Dry Needling Course Details

We offer Introductory, Advanced and Refresher level courses. In each section below, you can find further information about Course content, Learning objectives, Course pre-requisites and other details. If you need any further details on a specific course, please e-mail info@cohesivetherapy.ie.

Introductory Level Course in Trigger Point Dry Needling


CPD Hours: 24


The aim of this course is to introduce the concept of ‘Trigger Point Dry Needling’ to clinicians and develop relevant practical and clinical reasoning skills. The curriculum content covers a). Physiology of trigger points & their referral patterns, b). Indications & Contraindications of needling, c). General Practice Guidelines & Safety aspects of needling, d). Trigger point palpation & identification skills, e).Clinical Surface Anatomy, f). Various needling techniques, g). Patient selection, education & prior consent, h). Pre-needling preparation, post-needling care and management of adverse events, i).Integrated therapeutic approach. 

Participants in the course are guided through brief overview of regional anatomy to augment needling skills. This course is complemented with real case studies and participants should be able to use the techniques immediately after completion of the course.

Declaration: This course meets the minimum standard as outlined in ISCP guidelines on Minimal Standards for Dry Needling Education & Training.

Formal Assessment: Participants must successfully complete a formal theory and practical assessment at the end of the course  prior to issuance of CPD certificate.

Trigger point dry needling of Gluteus-Maximus/Medius/Minimus, Piriformis & Short external Rotators, TFL, Hip adductors, Quadriceps, Hamstrings, Calf muscles, Upper/Middle/Lower-Trapezius, Levator Scapulae, Rhomboids, Supra- & Infraspinatus, Subscapularis, Teres Major & Minor, Latissimus Dorsi, Quadratus Lumborum, Cervical,  Thoracic & Lumbar Paraspinals are covered.


Upon completion of the course, participants should be able to:

  1. Understand the physiology of Myofascial Trigger Points,
  2. Understand patient’s pain / symptom presentation that involves predominantly myofascial component.
  3. Improve clinical reasoning process to apply Dry Needling techniques would be most appropriate conditions.
  4. Identify Myofascial Trigger Points.
  5. Improve Clinical Surface Anatomy and Palpation Skills.
  6. Understand all the Indications, Contraindications and Safety aspects of Dry Needling.
  7. Perform Superficial and Deep Dry Needling technique in a safe and effective manner.
  8. Incorporate this in daily practice as another therapeutic tool.


1.    No prior experience in needling or trigger point therapy course is required.

2.  Participant MUST be fully qualified physiotherapist and carry appropriate malpractice insurance.


Early Bird Fee €660. Standard Fee €700. Course fee may vary depending on the venue. 

Advanced Level Course in Trigger Point Dry Needling


CPD Hours: 14


This course is for clinicians who aim to advance their skills in ‘Trigger Point Dry Needling’ of smaller and trickier muscles. This will give clinicians a whole new prospective of managing many common conditions those are managed otherwise and open up new scope of practice. Emphasis will be given on integrating new skills with traditional manual therapy techniques. 

Trigger point dry needling of muscles of following area will be covered.

  1. TMJ Muscles including Sternocleidomastoids.
  2. Pectorals, Arm, Forearm and Hand Muscles.
  3. Thoracic extensors and Abdominals.
  4. Anterior, Lateral and Deep posterior Compartment muscles of leg.
  5. Muscles of foot.


Following learning outcomes are expected. Upon completion participants should be able to

  1. Identify Myofascial Trigger Points of the muscles covered and their referral pattern.
  2. Improve palpation skills and Surface Anatomy.
  3. Understand the role of TMJ muscles’ Trigger points in Orofacial pain, Headache and TMJ dysfunction.
  4. Understand the role of sternocleidomastoid and other muscles in chronic neck pain conditions, post whiplash syndromes and how to deactivate those trigger points and successfully rehabilitate.
  5. Understand the upper limb symptoms including shoulder dysfunctions caused directly or indirectly by trigger points of pectorals and other upper limb muscles.
  6. Manage arthritic hands differently.
  7. Incorporate new techniques to manage many leg, ankle and foot symptoms in addition to biomechanical intervention.


As this is an advanced level course, the participant MUST have some needling experience. The basics of needling, neuro-physiology, safety aspects etc. will not be covered at this level. Participants of this course MUST have completed Introductory / Foundation level course (21 Hours) in trigger point dry needling. It doesn’t matter who the previous course provider was. During the course, participants are required to sign a declaration indemnifying the course lecturer, assistant & host.


Standard Rate: €440

Refresher Course in Trigger Point Dry Needling


This is a completely PRACTICAL and PARTICIPANT LED course developed to enhance the skills and build confidence in clinicians already practicing or trained in Myofascial Trigger Point Dry Needling Technique.  Emphasis is given to the practical, clinical reasoning component and safe techniques. Many alternative techniques for many muscles are also taught in this course.


  1. Build confidence and improve skills in Myofascial Trigger Point Dry Needling techniques.
  2. Learn safe & alternative techniques used for many muscles.
  3. Get up-to-date knowledge of current research and evidences.


1.    Participant MUST have completed an Introductory / Foundation level course (at least 21Hrs) in trigger point dry needling from any of the course providers. A copy of previous course completion certificate must be submitted prior to attending the course. The aim of the course is to revise the needling techniques of the muscles listed below. This prerequisite is to ascertain that participant have the knowledge of basic needling technique, theory around it and have covered most of the listed muscles. 

2. Practicing 'Dry Needling' MUST be within participant's scope of practice.


Trigger point dry needling of the following muscles is covered.

Muscles of Lower Limb: Gluteus Maximus, Medius & Minimus, Piriformis & Short external Rotators, Iliopsoas, Tensor Fasciae Latae, Pectineus, Adductor Longus, Brevis & Magnus, Gracilis, Sartorius, Quadriceps, Hamstrings, Gastrocnemius, Soleus, Popliteus.

Muscles of Upper Limb: Trapezius (Upper, Middle, Lower), Levator Scapulae, Deltoid, Supraspinatus, Infraspinatus, Teres Major & Minor, Latissimus Dorsi, Subscapularis.

Spine: Posterior Cervical Paraspinals, Thoracic Paraspinals, Quadratus Lumborum & Lumbar erector spine. 

COURSE FEE: €160. Places will be offered on first come first served and full course fee paid basis.