{"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":"","_seopress_analysis_target_kw":""},"kategorie-kurs":[174],"product_brand":[],"product_cat":[97,47],"product_tag":[],"class_list":["post-10646","product","type-product","status-publish","format-standard","has-post-thumbnail","kategorie-kurs-chronic-pain","product_cat-masterclasses-en","product_cat-masterclasses","tm-no-options","first","instock","purchasable","product-type-simple"],"acf":[],"_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: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}]}}