DIN-3c: Systemic Dry Needling for Pelvic Health Management

DIN-3d: Structural Dry Needling for Pelvic Health Management

Typical Schedule:

• Saturday: 8 am to 5 pm
• Sunday: 8 am to 5 pm

• NOTE:  Technique chosen varies and is based which of the 5 reasons is being emphasized. 
• Needling STRATEGIES:
  • Superficial & deep dry needling.
  • Electrical, perineural, and NMES needling stimulation. 
  • Segmental and supraspinal response strategies.
  • Introduction to autonomic needling.
  • Abdominal needling for pain referral patterns, orgasm, pain and breathing.
• Presentations discussed:
  • Superficial pelvic floor considerations for urinary incontinence, erectile dysfunction, orgasm, and pain. 
  • Lumbo-pelvic-hip referral patterns into the pelvic floor. 
  • Side-lying and prone approaches to QL, lumbar-spine, dorsal sacral ligament, SIJ and anococcygeal ligament.
  • Gluteal group and deep rotators in sidelying.
  • Anterior hip targets: symphysis pubis, superior pubic rami, iliacus, psoas major, pectineus, sartorius and rectus femoris. 
  • Scar needling strategies for cesarean, episiotomy, perineal tearing, etc. 
  • Superficial pelvic floor targets:  ischiocavernosus, bulbospongiosus, superficial and deep transverse perineal. 
  • Layer 3 targets: levator ani, puborectalis, pubococcygeus, iliococcygeus, coccygeus and obturator internus.
  • Layer 3 considerations for pain, stress, orgasm, and urinary incontinence.
  • Introduction into systemic needling for pelvic health conditions. 

DIN-3d Adv. Structural DIN for Pelvic Health is a DIRECT to pelvic floor course and is meant for providers who have pelvic floor training and specialize in pelvic floor presentations that include pain, sexual dysfunction, stress, incontinence and referral patterns. Participants should have already successfully undertaken a recognized dry-needling foundation-level course (NOTE:  Most states require at least 24 hours of live training to be eligible to dry needle, and two-day courses will not meet that requirement.)

DIN-3d is designed to pelvic health pain presentations which are more driven by neuromusculoskeletal influences. Participants are challenged to clinical reason through reasons 1 (local healing), 2 (local analgesic), and 3 (musculoskeletal) reasons of the Hobbs Needling Paradigm within pelvic health management.  This course is relevant for both biological female and male patients and may be expanded beyond the typical pelvic floor pain presentation to most patient presentations.  The course also discusses reason 4 (segmental needling) in relation to direct to pelvic floor perineural presentations and electrical needling.  There is also a brief introduction to reason 5 (systemic needling) concepts which are the focus of DIN-3c Adv. Systemic DIN for Pelvic Health.  DIN-3c and 3b are complimentary for the pelvic health specialist who offers a comprehensive concierge approach to care that is holistic in nature.

1. To develop participants’ theoretical knowledge and practical skills in the use of direct to pelvic floor dry needling and its role in selected pelvic health conditions.

2. To be able to:
   1. Develop a clinical reasoning model for the use of direct to pelvic floor needling within the area of pelvic health conditions.
   2. Select appropriate targets to needle for the treatment of a variety of pelvic health conditions
   3. Safely and effectively employ a variety of needling techniques for pelvic health conditions health conditions based on an evidence-based clinical reasoning model.
   4. To understand the physiological basis of needling as it pertains to the treatment of a variety of pelvic health conditions.

At the conclusion of the course, students must demonstrate a minimum of 80% proficiency in the following course assessments to achieve a passing grade. The assessments will demonstrate that the student has met the listed objectives:

1. 1. In-class technique safety demonstration and sign-off sheet.
   2. Required post-class survey.