Certification in “The Original Dry Needling Method” (CDN)
Presented by Dr. Dimitrios Kostopoulos and Dr. Konstantine Rizopoulos
Course Features
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Type – Live. Weekend Courses. You don’t have to miss a day of work!
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Duration – 79 Contact Hours (51 live course hrs, 18 online course hrs & 10 live treatment hrs with 25 patient cases). Satisfies most state’s requirements including FL state DN practice requirements
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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
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Language – English

“The Original Dry Needling Method”
A Certification program that takes you beyond the “fluff” and teaches you what really works! Learn:
- Differential Diagnosis & Proper Muscle identification techniques.
- What muscles to treat to create change in 1 session.
- Combination techniques of non-invasive Dry Needling 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.
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?
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 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.
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” teaches you primarily a proper evaluation system to help you decide the proper muscle systems to treat based on the specific patient problem.
“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
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

Step 3
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
Pre-Register Now to secure your spot for our next course. Will reach out to you once dates are confirmed.
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.
Instructors

Dr. Dimitrios Kostopoulos
DPT, MD, PHD, DSc, ECSDr. Dimitrios Kostopoulos, DPT, MD, PhD, DSc, ECS, is board certified in clinical electrophysiology with over 35 years of clinical experience. He is the co-founder of Hands-On Companies and a Clinical Affiliate Assistant Professor for Charles E. Schmidt College of Medicine at Florida Atlantic University. He is a past member of SACE (Specialization Academy of Content Experts) for the ABPTS examination board on electrophysiology, and a past elected member of the Executive Committee of the Academy of Clinical Electrophysiology of APTA.
He is the editor of the Diagnostic Section of the Journal of Bodywork and Movement Therapies, and the author or co-author of numerous books, articles, and research papers related to his fields of expertise.

Dr. Kostas Rizopoulos
PT, DPT, MCMT, RMSKDr. Rizopoulos, PT, DPT, RMSK, APCA, is board certified in Musculoskeletal Sonography. He has over 35 years of clinical experience and also holds a doctoral degree with a focus on business administration, marketing, PR, and management. He co-founded and successfully established and managed the Hands-On Companies, a consortium of companies in the areas of Physical Therapy, Diagnostic Testing, and Education.
During his extensive experience in diagnostic testing and manual therapy, Dr. Rizopoulos has treated more than 150,000 patients over the last 35 years, and performed thousands of ultrasound diagnostic tests.
He has also co-authored several books with Dr. Kostopoulos, and numerous articles for professional journals.