Institute of Manual & Integrative Therapy

DIN-2 Electrical and Perineural Dry Needling Strategies

Adding depth to trigger point dry needling experts.

Coming to Columbia, MD July  26-28, ’24

DIN-2 is a 3-day  live course, designed with the beginner to advanced needling professional in mind, and is grounded in the the Hobbs Needling Paradigm.  This is the perfect course for those wtih a strong background in trigger point needling.  DISCOUNTS:  For new grads, students, and those certified in dry needling.

DIN-2 Focuses:

Typical Schedule:

  • Friday: Registration 12 pm; course 12:30 pm- 7:00 pm
  • Saturday: 8 am to 6:30 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 and perineural needling. 
    • Segmental and supraspinal response strategies.
    • Introduction to autonomic needling.
  • Lumbar-Thoracic-Cervical (prone and side-lying):
    • Perineural angled approach.
    • Perpendicular and Angled Paraspinal & Laminar Approach (MSK Emphasis)
  • Piriformis and sciatica perineural needling (prone and side-lying) 
  • Sciatica and tibial nerve perineural strategies.
  • Knee periarticular and periarterial approaches. 
  • Common, deep and superficial nerve approahces. 
  • Tibial nerver stimulation. 
  • Medial and lateral foot perineural approaches. 
  • Upper cervical region and greater, lesser and 3rd occipital nerve approaches. 
  • Posterior shoulder, shoulder impingment and subacromial strategies. 
  • Median, ulnar and radial nerve strategies.
  • Introduction to reason 5 supraspinal response strategies.
DIN-2 is a 27-hour foundational education course is aimed to emphasize the safety and foundational knowledge and skills needed for beginner to begin using dry needling in practice, as well as, expand the understanding of experienced practitioners to incorporate electrical needling into practice, helping to focus and simplify their practice while improving patient outcomes. This 3-day course is supplemented with online modules carefully developed to maximize delivery of live, 90% hands-on instruction. Practitioners will learn clinically reasoned, evidence-informed approaches of all major regions of the body, including the spine and both upper and lower quarters, for a wide range of musculoskeletal disorders. This will provide the busy clinician the requisite instruction necessary to treat the most common conditions encountered in daily clinical practice without the need to take multiple courses. For a broader foundational understanding, participants will be instructed not only in needling superficially and deep within muscles (i.e., trigger point dry needling) but will also learn proper periosteal and connective tissue needling techniques for many conditions. Additionally, participants will learn how to integrate peripheral, spinal segmental and central needling approaches within a clinical reasoning framework, as well as, electrical and perineural approaches.Course will also review current clinical guidelines and their inclusion or exclusion of needling as an intervention. 
  1. Correctly identify 10 contraindications and 10 precautions to the use of electrical dry needling.
  2.  Demonstrate safe DINS handling techniques and patient positioning for 5 axial skeletal techniques with the use of electrical DIN.
  3.  Demonstrate safe DINS handling techniques and patient positioning for 5 extremity techniques with the use of electrical DIN.
  4. Correctly describe the appropriate management of 5 adverse events that may occur in association with the use of electrical DIN.
  5. Orally explain correctly, the current theoretical neurophysiological mechanisms of dry needling from periphery to cortex, including electrical DIN.
  6. Appropriately defend the integration of the use of electrical DIN into the management of a given patient with a neuromusculoskeletal 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. Pass post-class written exam with 80% or greater.
    2. In-class technique safety demonstration and sign-off sheet.
    3. Required post-class survey.
  • Normally:
    • $1248.00
  • Early Bird:
    • $854.00
  • Student, New Grad, Certified/Lic. Needler Discount:
    • $594.00 (goes up July 1st, ’23)

Open to any professional with previous needling experience and instruction. Appropriate for physical therapists, athletic trainers, chiropractors, RNs, PAs, DOs and MDs.

The Hobbs Needling Paradigm: Up your needling game today!!

1. Identify Primary Pain State

  • Nociceptive
  • Peripheral Neuropathic
  • Nociplastic
    • +Consider BPS influencers.

2. Consider The Rehab Phase

  • Phase 1: Symptom Modulation
  • Phase 2: Loading Capacity Optimization
  • Phase 3: Function & Performance Improvement

3. Choose Desired Response

  • Reason 1: Local healing/inflammatory.
  • Reason 2: Local analgesic.
  • Reason 3: MSK & trigger points.
  • Reason 4: Segmental.
  • Reason 5: Supraspinal & systemic.

1 + 2 + 3 =

Appropriate technique selection.

Explore our other course offerrings: