In this 25-hour lab-based course, the clinician will learn a diagnosis-focused approach to dry needling the upper extremity. The clinician will learn fundamental skills necessary for safe and proper needle insertion and removal, as well as effective strategies to manage commonly encountered pathologies in the upper extremity. Common pathologies encountered in an outpatient setting will be discussed. Safety considerations are emphasized. Current science and research will be presented, along with a vast amount of clinical experience and pearls, allowing immediate application of dry needling into the clinicians’ professional practice. The use of cupping and intramuscular electrical stimulation will also be discussed, demonstrated and practiced in class.