Overview

Certified Advanced Clinical Dry Needling Professional Program

Muscle Referred Pain is a phenomenon that has been described for more than a century & has been used extensively as a diagnostic tool in the clinical setting. Typically, pain from the deep structures such as muscles, joints, ligaments, tendons, fascia & viscera is described as deep, diffuse & difficult to locate accurately for nerve fixations in contrast to superficial types of pain, such as pain originating in skin.

Peripheral Radicular Pain Neuro Connective Model (Module 2) as the name implies is needling on
the flow of peripheral nerves from proximal to distal. The presence of the Fascial Adhesive Band (FAB), Fascial Adhesive Areas (FAA), which are results of slightest shearing force because the muscle can only withstand longitudinal force & not shearing
force, the Nerves sometimes gets fixed.

The referred pain can be perceived in any region of the body, but the size of the referred pain area is
variable & can be influenced by changes in somatosensory maps. The process where nerve gets fixed is called as Neural Fixation in which the nerve typically looses its ability to glide & Stretch which results in increase in its intraneural or perineural pressure.

Peripheral Radicular Pain Neuro Connective Model (Module 2) follows the standard principles of neural mobility & neural functions. The process in Peripheral Radicular Pain Neuro Connective Model (Module 2) addresses the working of dry needles so as to provide freedom of movement to the peripheral nerves to maintain nerve conduction, electromagnetic conduction, intraneural blood supply, intraneural nerve supply, local & systemic responsiveness.

In Peripheral Radicular Pain Neuro Connective Model (Module 2) it is less important particularly regarding the layer of the body where fascia is located but the sequence remains important. The Peripheral Radicular Pain Neuro Connective Model (Module 2) addresses fascia because the fascia registers the movement of muscles & the supporting connective tissue which may be a true
movement or a change in muscle tension.

It is the ability of the fascia on perception of pain that is nociception is affected & severe pain is triggered & contributes lot of disturbance on the locomotor system. The Peripheral Radicular Pain Neuro Connective Model (Module 2) especially concentrates on the fact that the fascia can contract without the influence of the associated skeletal muscle & it is possible that the fascia can go in relaxation after the dry needling procedure.

Instructor

Dr. Mihir Somaiya

DPT, MS, PT (USA)

Founder & Chief Instructor - American Institute of Functional Integrated Dry Needling (AIFIDN)

• PT, MPT Sports Physiotherapy, MS Pain Management USA • Chief Pain Management Consultant & Sports Physical Therapist at Prizorgo Pain Management & rehabilitation

Agenda

DAY 1

TIMINGS	TOPICS
8:00 – 8:30 am	Registration
8:30 - 9:30 am	FIDN techniques for Hip Functional Areas (Theory + Practical) Piriformis Tensor Fasciae Lata Sartorius Rectus Femoris Vastus Lateralis Vastus Medialis
9:30 - 10:30 am	FIDN techniques for Knee Functional Areas (Theory + Practical) Semitendinosis Semimembranosis Biceps Femoris
10:30 - 10:45 am	Coffee break
10:45 am - 12:45 pm	FIDN techniques for Forearm Functional Areas (Theory + Practical – 2 hrs.) Supinator Flexor Pollicis Longus Flexor Digitorum Profundus Flexor Pollicis Brevis Extensor Indices Extensor Pollicis Longus
12:45 - 1:45 pm	Lunch and Prayer Break
1:45 - 3:45 pm	FIDN techniques for Shoulder Functional Areas (Theory + Practical – 2 hrs.) Serratus Anterior Subclavius Teres Major Teres Minor Pectoralis Major Pectoralis Minor Middle Trapezius Lower Trapezius Serratus Posterior (Inferior)
3:45 – 4:00 pm	Coffee break
4:00 – 5:00 pm	FIDN techniques for Movement Disorders Functional Areas (Theory + Practical) Achilles Tendinitis Shoulder complex Dysfunction
5:00 – 6:00 pm	Review of Day 1

DAY 2

TIMINGS	TOPICS
8:00 – 8:30 am	Registration
8:30 - 10:30 am	FIDN techniques for Upper Limb Nerve Pain Pathway (Theory) Axillary Nerve Flow Musculocutaneous Nerve Flow Radial Nerve Flow Median Nerve Flow Ulnar Nerve Flow
10:30 - 10:45 am	Coffee break
10:45 am - 12:45 pm	FIDN techniques for Upper Limb Nerve Pain Pathway (Practical)
12:45 - 1:45 pm	Lunch and Prayer Break
1:45 - 3:45 pm	FIDN techniques for Lower Limb Nerve Pain Pathway (Theory + Practical – 2 hrs.) Sciatic Nerve with Tibial Nerve Flow Obturator Nerve Flow Femoral Nerve with Saphenous Nerve Flow
3:45 – 4:00 pm	Coffee break
4:00 – 6:00 pm	FIDN Principles and treatment of Scar tissue (Theory + Practical – 2 hrs.): De Quervain's Syndrome Trigger Finger

DAY 3

TIMINGS	TOPICS
8:00 – 8:30 am	Registration
8:30 - 10:30 am	FIDN techniques for Deep Front Neuro Connective Myofascial segment (Theory + Practical – 2 hrs.): Tibialis Posterior Fascia of Popliteus/ Knee capsule Posterior Intermuscular Septum, Adductor Magnus & Minimus Pelvic Floor fascia Anterior Sacral fascia Anterior Intermuscular Septum, Adductor Brevis & Longus Iliacus, Pectineus Anterior longitudinal ligament Diaphragm Mediastinum Transverse Thoracis Fascia Pretrachialis Supra Hyoid Scalene
10:30 - 10:45 am	Coffee break
10:45 am - 12:45 pm	FIDN techniques for (Theory + Practical – 2 hrs.) Superficial Front Arm Neuro Connective Myofascial segment: Pectoralis Major Latissimus Dorsi Medial Intermuscular Septum Palmaris Longus Pronator teres Flexor carpi ulnaris Flexor carpi radialis Flexor retinaculum Deep Front Arm Neuro Connective Myofascial segment: Pectoralis Minor Clavipectoral fascia Biceps Brachii Radial Periosteum Radial Collateral Ligament Thenar Muscles (Abductor Pollicis Brevis, Flexor Pollicis Brevis, Opponens Pollicis)
12:45 - 1:45 pm	Lunch and Prayer Break
1:45 - 3:45 pm	FIDN techniques for (Theory + Practical – 2 hrs.) Superficial Back Arm Connective Myofascial segment: Upper and middle trapezius Posterior Deltoid Lateral Intermuscular Septum Extensor Carpi Ulnaris Extensor Digitorum of hand Extensor carpi radialis longus Extensor carpi radialis brevis Extensor Pollicis Longus Extensor Digiti minimi Deep Back Arm Connective Myofascial segment: Levator Scapulae Rotator cuff Triceps Brachii Ulnar Periosteum Ulnar Collateral Ligament Hypothenar Muscles
3:45 – 4:00 pm	Coffee break
4:00 – 5:00 pm	Case Discussion
5:00 – 6:00 pm	Exam & Certificate Distribution