The International DN-2 course features an in-depth study of the hand muscles, several lower extremity and foot muscles, the craniofacial and craniomandibular muscles, the scalenes, longus colli, serratus anterior, latissimus dorsi and pectoralis (over the trunk),  rhomboid and serratus posterior superior, longissimus and iliocostalis, the abdominal muscles, the iliacus, and deep hip rotators.

Students will review the anatomy, function, and dry needling techniques for each muscle.

The International DN-2 course is the second course in a two-course series by Myopain Seminars to attain certification as a Certified Myofascial Trigger Point Therapist – Dry Needling (CMTPT/DN) outside the United States. The fourth 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.

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 that means; active vs. latent TrPs; local twitch responses; referred pain mechanisms; the Cinderella hypothesis, etc., but also some anatomy, needle technique, precautions, and adverse events.

To set up Myopain Seminars courses in your country, feel free to contact us, and we will start exploring what options we may have available.


Successful completion of the Myopain Seminars International Dry Needling 1 course is the pre-requisite for taking the International Dry Needling 2 course.

Required Textbook

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

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.

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.

Course CEUs

The Myopain Seminars DN courses have been approved by multiple US state boards and chapters of the American Physical Therapy Association.


All registrations are handled by the course organizers in each individual country. Only on rare occasions will Myopain Seminars handle course registrations. The fees for the International DN course program will be determined by the local course organizers.