This course is the final session in the series of 4 courses teaching a therapeutic approach for chronic pain care known as myoActivation.

myoActivation combines release of muscles in sustained contraction, fascia in tension and relevant scars with the aim to resolve pain.

Participants will review clinical anatomy, practice new assessment techniques, and treat different regions of the body covered through the four levels of  this course.

Emphasis has been placed on practical, hands-on skills.  Participants will be expected to practice on each other.

The scope of the Level 4 course has been carefully structured to provide solutions for common chronic pain presentations in treatment areas requiring more precision than techniques learned in Level 1.

Learning Objectives

  • Understand novel influences on chronic pain in gross anatomy, embryology, and soft tissue biomechanics

  • Understand and gain skills to assess and treat pain presentations in complex diseases and conditions

  • Understand the unique features of pain presentations in special populations


  • Gain skills to apply myoActivation treatment for pain in the head, anterior neck, hands, feet, and genitalia

Who Should Attend

Physicians & nurse practitioners who have completed the courses for Levels 1, 2 and 3 and want to learn myoActivation treatment approaches for chronic pain presentations in specific anatomical areas and for certain complex conditions, not addressed in the first 3 levels.   

Participants must be licensed to deliver injections and hold liability insurance for their scope of practice.

Course Format

Level 4 training delivers adaptive, innovative content and on-site learning.  

Part 1: Online
Learners complete knowledge modules online prior to on-site learning. Estimated time needed is up to 1 hour.

Part 2: Hands-on Clinical Skills Building

A two-day on-site clinical workshop, including practice and case studies. 

Maximum class size:  16 learners. 


Online Learning  

This portion of the course should be completed before the two-day clinical workshop.

The online portion covers the fundamentals of myoActivation from principles through practice, delivered via an e-Learning platform.

Estimated time required: up to 2  hours.

In addition, participants should review myofascial anatomy of the torso and major muscles of the leg using their preferred anatomy textbook or App.


Text:  Biel, Andrew, Trail Guide to the Body, revised 5th edition, 2014

App: Visible Body Muscle Premium

Workshop Day 1 Agenda

1.  Relevant BASE tests, anatomy, palpation techniques and skills practice for:

  • pain in and dysfunction of facial structures, ears, sinuses, mouth, and pharynx

2.  Assessment and treatment of neuropathies

3.  Assessment and treatment of pain in complex conditions such as

  • CRPS

  • Lyme disease

  • thoracic outlet syndrome

  • multiple sclerosis

  • parkinsonism

  • traumatic brain injury

  • cerebral palsy

 Workshop Day 2 Agenda

1.   Relevant BASE tests, anatomy, palpation techniques and skills practice for:

  • pain in and dysfunction of hands, fingers, and thumb

  • pain in and dysfunction of foot and toes

  • bunion pain

  • pain in the genitalia

2.   Novel pain related concepts in

  • gross anatomy

  • embryology

  • soft tissue biomechanics

3.   Pain presentations in special populations, such as

  • children and youth

  • wheelchair bound

  • marginalized

  • First Nations

  • athletes

  • residential care

4.  Review and evaluation