The course format is a hybrid course with one day online followed by 2 days live intensive. This course will prepare participants to treat the diagnoses that involve myofascial pain in the pelvis, lumbar spine, abdomen, hip and thigh and pelvic floor. The course includes: • Pre-course reading with a quiz. Theory lectures will apply all knowledge to this specialty area and consist of the following topics:  historical overview  the neurophysiology of superficial and deep dry needling  ethics, precautions and contraindications  dry needling for radicular pain  Tensegrity and its significance to dry needling  Applications of EStim with dry needling  Adverse events  Nutritional considerations The online course includes exam questions for each lecture. This online portion must be completed before the practical course and will fulfill written examination requirements for dry needling courses. The importance of safety and clean techniques are taught and practiced throughout the workshop, ensuring that participants become accustomed to working with gloves and maintaining a neat and safe workspace throughout. They will practice the techniques of inserting, manipulating, removing, and disposing of the needles on the first morning of the course. Students will learn and practice the use of superficial dry needling including fascia and scars, periosteal pecking, and deep dry needling of the buttock, ant hip, thigh, lumbar, abdominal, and pelvic floor muscles. Clinical reasoning with importance of agonist/antagonist relationships, identifying active, latent and satellite trigger points, myofascial pain accompanied by joint pathology, and treatment priorities will be discussed near the end of the course. Case studies are included to apply clinical reasoning and recognize common indications for dry needling. Students are examined at the end of each practical day with a competency exam.