{"id":10646,"date":"2024-01-21T10:46:59","date_gmt":"2024-01-21T09:46:59","guid":{"rendered":"https:\/\/fortbildungen.osteopathie-schule.de\/?post_type=product&#038;p=10646"},"modified":"2026-03-02T14:15:39","modified_gmt":"2026-03-02T13:15:39","slug":"dry-needling-intramuscular-stimulation-ims-kopie-5","status":"publish","type":"product","link":"https:\/\/fortbildungen.osteopathie-schule.de\/en\/kurse\/dry-needling-intramuscular-stimulation-ims-kopie-5\/","title":{"rendered":"Dry Needling \u2013 Intramuscular Stimulation (IMS) ADVANCED"},"content":{"rendered":"<p><b>DAY 1 \u2013 HEAD, FACE, THORAX AND NERVE ENTRAPMENT SYNDROMES<\/b><\/p>\n<p><b>Day 2 \u2013 MORNING<\/b><\/p>\n<p>TMD &amp; orofacial pain<\/p>\n<p><i>(Temporalis, lateral and medial pterygoid muscles, masseter, facial expression muscles: procerus, buccinator, corrugator, platysma)<\/i><\/p>\n<p><b>1. Clinical overview<\/b><\/p>\n<p><b>Why TMD and facial pain are often misdiagnosed:<\/b><\/p>\n<ul>\n<li>\u201cTooth pain\u201d that is actually muscular<\/li>\n<li>Continuum of headache, jaw and neck<\/li>\n<li>How occlusion and posture interact with craniofacial trigger points<\/li>\n<li>Sensitization of trigeminal pathways \u2192 widespread symptoms<\/li>\n<li>Why imaging rarely helps<\/li>\n<\/ul>\n<p><b>2. Case 1 \u2013 Unilateral jaw pain + joint noises (\u201cClassic but misleading TMD\u201d)<\/b><\/p>\n<p><b>Common misdiagnoses:<\/b><\/p>\n<ul>\n<li>Degenerative joint disease<\/li>\n<li>\u201cDisc displacement\u201d<\/li>\n<li>Malocclusion<\/li>\n<\/ul>\n<p><b>Trigger points:<\/b><\/p>\n<ul>\n<li>Lateral pterygoid (intra-articular pain, reproduction of joint noise)<\/li>\n<li>Medial pterygoid (sore throat, deep jaw pain)<\/li>\n<li>Masseter (\u201ctooth pain\u201d)<\/li>\n<\/ul>\n<p><b>Possible muscular factors:<\/b><\/p>\n<ul>\n<li><i>Corrugator<\/i> (forehead\/eye pain)<\/li>\n<li><i>Procerus<\/i> (pressure on the forehead)<\/li>\n<li><i>Buccinator<\/i> (cheek symptoms \u2192 tooth symptoms)<\/li>\n<li><i>Platysma<\/i> (front of throat, jaw symptoms)<\/li>\n<\/ul>\n<p><b>Day 1 \u2013 AFTERNOON<\/b><\/p>\n<p><b>Chest pain and nerve entrapment syndromes<\/b><\/p>\n<p><b><i>(Pectoralis minor, pectoralis major, serratus anterior \u00b7 pronator teres \u00b7 \u201cdouble-crush concepts\u201d)<\/i><\/b><\/p>\n<p><b>1. Clinical overview<\/b><\/p>\n<p><b>Why 30% of \u201cchest pain\u201d is musculoskeletal in nature:<\/b><\/p>\n<ul>\n<li>Anxiety and breathing mechanics<\/li>\n<li>Referred pain from pectoralis minor to the chest wall and scapula<\/li>\n<li>Serratus anterior rib\/side pain misinterpreted as visceral<\/li>\n<\/ul>\n<p><b>Orthopedic diagnosis of exclusion:<\/b><\/p>\n<ul>\n<li>Red flags (cardiac, costochondritis, pulmonary)<\/li>\n<li>Simple rib springing tests<\/li>\n<\/ul>\n<p><b>2. Case 1 \u2013 Chest tightness, anxiety, paresthesia in the arm<\/b><\/p>\n<p><b>Common misdiagnoses:<\/b><\/p>\n<ul>\n<li>Costochondritis<\/li>\n<li>Cardiac workup with negative findings<\/li>\n<\/ul>\n<p><b>Key muscles:<\/b><\/p>\n<ul>\n<li>Pectoralis minor (primary)<\/li>\n<li>Serratus anterior<\/li>\n<li>Pectoralis major (sternal and clavicular portions)<\/li>\n<\/ul>\n<p><b>3. Case 2 \u2013 Median nerve entrapment (pronator teres syndrome vs. carpal tunnel)<\/b><\/p>\n<p><b>DAY 2 \u2013 PELVIS, ABDOMEN, VISCERAL REFERRED PAIN, FOREARM AND HAND<\/b><\/p>\n<p><b>Day 2 \u2013 MORNING<\/b><\/p>\n<p><b>Pelvic pain (including gynecological contexts) + abdominal and viscerosomatic pain<\/b><\/p>\n<p><b><i>(Adductors, GiGO complex, obturator internus; external oblique, rectus abdominis, psoas major)<\/i><\/b><\/p>\n<p><b>1. Clinical overview<\/b><\/p>\n<p><b>Understanding the pelvis as a neuromyofascial hub:<\/b><\/p>\n<ul>\n<li>Pelvic floor \u2013 hip rotator \u2013 abdominal muscle chain<\/li>\n<li>Viscerosomatic referral (colon, bladder, uterus, ovaries)<\/li>\n<li>How trigger points mimic visceral pain<\/li>\n<li>Why chronic pelvic pain is rarely caused \u201conly by the pelvic floor\u201d<\/li>\n<\/ul>\n<p><b>2. Case 1 \u2013 Gynecological pain (but musculoskeletal origin)<\/b><\/p>\n<p><b>Presenting symptoms:<\/b><\/p>\n<ul>\n<li>Pain during intercourse<\/li>\n<li>Deep pelvic pain<\/li>\n<li>Groin pain with hip rotation<\/li>\n<\/ul>\n<p><b>Muscles:<\/b><\/p>\n<ul>\n<li>Obturator internus<\/li>\n<li>GiGO complex<\/li>\n<li>Adductors<\/li>\n<\/ul>\n<p><b>3. Case 2 \u2013 Abdominal pain: visceral vs. myofascial<\/b><\/p>\n<p><b>Symptoms:<\/b><\/p>\n<ul>\n<li>\u201cStabbing\u201d in the external oblique and rectus abdominis<\/li>\n<li>Pseudo-appendicitis symptoms<\/li>\n<li>Testicular pain and PID pain<\/li>\n<li>Gynecological pain<\/li>\n<\/ul>\n<p><b>Muscles:<\/b><\/p>\n<ul>\n<li>External oblique<\/li>\n<li>Rectus abdominis<\/li>\n<li>Psoas major<\/li>\n<\/ul>\n<p><b>Neurological focus:<\/b><\/p>\n<p><b>Viscerosomatic pathways:<\/b><\/p>\n<ul>\n<li>How organ irritation sensitizes the corresponding spinal segments<\/li>\n<li>Trigger points as amplification zones of the spinal cord<\/li>\n<\/ul>\n<p><b>4. Synthesis:<\/b><\/p>\n<p><b>The pelvis\u2013abdomen algorithm<\/b><\/p>\n<ul>\n<li>Primary pelvic factors<\/li>\n<li>Abdominal factors<\/li>\n<li>Visceral mimicry<\/li>\n<li>How to sequence IMS for chronic, unresolved pelvic pain<\/li>\n<\/ul>\n<p><b>Day 2 \u2013 AFTERNOON<\/b><\/p>\n<p><b>Upper-extremity flexor systems and intrinsic muscles of the hands and feet<\/b><\/p>\n<p><b><i>(Flexor carpi radialis, palmaris longus, flexor digitorum superficialis and profundus, hand interossei; intrinsic foot muscles)<\/i><\/b><\/p>\n<p><b>1. Clinical overview<\/b><\/p>\n<p><b>Why forearm flexor groups cause persistent hand symptoms:<\/b><\/p>\n<ul>\n<li>Grip load + repetitive strain<\/li>\n<li>Contributions from the cervical spine<\/li>\n<li>Why treating the wrist alone fails<\/li>\n<li>Hand\u2013forearm\u2013shoulder chain<\/li>\n<\/ul>\n<p><b>2. Case 1 \u2013 Medial forearm pain + weak grip<\/b><\/p>\n<p><b>Often misdiagnosed as:<\/b><\/p>\n<ul>\n<li>\u201cGolfer\u2019s elbow\u201d<\/li>\n<li>Carpal tunnel<\/li>\n<li>Tendinopathy<\/li>\n<\/ul>\n<p><b>Involved muscles:<\/b><\/p>\n<ul>\n<li>Flexor carpi radialis<\/li>\n<li>Palmaris longus<\/li>\n<li>Flexor digitorum superficialis and profundus<\/li>\n<\/ul>\n<p><b>3. Intrinsic hands and feet (mini-module)<\/b><\/p>\n<p><b>Applications:<\/b><\/p>\n<ul>\n<li>RSI syndrome (repetitive strain injury)<\/li>\n<li>Metatarsalgia<\/li>\n<li>Plantar heel pain<\/li>\n<\/ul>\n<p><b>Muscles:<\/b><\/p>\n<ul>\n<li>Quadratus plantae<\/li>\n<li>Lumbricals<\/li>\n<li>Interossei<\/li>\n<li>Abductor hallucis<\/li>\n<li>Flexor hallucis brevis<\/li>\n<li>Foot interossei<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>DAY 1 \u2013 HEAD, FACE, THORAX AND NERVE ENTRAPMENT SYNDROMES Day 2 \u2013 MORNING TMD &amp; orofacial pain (Temporalis, lateral and medial pterygoid muscles, masseter, facial expression muscles: procerus, buccinator, corrugator, platysma) 1. Clinical overview Why TMD and facial pain are often misdiagnosed: \u201cTooth pain\u201d that is actually muscular Continuum of headache, jaw and neck [&hellip;]<\/p>\n","protected":false},"featured_media":6124,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_robots_primary_cat":"none","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":""},"kategorie-kurs":[174],"product_brand":[],"product_cat":[97,47],"product_tag":[],"class_list":{"0":"post-10646","1":"product","2":"type-product","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"kategorie-kurs-chronic-pain","8":"product_cat-masterclasses-en","9":"product_cat-masterclasses","10":"tm-no-options","12":"first","13":"instock","14":"purchasable","15":"product-type-simple"},"acf":{"anzahl-plaetze":32,"frage_sprache":"Englisch mit deutscher \u00dcbersetzung","ort":"OSD Berlin, Oudenarder St. 16, 13347 Berlin","kursgebuehr":"596","voraussetzungen":"Attendance in the previous course: Dry Needling _ Intramuscular Stimulation (IMS)","dozent":"Simeon Niel-Asher (GBR)","dozent_kurzbeschreibung":"Osteopath Simeons Niel-Asher is a senior instructor at the Israeli Society for Musculoskeletal Medicine and author of two trigger point textbooks.","frage_dozent_2":"Ja","dozent_2":"Prof. Bob Gerwin (USA)","dozent_kurzbeschreibung_2":"Prof. Bob Gerwin is a neurologist and former director of pain medicine at Johns Hopkins University. He is one of the original founders of the trigger point movement and introduced Dr. Travell and Dr. Simons. He has published extensively on trigger point medicine and is recognized as the world leader in the field of Deep Dry Needling - Intramuscular Stimulation (IMS).  ","alle_dozenten":"","kursbeginn":"20260906","kurs_ende":"20260907","Anzahl Kurstage":"2","kursdauer":"","kurszeiten":"Sunday: 9 am\u20136 pm\nMonday: 9 am\u20134 pm","frage_nach_teil_2":"Nein","kursbeginn-teil-2":null,"kursende-teil-2":null,"Anzahl_Kurstage_Teil2":"","frage_nach_teil_3":"","kursbeginn-teil-3":null,"kursende-teil-3":null,"Anzahl_Kurstage_Teil3":"","link":"","doznew":["Bob Gerwin (USA)","Simeon Niel-Asher (GBR)"]},"_links":{"self":[{"href":"https:\/\/fortbildungen.osteopathie-schule.de\/en\/wp-json\/wp\/v2\/product\/10646","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fortbildungen.osteopathie-schule.de\/en\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/fortbildungen.osteopathie-schule.de\/en\/wp-json\/wp\/v2\/types\/product"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fortbildungen.osteopathie-schule.de\/en\/wp-json\/wp\/v2\/media\/6124"}],"wp:attachment":[{"href":"https:\/\/fortbildungen.osteopathie-schule.de\/en\/wp-json\/wp\/v2\/media?parent=10646"}],"wp:term":[{"taxonomy":"kategorie-kurs","embeddable":true,"href":"https:\/\/fortbildungen.osteopathie-schule.de\/en\/wp-json\/wp\/v2\/kategorie-kurs?post=10646"},{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/fortbildungen.osteopathie-schule.de\/en\/wp-json\/wp\/v2\/product_brand?post=10646"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/fortbildungen.osteopathie-schule.de\/en\/wp-json\/wp\/v2\/product_cat?post=10646"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/fortbildungen.osteopathie-schule.de\/en\/wp-json\/wp\/v2\/product_tag?post=10646"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}