September 2025
5 - 7 Sep 2025
3 days, 7:00 AM - 6:30 PM
Required for Upper Quadrant Dry Needling Certification. The Upper Quadrant Dry Needling 2 course features lectures on the scientific basis and etiology of myofascial pain and peripheral and central sensitization. This course used to be known as the OT/CH DN-2 course.
5 - 7 Sep 2025
3 days, 7:30 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
5 - 7 Sep 2025
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
5 - 7 Sep 2025
3 days, 8:00 AM - 6:30 PM
An advanced DN course that introduces the concepts of trigger point dry needling as it relates to the muscles of the pelvis and perineum.
12 - 14 Sep 2025
3 days, 7:00 AM - 6:30 PM
Required for the Upper Quadrant DN Certification. A brief introduction to the history of dry needling, trigger points, and myofascial pain, the OSHA Blood Borne Pathogen Standards within the context of dry needling, and an introduction to relevant pain sciences. This course was previously known as OT/CHT DN.
12 - 14 Sep 2025
3 days, 7:30 AM - 6:30 PM
The final course of three required to receive certification with Myopain Seminars Dry Needling Program - CMTPT/DN. The final practical and theoretical examinations will be administered on day 3.
12 - 14 Sep 2025
3 days, 7:00 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
Sat 13 Sep 2025
9:00 AM - 12:00 PM (3 hours)
Monthly practice DN sessions (Not a course - NO CEU's earned)
Mon 15 Sep 2025
8:00 PM - 9:00 PM (1 hour)
Join us for a brand-new webinar exploring the foundations of Intramuscular Electrical Stimulation—featuring essential background, cutting-edge research, and the latest developments in the field.
19 - 21 Sep 2025
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
20 - 21 Sep 2025
2 days, 7:00 AM - 6:30 PM
An advanced DN course. Formerly Called - Mastery & Update of Dry Needling, this course addresses questions clinicians may have after completing the CMTPT Certification and using DN skills in their practice for a while. This course also meets the recertification requirements.
26 - 28 Sep 2025
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
26 - 28 Sep 2025
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
26 - 28 Sep 2025
3 days, 7:30 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
26 - 28 Sep 2025
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
27 - 28 Sep 2025
2 days, 7:00 AM - 6:30 PM
An advanced DN course. Formerly Called - Mastery & Update of Dry Needling, this course addresses questions clinicians may have after completing the CMTPT Certification and using DN skills in their practice for a while. This course also meets the recertification requirements.
October 2025
3 - 5 Oct 2025
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
3 - 5 Oct 2025
3 days, 7:30 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars in Trigger Point Acupuncture / Dry Needling.
4 - 5 Oct 2025
2 days, 8:30 AM - 6:30 PM
The advanced course, "Dry Needling for Neurological Disorders," is a new and emerging evidence-informed dry needling application to reduce spasticity
Mon 6 Oct 2025
6:00 PM - 9:30 PM (3 hours 30 minutes)
The Scientific Basis. This webinar features the same videos as in the Dry Needling 2: Foundations II course. This course is open to all DN and MTT students.
10 - 12 Oct 2025
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
10 - 12 Oct 2025
3 days, 7:30 AM - 6:30 PM
The final course of three required to receive certification with Myopain Seminars Dry Needling Program - CMTPT/DN. The final practical and theoretical examinations will be administered on day 3.
10 - 12 Oct 2025
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
11 - 12 Oct 2025
2 days, 7:00 AM - 6:30 PM
An advanced DN course. Formerly Called - Mastery & Update of Dry Needling, this course addresses questions clinicians may have after completing the CMTPT Certification and using DN skills in their practice for a while. This course also meets the recertification requirements.
11 - 12 Oct 2025
2 days, 8:30 AM - 6:30 PM
The advanced course, "Dry Needling for Neurological Disorders," is a new and emerging evidence-informed dry needling application to reduce spasticity
Sat 11 Oct 2025
9:00 AM - 12:00 PM (3 hours)
Monthly practice DN sessions (Not a course - NO CEU's earned)
18 - 19 Oct 2025
2 days, 7:30 AM - 8:00 PM
The live Intramuscular Electrical Stimulation (IMES) course is a practical, hands-on course designed for clinicians who already completed the online IMES course. During the course, students will review and practice recommended treatment approaches using IMES for patients with neck, back, arm (epicondylalgia), hand, low back, pelvic, hip, and leg pain and dysfunction, and for muscle strengthening and motor recovery.
24 - 26 Oct 2025
3 days, 7:30 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
24 - 26 Oct 2025
3 days, 7:30 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
24 - 26 Oct 2025
3 days, 7:30 AM - 6:30 PM
First of three courses required to receive certification with Myopain Seminars in Trigger Point Acupuncture / Dry Needling. This course offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
24 - 26 Oct 2025
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
November 2025
7 - 9 Nov 2025
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
7 - 9 Nov 2025
3 days, 7:30 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
7 - 9 Nov 2025
3 days, 7:00 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
7 - 9 Nov 2025
3 days, 8:00 AM - 6:30 PM
An advanced DN course that introduces the concepts of trigger point dry needling as it relates to the muscles of the pelvis and perineum.
Sat 8 Nov 2025
9:00 AM - 12:00 PM (3 hours)
Monthly practice DN sessions (Not a course - NO CEU's earned)
13 - 16 Nov 2025
4 days, 7:30 AM - 6:30 PM
The CRAFTA-1 Foundations course is divided into 3 parts: Crafta 1a, the online Module, and Crafta 1b. Your registration covers all costs. It is two sets of 4-days of in-person instruction, along with the online module. The upcoming CRAFTA 1 course is: CRAFTA-1a on November 13-16, 2025, paired with CRAFTA-1b on March 26-29, 2026.
14 - 16 Nov 2025
3 days, 8:00 AM - 6:30 PM
The CRAFTA-2a consists of two parts: CRAFTA-2a (November 14-16, 2025) and CRAFTA-2b (March 21-23, 2026)
14 - 16 Nov 2025
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
14 - 16 Nov 2025
3 days, 7:00 AM - 6:30 PM
The final course of three required to receive certification with Myopain Seminars Dry Needling Program - CMTPT/DN. The final practical and theoretical examinations will be administered on day 3.
14 - 16 Nov 2025
3 days, 7:30 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
21 - 23 Nov 2025
3 days, 7:00 AM - 6:30 PM
Required for the Upper Quadrant DN Certification. A brief introduction to the history of dry needling, trigger points, and myofascial pain, the OSHA Blood Borne Pathogen Standards within the context of dry needling, and an introduction to relevant pain sciences. This course was previously known as OT/CHT DN.
21 - 22 Nov 2025
2 days, 7:30 AM - 3:45 PM
An advanced needling course. The Fu Subcutaneous Needling - American Version Course (FSN) is designed to provide students with a comprehensive introduction to fascial needling by areas of the body utilizing ROM assessment, treatment skills, and techniques specific to the field of myofascial pain and muscle dysfunction.
21 - 23 Nov 2025
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
21 - 23 Nov 2025
3 days, 7:30 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
22 - 23 Nov 2025
2 days, 7:00 AM - 6:30 PM
An advanced DN course. Formerly Called - Mastery & Update of Dry Needling, this course addresses questions clinicians may have after completing the CMTPT Certification and using DN skills in their practice for a while. This course also meets the recertification requirements.
December 2025
5 - 7 Dec 2025
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
5 - 7 Dec 2025
3 days, 7:00 AM - 6:30 PM
The final course of three required to receive certification with Myopain Seminars Dry Needling Program - CMTPT/DN. The final practical and theoretical examinations will be administered on day 3.
5 - 7 Dec 2025
3 days, 7:30 AM - 6:30 PM
Third of three courses required to receive certification with Myopain Seminars in Trigger Point Acupuncture / Dry Needling.
12 - 14 Dec 2025
3 days, 7:30 AM - 6:30 PM
The final course of three required to receive certification with Myopain Seminars Dry Needling Program - CMTPT/DN. The final practical and theoretical examinations will be administered on day 3.
Sat 13 Dec 2025
9:00 AM - 12:00 PM (3 hours)
Monthly practice DN sessions (Not a course - NO CEU's earned)
January 2026
9 - 11 Jan 2026
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
9 - 11 Jan 2026
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
9 - 11 Jan 2026
3 days, 7:00 AM - 6:30 PM
The final course of three required to receive certification with Myopain Seminars Dry Needling Program - CMTPT/DN. The final practical and theoretical examinations will be administered on day 3.
16 - 18 Jan 2026
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
16 - 18 Jan 2026
3 days, 7:00 AM - 6:30 PM
Required for Upper Quadrant Dry Needling Certification. The Upper Quadrant Dry Needling 2 course features lectures on the scientific basis and etiology of myofascial pain and peripheral and central sensitization. This course used to be known as the OT/CH DN-2 course.
16 - 18 Jan 2026
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
16 - 18 Jan 2026
3 days, 7:00 AM - 6:30 PM
The final course of three required to receive certification with Myopain Seminars Dry Needling Program - CMTPT/DN. The final practical and theoretical examinations will be administered on day 3.
16 - 18 Jan 2026
3 days, 7:30 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
23 - 25 Jan 2026
3 days, 7:00 AM - 6:30 PM
The final course of three required to receive certification with Myopain Seminars Dry Needling Program - CMTPT/DN. The final practical and theoretical examinations will be administered on day 3.
23 - 25 Jan 2026
3 days, 7:00 AM - 6:30 PM
Required for Upper Quadrant Dry Needling Certification. The Upper Quadrant Dry Needling 2 course features lectures on the scientific basis and etiology of myofascial pain and peripheral and central sensitization. This course used to be known as the OT/CH DN-2 course.
23 - 25 Jan 2026
3 days, 7:30 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
23 - 25 Jan 2026
3 days, 7:30 AM - 6:30 PM
The final course of three required to receive certification with Myopain Seminars Dry Needling Program - CMTPT/DN. The final practical and theoretical examinations will be administered on day 3.
23 - 25 Jan 2026
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
23 - 25 Jan 2026
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
23 - 25 Jan 2026
3 days, 7:30 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
Mon 26 Jan 2026
6:00 PM - 9:00 PM (3 hours)
State-of-the-Art 2021 - The Scientific Basis (most recent update). In this online review, Jan Dommerholt explores the most pertinent literature on myofascial pain and dry needling.
30 Jan 2026 - 1 Feb 2026
3 days, 7:30 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
30 Jan 2026 - 1 Feb 2026
3 days, 7:30 AM - 6:30 PM
Second of three courses required to receive certification with Myopain Seminars Dry Needling Program as a CMTPT. The DN-2 Foundations II course builds on the knowledge and skills of the DN-1 course. Students will be introduced to the clinical aspects of myofascial pain, peripheral and central sensitization...
February 2026
20 - 22 Feb 2026
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
20 - 22 Feb 2026
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.
27 Feb 2026 - 1 Mar 2026
3 days, 7:00 AM - 6:30 PM
Begin Your Journey to Certification with Dry Needling 1: Foundations I Embark on becoming a Certified Myofascial Trigger Point Therapist (CMTPT) through Myopain Seminars, starting with the DN-1 Foundations I course. This introductory module offers a comprehensive overview of dry needling, covering its historical background, the science of trigger points and myofascial pain, a thorough examination of potential risks, and adherence to OSHA Bloodborne Pathogen Standards specific to dry needling practices.