Presented by Hands-On Seminars in Collaboration with Apex Physical Therapy

Course Features

  • Type – Live. Weekend Courses. You don’t have to miss a day of work!
  • 65 Contact Hours
  • Appropriate for - Licensed PTs (& 3rd year PT students), ATCs, DCs, MDs, DOs, NPs, PAs, DPMs, DDSs, OTs, or Acupuncturists in their respective state or country
  • Language – English

This is how we're covered for CEU's

Our courses are subcontracted by Redefine Health Education (RHE). We are approved for CEU CREDITS for PT, PTA, APT, DPT IN 40+ STATES.

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Our courses are subcontracted by Redefine Health Education. RHE is a registered CE approval agency of the PT Board of California, a rule-approved CE provider of the PT Board of Florida (#50-32784), a licensed CE sponsor of physical therapy continuing education by the Illinois Department of Financial & Professional Regulation (IDFPR #216.000360), an approved CE provider of the PT Board of New Mexico, an approved CE provider of the PT Board of Oklahoma (#BAP202310010) and recognized by the New York State Education Department's State Board for Physical Therapy as an approved sponsor of PT/PTA continuing education. In addition to the aforementioned jurisdictions, courses approved by other state boards & APTA chapters will be accepted for licensure credit in all the jurisdictions listed on this webpage, pursuant to regulation: If you have a specific question about CE credit for this course in your state, please direct your inquiry, including the course title in which you are interested, to [email protected].

Dry Needling Reimagined

This is the only program worldwide that offers a Fellowship Credential

(FDN®) in Advanced Dry Needling technologies. This program covers the groundbreaking “Original Dry Needling Method” and takes it to the next level with revolutionary, Ultrasound Guided Dry Needling techniques, and expert guidance on how to market this service to your community and how to maximize your billing. Also, learn sales strategies for cash based programs. Learn:

  • Diagnosis and Differential Diagnosis of Myofascial Trigger Points.
  • Trigger point evaluation methods from “best-selling authors” & world-renowned experts Dr. Kostopoulos & Dr. Rizopoulos.
  • Proper Muscle identification techniques. Not all muscles are the same or equally important to treat. Learn what REALLY WORKS!
  • What muscles to treat to create change in 1 session.
  • Combination techniques of non-invasive methods along with invasive Dry Needling techniques.
  • Advanced and extremely effective tendon fenestration techniques.
  • Needling of the enthesis.
  • Leveraging Musculoskeletal Ultrasound for more precise Dry Needling.
  • Problem-based training, based on real patient cases.
  • Marketing techniques to drive demand for this new service.
  • Billing methods to get reimbursed by insurance companies.
  • Sales strategies for cash-based programs.
  • Mentoring of 25 real patient cases leading to a Fellowship in Dry Needling (FDN®) Credential.

Welcome to our groundbreaking Dry Needling program, ADVANCED FELLOWSHIP DRY NEEDLING CERTIFICATION FOR HEALTHCARE PRACTITIONERS (FDN®) in collaboration with the expert team of Apex Physical Therapy & Diagnostics. Move beyond reliance on referrals. Join us on a journey that goes beyond traditional approaches, specially crafted to support your ability to provide primary care to the people in your community who need it most.

Program Highlights

Certification or Fellowship Options

The program provides you the option to either obtain a Certificate in Advanced Dry Needling or complete the Advanced Fellowship option, become a Fellow in Dry Needling and use the credential FDN® next to your name. The Certificate Program requires the completion of an online course in Myofascial Trigger Point Therapy which includes Diagnosis and Differential Diagnosis of Myofascial Pain and 3 onsite weekend courses. The Advanced Fellowship option requires the completion of the Certificate Program, plus the completion of 25 real patient cases in your clinic mentored virtually by our Dry Needling specialist Faculty/Mentors.

Become an Expert in Revolutionary Ultrasound-Guided Dry Needling

It’s not just about where you put the pins – it’s about understanding the art of placement. Our program delves into ultrasound guidance for precision.

Unlocking Success: Immediate Results

Learn how to apply dry needling immediately in your practice including finding the source of discomfort, providing instant relief, and celebrating the results with your patients in real-time.

Pioneering Marketing / Sales Strategies & Cash-Pay Opportunities

Discover how to integrate dry needling as a lucrative cash-pay service. Learn how to effectively market your Dry Needling practice and discover effective Sales strategies. Elevate your offerings and expand your clinical horizon.

Meet Your Expert Instructors

Join forces with Apex’s expert clinical instructors who bring real-world experience to your learning journey.

Featured Instructor

Danica Michel PT, DPT, ATC, CMPT, Cert DN

Danica has been empowering movement and transforming lives since 2011. Her background is in athletic training from Grand Valley State University in Grand Rapids, MI. She then earned her doctorate from Oakland University in Rochester Michigan and moved to Florida where she earned her Manual Therapy certification from the Florida Institute for Orthopedic Manual Physical Therapy. She is certified in dry needling and is currently on the path to achieving RMSK certification. Danica is passionate about treating hands on with a holistic approach, teaching, mentoring, and continuing to learn every day.

Ready to Start? Let’s Transform Tomorrow, Today.

What is “The Original Dry Needling Method”?

The origins of Dry Needling as an organized system to treat myofascial trigger points is found in the works of Czechoslovakians Karel Lewit and American Physicians Janet Travell and David Simons. They developed Dry Needling based on actual patient problems. The answer to successfully treating a patient lies not only in how you treat a trigger point but specifically what trigger point to treat; what muscle(s) to treat.

“The Original Dry Needling Method” teaches you primarily a proper evaluation system to help you decide the appropriate muscle systems to treat based on the specific patient problem. According to Vladimir Janda, different conditions create different but consistently specific patterns of pathology. When these patterns are identified and adequately treated, then you have a successful outcome.

CDN (Certification in Dry Needling) using “The Original Dry Needling Method”, is a comprehensive educational program with immediate clinical applications that enables the qualified health care professional to achieve clinical excellence and expertise in this very effective and efficient approach for the treatment of Myofascial Trigger Points, muscle, joint and neuropathic pain. Hundreds of health care providers worldwide have been certified through the Hands-On Seminars training which follows an evidence-based and problem-based approach.

What is Dry Needling Reimagined?

New advanced imaging technologies allow for the proper muscle and tendon evaluation, accurate selection of muscle systems to treat, proper needle placement and verification that dry needling technique was effective. Musculoskeletal Ultrasound Imaging allows the astute healthcare provider to achieve all that. Learn easy and effective techniques to visualize Trigger Point foci, properly treat them and verify the effectiveness of your technique and show patient before and after results.

What is Dry Needling?

Based on a resource paper published by the American Physical Therapy Association “dry Needling is an invasive technique used by physical therapists (where allowed by state law) to treat myofascial pain that uses a dry needle, without medication or injection, which is inserted into areas of the muscle known as trigger points. A trigger point describes a taut band of skeletal muscle located within a larger muscle group. Trigger points can be tender to the touch and can refer pain to distant parts of the body. Physical therapists utilize dry needling with the goal of releasing/inactivating the trigger points and relieving pain. Preliminary research supports that dry needling improves pain control, reduces muscle tension, normalizes biochemical and electrical dysfunction of motor endplates, and facilitates an accelerated return to active rehabilitation.”

In 2009 the American Academy of Orthopedic Manual Physical Therapists in a position statement declared that intramuscular/dry needling is within the scope of PT practice.

Who Can Learn Dry Needling from Hands-On Seminars?

This Hands-On Seminars training is appropriate for: Licensed PTs (& 3rd year PT students), ATCs, DCs, MDs, DOs, NPs, PAs, DPMs, DDSs, OTs, or Acupuncturists in their respective state or country.

Why Learn Dry Needling from Hands-On Seminars?

Hands-On Seminars’ founders Dr. Dimitrios Kostopoulos & Dr. Konstantine Rizopoulos are pioneers in the dry needling technique and have applied and taught this technique since 1990. In 1992 when the acupuncture lobby fought against physical therapists performing dry needling, Drs Kostopoulos & Rizopoulos published the first defense paper for PTs in Empire State Physical Therapy magazine. It has been a longstanding position of the Hands-On Seminars founders that Dry Needling is not a proprietary treatment exclusive to any one profession, rather a treatment that can be practiced by any qualified and properly trained professional whose licensing authority allows the use of a thin filamentous needle for the treatment of MyoFascial Trigger Points.

In 2002 they published “The Manual of Trigger Point and Myofascial Therapy”. This textbook became quickly a Best-Seller in the US and was translated in 7 different languages around the world. In a 2012 published article “Points of Clarification: Delineating the distinction between acupuncture and dry needling for trigger-point pain” Dr. Kostopoulos and Dr. Rizopoulos made the case that trigger point dry needling is not acupuncture.

The Hands-On Seminars founders have taught and certified PTs, MDs, DOs and Acupuncturists around the world on how to effectively use this approach.

Certification in Dry Needling (CDN) program is an extensive, comprehensive program that helps novice health care providers evolve their skills from the elementary to an intermediate and finally to an advanced level. This program can be followed by the only Fellowship program in Dry Needling and provide the credential FDN® to providers who complete the program.

There are several other programs teaching various methods of needling, yet we believe that “how to do it” is less important than “where to do it”. Our programs give significant emphasis to differential diagnosis and muscle selection. This is what makes our graduates extremely effective practitioners in the treatment of myofascial trigger points.

Many dry needling programs compete based on how many muscles they teach students to needle or incorporate non-dry needling acupuncture-type techniques ignoring the roots of dry needling. Dry needling was developed based on real patient problems. “The Original Dry Needling Method” Revolutionized teaches you primarily a proper evaluation system to help you decide the proper muscle systems to treat based on the specific patient problem and then Advanced techniques guided by technology to resolve the patients’ problems.

“Differential diagnosis and muscle selection is very important component of this course. The “how to do it” is less important than “where to do it”. Our programs give significant emphasis to differential diagnosis and muscle selection. This is what makes our graduates extremely effective practitioners in the treatment of myofascial trigger points.”

– Dr. Dimitrios Kostopoulos & Dr. Konstantine Rizopoulos, Founders of Hands-On Seminars

Certification Process

Step 1

Completion of the Online PT-1: MyoFascial Trigger Point Therapy & Proprioceptive Training Course with successful completion of the home assignment or exam. PT-1 is a pre-requisite to all Dry Needling (DN) courses: DN-Upper, DN-Lower, and DN-Advanced.

If you take DN-Upper or DN-Lower before completing the online PT-1, you will receive your DN certificate after PT-1 has been completed.

Step 2

Completion of DN-Upper and DN-Lower courses and successful completion of the home assignment or exam. These two courses can be taken in any order. After the completion of each course, you will be awarded an attendance certificate. If you take DN-Upper or DN-Lower before completing the online PT-1, you will receive your DN attendance certificate after PT-1 has been completed.

Step 3

Completion of DN-Advanced, which includes completion of 25 patient cases and passing of the practicum certification exam. Then you will be awarded the Certification in Dry Needling (CDN).

Step 4 - Fellowship

After completion of the Certificate in Dry Needling program, you now complete 25 patient cases at your home clinic and submit them to your Mentor for feedback. After you get a pass in these 25 mentored cases you will be awarded the Fellowship Credential in Dry Needling (FDN®).

Program Description

The Dry Needling Certification Program teaches “The Original Dry Needling Method” as practiced by Lewit, Travell & Simons, and includes:

  • Definitions, pathophysiology of the myofascial trigger point phenomenon & Dry Needling physiological principles.
  • History, theory of dry needling & research studies, safety precautions, contraindications & clean needle technique (CNT).
  • Dry needling dosage.
  • Evidence of the pathophysiology of myofascial and soft tissue pain.
  • Methods of Evaluation and muscle selection.
  • Accurate technique application.
  • Integration of MSK Ultrasound and EMG testing with Dry Needling.
  • Integration of other Manual Therapy Techniques with Dry Needling.
  • Diagnosis & differential diagnosis of:
      • upper extremity pathology.
      • suboccipital, mastication, advanced neck, and facial muscles.
      • thoracic and abdominal region.
      • posterior hip, anterior hip, and thigh pathology.
      • cervical, thoracic, and lumbar pathology.
      • posterior shoulder, anterior shoulder pathology.

Objectives/Learning Outcomes

Myofascial Trigger Points (MTrPs) are a leading cause of misdiagnosis amongst clinicians who treat musculoskeletal pathologies. To become experts in the evaluation and treatment of soft tissue dysfunction, clinicians must have a comprehensive understanding of MTrPs, and be properly trained to utilize the Dry Needling Technique.

The Dry Needling Certification Program using “The Original Dry Needling Method” will review evidence of the pathophysiology of myofascial and soft tissue pain. The primary goal of the program is to empower the clinician to precisely identify the appropriate muscles and effectively treat them, at an advanced level.

Although this is a 3-course program, the clinician will be able to effectively treat myofascial and MTrP pain and dysfunction on Day One.

What you will learn

  • Introductory fundamentals, intermediate and advanced methods of dry needling.
  • Physiological principles of dry needling methods and models.
  • Clean needle and clean field techniques.
  • Dry needling precautions, indications, contraindications, infection control, and handling of emergencies.
  • Differential diagnosis using past medical history, special tests, and radiograph results will be considered to assist the clinician in creating appropriate dry needling treatment plans.
  • How to Evaluate and select the appropriate muscles to treat.
  • How to Accurately apply the DN technique.
  • How to integrate MSK Ultrasound and EMG testing with Dry Needling.
  • How to combine other Manual Therapy Techniques with Dry Needling.

Courses Dates

Secure your spot for our next course. Will reach out to you once dates are confirmed.

All classes are held at Apex Physical Therapy, 15751 San Carlos Blvd # 4, Fort Myers, FL 33908


June 15-16, 2024
August 10-11, 2024


July 20-21, 2024
October 12-13, 2024


May 18-19, 2024
November 9-10, 2024

Lab Attire

Appropriate Lab Attire to Expose the Trunk, Upper & Lower Extremities is Required. Bring a pillow and an exercise mat if you like.

Pregnancy Policy

Due to potential risks during the lab sessions of this course, you may not participate if you are pregnant. If you know that you have become pregnant by the starting date of the course, we will transfer your registration to a later date. All other cancellation policies remain in effect.

Available Offerings

Purchase Complete Fellowship Program

Includes all modules: PT-1 (Evidence Problem-Based Manual Therapy for the Treatment of Myofascial Trigger Points Online Course), DN-Upper, DN-Lower, DN-Advanced, DN-Fellowship.

Complete Advanced Fellowship Dry Needling Certification for Healthcare Practitioners (FDN®)

Original price was: $5,299.00.Current price is: $4,999.00.