Functional Integrative Rehabilitation Education

The Rectus Capitis Posteriors


The rectus capitis muscles are often implicated as causing suboccipital headaches, Silvrback blog image

but, as you can see, the trigger point referral pattern is over the ear or in a "sunglass" pattern, as we often teach in our dry needling seminars.

Silvrback blog image




Silvrback blog image



That is not to say that dysfunction of the muscle can cause . . .

Read More

December 14, 2017

The Tib Posterior

 Posterior tibialis tendinitis is a primary soft tissue tendinopathy of the posterior tibialis that leads to altered foot biomechanics. Although the natural history of posterior tibialis tendon dysfunction is not fully known, it has mostly been agreed that it is a progressive disorder.(1)

Silvrback blog imageThe tibialis posterior originates from the . . .

Read More

November 20, 2017

The 1st Ray; the NEW Superhero?

Does the 1st ray complex have super powers? Perhaps Marvel should consider a new superhero

“Ray”? We are not sure but here is a story that gets us one step closer to the answer. 


While teaching a Level 1 Dry Needling course this past weekend (if you were there, then this will be

a review; if not, then read on) and . . .

Read More

November 08, 2017

The latissimus


The latissimus dorsi is THE functional link between the upper and lower extremity, particularly though its connections with the thoracolumbar fascia (1, 2). Affording itself a large attachment centrally from the T7 to L5 spinouses, laterally to the iliac crest and thoracolumbar fascia, rostrally to the lower 3 or 4 ribs and inferior . . .

Read More

October 23, 2017


The extensor hallucis brevis : An overlooked "miracle worker"

Look at this beautiful muscle in a foot that has not yet been exposed to hard planar surfaces and shoes that limit or alter motion!Silvrback blog image

The Extensor Hallicus Brevis, or EHB as we fondly call it (beautifully pictured above causing the  extension (dorsiflexion) of the child’s . . .

Read More

October 09, 2017

The 1st MTP

Functional Anatomy, Trigger Points and More...

Good Morning


I just released a new video excerpted from a recent Level 2 TPDN course. It's about one of my favorite articulations, the 1st MTP. One of the most important and most distal joints involved with the gait cycle whose dysfunction leads to a constellation of problems north in the kinetic chain.


Enjoy : )


Read More

October 02, 2017

Beyond Needling Trigger Points

Beyond the Trigger Point

Many of us needle. We are taught to dry needle trigger points and sometimes (especially in the seminars I teach), to needle the segmental innervation of the muscle involved. But should we do more? I think so, and here is one paper on incorporating needling myofascial meridians along with trigger points that supports . . .

Read More

September 25, 2017


All Categories: needling(35) tpdn(35) dry needling(26) acupuncture(25) trigger point dry needling(16) trigger point dry needling instruction(12) deep needling(9) muscle layers(9) trigger point dry needling seminar(9) dry needling instruction(9) intramuscular therapy(7) peroneus longus(7) trigger point dry needling seminars(7) gait(7) rehab(7) posterior(7) trigger point dry needling courses(6) muscle action(6) dry needling seminar(6) rehabilitation(6) intramuscular(6) education(6) myofascial(6) peroneus(6) trigger point dry needling course(6) trigger point seminar(6) muscle(5) foot(5) rectus(5) muscles(5) instability(5) continuing education(5) clinical exam(5) rectus femoris(4) course(4) neurology(4) dysfunction(4) lateralis(4) exam(4) seminar(4) dry needling course(4) gluteus medius(4) gluteus maximus(4) vastus lateralis(4) lumbar(4) vastus intermedius(4) femoris(4) spinal instability(4) lumbar instability(4) major(3) tibialis(3) chronic(3) capitis(3) gluteus minimus(3) suboccipital muscles(3) suboccipital(3) continuing(3) extensor digitorum brevis(3) superior(3) trigger(3) tibialis posterior(3) vastus(3) temporal summation(3) 1st mtp(3) spacial summation(3) minor(3) obliquus(3) inferior(3) headache(3) headaches(3) stimulation(3) obliquus capitis inferior(2) pain(2) hip(2) changes(2) vascular(2) vascular changes(2) ppd(2) counting(2) summation(2) temporal(2) clinical(2) cervical instability(2) cervical(2) meridians(2) large diameter afferents(2) fiber(2) ehb(2) gluteus(2) extensor hallucis brevis(2) spine(2) therapy(2) neck(2) quadriceps(2) trapezius(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) ankle(2) gon(2) levator scapula(2) levator(2) joint(2) glute(2) back(2) low(2) lbp(2) multifidus(2) facilitation(2) fracture(2) cuboid(2) navicular(2) extensor digitorum longus(2) rectus capitis inferior(2) quadratus(2) 1st ray(2) 1st(2) upper(1) test(1) sensation(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) posterior chain(1) it(1) quadratus femoris(1) hip pain(1) hamstring(1) meridian(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) divergence(1) insertional tendinitis(1) convergence(1) knee(1) osteoarthritis(1) iliacus(1) metatarsal phalangeal(1) layers(1) iliotibial band(1) metatarsal(1) phalangeal(1) it band(1) lift(1) multifidus lift test(1) low back pain(1) tensor fascia lata(1) tfl(1) gait cycle(1) denervation(1) spinal(1) latissimus dorsi(1) posterior oblique sling(1) vibration(1) sensory nerve fibers(1) extensor(1) hallucis(1) hallicis(1) brevis(1) oblique(1) thoracic(1) fibers(1) nerve(1) thoracic spine(1) sensory(1) electrical stimulation(1) afferents(1) sling(1) soleus(1) diameter(1) hip flexor(1) psoas(1) superficial(1) electrical(1) flexor(1) vastus medialis(1) greater occipital nerve(1) large(1) vibratory sense(1) sense(1) deep(1) vibratory(1) home

Cover image credit: