Manual Trigger Point

Includes certificate

Includes certificate

Course Overview

The MTT-1 course features a brief introduction to the history of trigger points and myofascial pain. Many muscles commonly addressed in clinical practice will be addressed, including muscles that Janda considered as ‘tonic’ muscles: the trapezius, levator scapula, posterior neck muscles, sub-occipital muscles, pectoralis major and minor, subclavius, sternalis, coracobrachialis, pronator teres, flexor carpi radialis and ulnaris, palmaris longus, flexor digitorum superficialis and profundus, pronator quadratus, sternocleidomastoid, scalenii, latissimus dorsi, teres major, serratus posterior inferior, quadratus lumborum, iliacus and psoas, tensor fascia lata, sartorius, quadriceps, hamstrings, gastrocnemius, soleus, plantaris, and popliteus muscles, among others. Students will review the anatomy, function, and manual therapy techniques for each muscle.

What You Will Learn

  • Describe optimal musculoskeletal anatomy and physiology and the role of the sensory, motor and autonomic nervous systems; and to differentiate sub-optimal function
  • Describe the aberrant neurophysiology of peripheral and central sensitization
  • Describe the biochemical environment of the trigger point
  • Describe the various mechanisms that perpetuate myofascial trigger points
  • Demonstrate the highest standards of palpation, applicable to most soft tissue abnormalities
  • Describe the use a variety of adjunct myofascial, heat, stretch, muscle play and movement therapies to reinforce the deactivation of these noxious points and return the client to full function
  • Describe normal pain mechanisms; reception, transmission and modulation
  • Describe the contribution of myofascial trigger points to soft tissue pain and dysfunction
  • Identify the various potential causes of myofascial trigger point formation
  • Describe the position of primary or secondary trigger point involvement in many common conditions like osteoarthritis, low back pain and other regional pain syndromes
  • Demonstrate the detection and full de-activation of myofascial trigger points
  • Create appropriate Home Care Exercises (HCA) and other beneficial advice for permanent resolution of myofascial trigger points

Who Should Take Our Courses?

Licensed Healthcare Professionals

Eligibility Requirements: Using manual or hands-on techniques to reduce pain and dysfunction, especially licensed massage therapists (LMT) and branches of that profession, physical therapists (PT) and assistants (PTA), and occupational therapists (OT) and assistants (OTA)

Physical Therapists

Eligibility Requirements: Working in states where dry needling therapy has not been approved.

Physicians and physician assistants


08:30 - 10:00  MtrP palpation and deactivation basics Vladimir Janda’s concepts of tonic and phasic muscle relationships
10:00 - 10:15  Break
10:15 - 12:15  Trapezius, levator scapula
12:15 - 13:15  Lunch
13:15 - 14:45  Semispinalis capitis / cervicis, the splenii, longissimus capitis, cervical multifidi
14:45 - 15:00  Break
15:00 - 16:30  Obliquus capitis superior / inferior Rectus capitis posterior major / minor
16:30 - 18:00  Pectoralis major, subclavius, sternalis, pectoralis minor, corocobrachialis

08:30 - 10:15  Sternocleidomastoid, scalenii
10:15 - 10:30  Break
10:30 - 12:15  Latissimus dorsi, teres major, Ser. Post. Inf. quadratus lumborum
12:15 - 13:15  Lunch
13:15 - 14:45  Iliacus, psoas Tensor fascia lata
14:45 - 15:00  Break
15:00 - 16:30  Sartorius, vastus medialis, vastus intermedius, vastus lateralis, rectus femoris
16:30 - 18:00  Pronator teres, flexor carpi radialis, palmaris longus, flexor carpi ulnaris, flexor digitorum sup. / profundus, pronator quadratus

08:30 - 10:15  Biceps femoris, semimembranosis / semitendinosis
10:15 - 10:30  Break
10:30 - 12:15  Gastrocnemius, soleus, plantaris, popliteus
12:15 - 13:15  Lunch
13:15 - 14:30Competency Quiz containing 20 short answer questions
14:30 - 14:45Break
14:45 - 16:00  Tibialis posterior, flexor digitorum longus, flexor hallucis longus, anterior compartment, lateral compartment, sinus tarsi and dorsal interossei
16:00 - 17:00  Intrinsic plantar foot muscle