Screen%20shot%202016-02-17%20at%2010.21.21%20pm_large

Functional Integrative Rehabilitation Education

The Quadratus Femoris

An often overlooked culprit

We often find clinically that the quadratus femoris as becoming the 1st dysfunctional muscle of the deep 6 external rotators (1) and its pain referral pattern can mimic the piriformis (2) and piriformis syndrome (3) as well as hamstring insertional tendinitis.  It has also been implicated in some cases of femoroacetabular . . .

Read More

May 18, 2017

The Trigeminocervical Nucleus and Headaches

 

We all see patients that have headache symptoms. We also know that many of these headaches are related to biomechanical faults and/or muscular dysfunctions in the cervical spine. Do you understand the why and the physiological mechanism? Excerpted from a recent level 1 seminar, here I explain the physiology behind it.

 

 

. . .

Read More

April 26, 2017

More on that post operative fractured foot

the second article in a series

 

This is part 2 of a series following a case. If you missed part 1, please go here and read what we found. 

The patient returns 1 week later and reports being approximately 25% improved. She has been performing her "toes up" exercises while walking all the time. She is having some difficulty still with balance. She has . . .

Read More

March 14, 2017

A Serial Case

Lets follow what I did on a recent post fracture foot

In this series, we will follow the progress of a post surgical, post rehab foot. These are the actual case notes and you can follow my thought process as we move along. 

Silvrback blog image

History:

JM presented with left-sided content foot pain. On July 24 she broke her left navicular and cuboid (pretty unusual, as these fractures are rare. Navicular . . .

Read More

February 23, 2017

Return to the Suboccipitals

The Myodural Bridge Guest writer: Mitch Peritz DC

Once again, we are happy to have Dr Peritz write an excellent follow up to his last article (in case you missed it, click here). The next time you have a patient with an upper cervical problem, refer back to this article and think of all the far reaching implications of this often overlooked group.

 

The sub-occipital muscles (SOM) are . . .

Read More

February 15, 2017

How's your Iliacus?

Have you thought about the importance of the iliacus? During gait? How about at initial contact and again at pre swing? (1) You realize it will be “turned off” if you have labral pathology, right? (2) Needling can be one way of “turning it back on”.(3)

Check out this brief video of one way to accomplish this. 

. . .

Read More

February 09, 2017

Those Multifidi....

The multifidi are important proprioceptive sentinels for the low back, as well as the rest of the body, for virtually every activity you do weight bearing, including gait. They are implicated in many instances of low back pain, especially folks with flexion or extension intolerance, since their fiber orientation and thus mechanical advantage . . .

Read More

January 17, 2017

Archive

All Categories: needling(31) tpdn(29) acupuncture(23) dry needling(23) trigger point dry needling(14) trigger point dry needling instruction(10) deep needling(9) dry needling instruction(8) muscle layers(8) rehab(7) trigger point seminar(6) peroneus longus(6) intramuscular therapy(6) dry needling seminar(6) trigger point dry needling seminar(6) muscle action(6) rehabilitation(6) education(6) intramuscular(5) trigger point dry needling course(5) clinical exam(5) trigger point dry needling seminars(5) rectus(5) myofascial(5) instability(5) muscle(5) continuing education(5) peroneus(5) trigger point dry needling courses(4) foot(4) lateralis(4) dry needling course(4) femoris(4) vastus intermedius(4) rectus femoris(4) exam(4) gluteus medius(4) course(4) vastus lateralis(4) seminar(4) gait(4) posterior(4) trigger(3) continuing(3) gluteus minimus(3) vastus(3) gluteus maximus(3) lumbar instability(3) lumbar(3) chronic(3) stimulation(3) spinal instability(3) neurology(3) quadriceps(2) obliquus(2) gon(2) suboccipital(2) superior(2) cuboid(2) inferior(2) counting(2) spacial summation(2) hip(2) gluteus(2) levator scapula(2) shoulder pain(2) clinical(2) ankle(2) trapezius(2) fiber(2) changes(2) dysfunction(2) large diameter afferents(2) joint(2) major(2) cai(2) cervical instability(2) minor(2) navicular(2) extensor digitorum brevis(2) temporal summation(2) glute(2) fracture(2) therapy(2) extensor digitorum longus(2) headaches(2) headache(2) shoulder(2) cervical(2) pain(2) muscles(2) levator(2) vascular(2) scapula(2) vascular changes(2) capitis(2) suboccipital muscles(2) hallicis(1) psoas(1) soleus(1) rectus capitis inferior(1) multifidus(1) insertional tendinitis(1) diameter(1) facilitation(1) superficial(1) ehb(1) multifidus lift test(1) vibratory sense(1) vibration(1) speed(1) ppd(1) brevis(1) fibers(1) sense(1) low back pain(1) it band(1) tibialis posterior(1) lbp(1) hip flexor(1) layers(1) lift(1) flexor(1) vastus medialis(1) thoracic(1) temporal(1) large(1) tibialis(1) sensory nerve fibers(1) hallucis(1) extensor hallucis brevis(1) sensory(1) tmj(1) afferents(1) quadratus(1) sensation(1) scalene(1) temporomandibular(1) hamstring(1) spinal(1) knee(1) obliquus capitis inferior(1) deep(1) denervation(1) cadence(1) iliotibial band(1) spine(1) extensor(1) tensor fascia lata(1) tfl(1) summation(1) greater occipital nerve(1) pttd(1) osteoarthritis(1) temporomandibular joint(1) middle(1) nerve(1) electrical(1) upper(1) neck(1) low(1) scalenes(1) meridians(1) electrical stimulation(1) quadratus femoris(1) back(1) thoracic spine(1) iliacus(1) anterior(1) scalaneus(1) it(1) hip pain(1) vibratory(1) test(1) home

Cover image credit: http://wallpapershacker.com/skulls_sketches_skeletons_spine_drawings_hd-wallpaper-1015286/