 Abductor pollicis, extensor polilcis brevis, extensor pollicis longus, extensor indicis
17:00 - 18:00 Intrinsic hand muscles
08:30 - 10:00 90-minute practical demonstration of important MTT-1 muscles as shown by the instructor
10:00 - 10:30 Break, with pre-exam Q&A on the theory exam
10:30 – 13:00 75 MCQ theory exam, over 150 minutes. Seventy-percent pass mark required.
13:00 – 14:00 Lunch
14:00 – 16:30 Practical exam on three randomly drawn muscles, including upper and lower extremities and the spine/pelvis group. No preparation time is allowed, except for setting up. Up to fifteen minutes to complete all three exams. Eighty-percent pass mark required.
Who Should Attend
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), physicians (MD), physician assistants (PA), etc.
Since we have updated the course series, we have applied for accreditation for the new-format course program Previously, the Myopain Seminars Manual Trigger Point Therapy 2 was approved by:
Maryland Board of Physical Therapy - 3.4 CEUs
NCBTMB - 25.5 CEs
Course credit is currently pending.
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 - https://www.llr.sc.gov/pt/ce.aspx):
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.
Manual Trigger Point Therapy 2 possible discounts (may only use one)
The registration system will deduct 12% off of each class automatically when you register for the whole Manual Trigger Point Therapy Certification series at once (MTT1 and MTT2).
A 10% discount will be applied automatically when 3+ individuals are registered for one course on the same ticket.
New graduates and Active Military/Veterans are eligible for a 10% discount.
You may retake this course for a 50% discount.
For an overview of all available discounts, click here.
Only one discount may be applied to any course.