Course Description

In this 3 hour NCBTMB Continuing Education Approved Course, Beyond the Foam Roller; Self-Applied myofascial compression for the elimination of trigger points in the upper body, provided to us by Mary Biancalana of Muscle Health LLC, you will be given muscle by muscle-specific self-care application techniques to eliminate referred pain and/or sensation, and to help restore full pain-free range of motion in the muscles of the upper body.

This course is a series of interesting and fun videos that will take you step-by-step and teach you how to apply trigger point pressure release to over 10 individual muscles in the upper body area,  to eliminate very specific pain. This course is based on the body of knowledge within the 7-step myofascial trigger point therapy treatment protocol. 

At a bare minimum, you will need a very simple tool, a tennis ball in a sock. If you want to follow along with the videos using the same tools as are featured, you can acquire a 5-inch compression ball, a Tiger Tail ball on a rope, or a Pressure Positive Backnobber II. After successful completion of this course, the learner will earn (3) NCBTMB Approved Continuing Education CEs for massage license renewal. 

Course Curriculum

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  • 1

    Introduction to your course. Beyond The Foam Roller

    • Hello and Welcome

    • Options to Order Equipment Featured in this Class

    • Upper Body Key Concept Study Guide

    • Introduction to Class

    • Upper Body Learning Objectives

    • Beyond The Foam Roller; Other Tools We Will Use In This Class

    • Are Trigger Points Causing your Head Pain?

    • 7-Step Trigger Point Protocol - Massage Magazine Article - Please Read

    • 6 Steps to Pain Relief - Massage Magazine Article - Please Read

    • Review of Important Concepts 1

    • Not Required Reading.- 2018, Pain Medicine. by Fernandez-de-las-Penas & Dommerholt. “International Consensus on Diagnostic Criteria and Clinical Considerations of Myofascial Trigger Points: A Delphi Study”

    • Not Required Reading - 2010, Journal of Movement and Bodywork Therapies: “Effect of Ischemic Compression Using Backnobber II Device on Discomfort Associated With Myofascial Trigger Points”, Dawn Gulick, Widener University

  • 2

    Lesson 1: Head and Neck

    • Introduction to Head and Neck

    • Headache Relief! Trigger Point Self Care for SCM Muscle

    • Tingling Into Hand, Arm, or Neck Pain? Scalenes Self Care

    • Self-Care for Trapezius-Suboccipitals Trigger Point Areas

    • Suboccipitals Self Care with Backnobber to Eliminate Headaches!

    • Backnobber to Eliminate, Stiff Neck, or Neck Pain Caused by Levator Scapulae Trigger Points

    • Backnobber to Eliminate Headache Caused by Trapezius & Suboccipital Trigger Points

    • Upper or Mid Back Pain or Headache? Use of the Backnobber on the Trapezius Muscle

    • Review of Important Concepts 2

  • 3

    Lesson 2: Shoulder

    • Introduction to Shoulders

    • Pain in the Shoulder? Could Be Trigger Points in the Deltoid Muscle

    • Front of Shoulder Pain? Could Be Infraspinatus Muscle

    • Pain Between the Shoulder Blades? Backnobber Treatment of Rhomboids

    • Review of Important Concepts 3

  • 4

    Lesson 3: Chest

    • Introduction to Chest

    • Chest Pain? Could Be Trigger Points in the Pectoralis Pecs Muscle

    • Carpal Tunnel Pain? Could Be Referred Pain from the Serratus Anterior Muscle

    • Eliminate Trigger Points in the Lats or Latissimus Dorsi Muscle

    • Treatment Techniques; from the book TrP Therapy for Low Back Pain

    • Review of Important Concepts 4

  • 5

    Lesson 4: Arm

    • Introduction to Arm

    • Elbow Pain, Tennis Elbow, or Golfer's Elbow? Could Be Trigger Points in the Triceps Muscle

    • Front of Arm Pain or Weakness at Bending Elbow? Could Be Biceps Trigger Points

    • Self Care for Trigger Points in the Wrist-Finger Extensors and Flexors

    • Review of Important Concepts 5

  • 6

    Lesson 5: Mid-Lower Back

    • Introduction to Mid-Lower Back

    • Eliminate Back or Glute Pain with the Backnobber II

    • Self-Care on the Floor for Deep and Superficial Spinal Erectors

    • Backnobber Helpful Hints

    • Review of Important Concepts 6

  • 7


    • Conclusion

  • 8

    Final Exam for Upper Body

    • Continuing Education Certificate Notice

    • Final Exam for Upper Body

  • 9

    Course Evaluation

    • Upper Body Course Evaluation

FAQs and Important Course Information

What can I expect from this class?

You can expect to learn the most up-to-date information on applied trigger point pressure release to the muscles of the upper body using tools that are ‘beyond the foam roller’. These tools can be used to restore normal resting length in contracted muscle fiber bundles that contain trigger points. Within the course, there will be some written material that you will read, and the remainder of the material will be taught via digitally recorded video.

 Will this class provide me with my NCBTMB continuing education hours?

Absolutely. Yes!  After successful completion of this course, the learner will earn (3) NCBTMB Approved Continuing Education CEs for massage license renewal. Mary Biancalana and Muscle Health LLC are NCBTMB approved providers of continuing education for massage therapists. Our approved provider number is 451298-10.

Once I start this online class, can I stop and start up again later?

Yes, our website education host allows you to stop and start anytime, and you can pick up again where you left off. You can even start the programming on one device like your cell phone, then you can log back in on your laptop and pick up where you left off on your cell phone.

Will there be a quiz associated with this class?

Yes, in order to receive NCBTMB continuing education credits, this course will be providing a 15 question multiple-choice quiz at the end. The quiz questions are based on the material that is provided during the course. If you do not need the CE credits, you can just take the quiz for fun.

How long will it take me to complete this course?

Based on the guidelines provided by NCBTMB, this is a 3 hour continuing education course, that should take you 3 hours to complete.

 Is there any required equipment?

It would be best if you were able to acquire at least a tennis ball that you can place into a long sock. Other equipment that will be demonstrated within this training program includes. A 5-inch FitBall, the Backnobber II, Tiger Tail 2.5 on a rope, Tiger Tail Curveball, and Tiger Tail 5 inch ball. All of these brand-name self-care tools can be purchased online.

Do I need to complete this course in one sitting?

No, you do not need to complete the course all at one time. You can stop and start at any time. And when you log on the education software will bring you back to where you left off.

 What happens if I do not get a passing score on the quiz?

According to NCBTMB regulations, participants need to pass the provided quiz with a minimum of 70% correct. If you do not score a 70% on the quiz, the education software will bring you back to the beginning and allow you to retake the quiz until you are able to achieve a passing score of 70.

Will I receive a continuing education certificate upon completion of this course?

Yes, at a 70% completion of the course exam, we will be notified. We will be sending an email to you with the PDF of your Continuing Education Certificate attached within 5 business days. Be sure to save this certificate, as we will charge you $15.00 if you need another copy of it at a later date. 

Course Expiration:

Once you pay for this online course, you have one year to complete it. Then at the end of one year the link will shut down and you will not be able to retrieve the course.

NCBTMB Course Approval:

This course and the provider;  Muscle Health, LLC ( owned by Mary Biancalana) is a  NCBTMB approved provider of continuing education. Our Provider number is 451298-10 

On her website, Mary Biancalana identifies her many seminars as falling under the title of Advanced Trigger Point Seminars. Mary also teaches live, hands-on seminars under the same NCBTMB Approved Provider status, so contact us if you are interested in live, in-person training courses. 

[email protected]  773-628-7654

Copyright Note: 

The material within this course and the way in which it is organized and taught as well as the image and videos of Mary Biancalana and the voice of Mary Biancalana are copyright by Muscle Health, LLC. The videos, Mary’s voice, or the description of any of the particular techniques taught in this way by Mary Biancalana cannot be taught within other for-fee seminars unless permission is requested of us and granted by Muscle Health, LLC and Mary Biancalana.  Many of our videos are for personal and public use on our YouTube channel;   Chicago Center for Myofascial Pain Relief.

Disclaimer Note:

This online training course should in no way serve as a substitute for qualified medical care. If you have pain or discomfort in any of the areas described, it is your responsibility to seek the advice of a qualified medical professional. Muscle Health LLC, Mary Biancalana, and other instructors will take not any liability for any injuries or discomfort acquired during the application of these techniques. It is your duty as the student to make your choice together with your healthcare provider as to whether or not you are healthy enough to participate in application of these techniques included but not limited to trigger point pressure release.


In alignment with the AMTA’s online refund policy, Muscle Health, LLC will not offer any refunds 

to our online courses.