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

Functional Integrative Rehabilitation Education

Why do we look down sometimes?

especially when things get challenging....

While working with a patient with runners dystonia the other day, I had one of those epiphanies. I thought I would share it with you here. Here is some food for thought. 

We remember that we have 3 systems that keep us upright in the gravitational plane: The visual system, the vestibular system and the proprioceptive system. As . . .

Read More

June 21, 2018

The Adductor Magnus

Not just for adduction anymore....

Silvrback blog imageAh yes... the adductor magnus. A commonly implicated muscle in hip dysfunction to include CAM lesions, femoroacetabular impingement, anterior femoral glide, as well as "hamstring insertional tendonitis" like symptoms (which would specifically be referring to the long head). 

You will recall that the adductor magnus consists of . . .

Read More

June 06, 2018

Iliocapsularis update

you know about this guy?

I have written before about one of my favorite muscles for dysfunctional hips, the iliocapsularis. See here and here to catch up.

 

Silvrback blog imageAs you are probably (hopefully?) aware it has its proximal attachment at the anterior-inferior iliac spine and the anterior hip capsule (1), though it does not attach to the labrum (2). Its inserts . . .

Read More

May 22, 2018

Toe Spacers?

Less pain through better mechanics?

 Silvrback blog image

I have been using toe separators (like "correct toes" ) for various foot problems like hallux valgus, hammer toes and flexor dominance/extensor weakness.

My reasoning is that through changing the angle of attachment of the muscle, you alter the mechanical advantage of that muscle and help it to work more efficiently. Think . . .

Read More

May 16, 2018

A QL screen for you...

 

As I have said in previous posts, though they can’t act independently I like to think to think of the QL as having two divisions. The lower division arises from the medial portion of the iliac crest and adjacent iliolumbar ligament and inserts onto the transverse processes of the lumbar vertebrae, in the coronal plane from . . .

Read More

May 05, 2018

Things often work better in pairs...

The glutes and your....feet?

You may have heard me talk about how the lower kinetic chain is connected, how ankle rocker effects hip extension and how important hallux (great toe) extension is. 

 

What can we conclude from this study?

  • toe spreading exercises are important for reducing navicular drop (and thus mid foot pronation, at least . . .

Read More

April 23, 2018

Reverse Engineering

 A Case for “Reverse Engineering”

You have often heard me say in my classes: “think of muscle function from a closed kinetic chain perspective”. In other words, the muscle (in the case of gait) working from the foot (or ground) up. Here is a study exemplifying this with the tibialis anterior and peroneus . . .

Read More

April 09, 2018

Archive

All Categories: needling(50) tpdn(46) dry needling(33) acupuncture(30) gait(19) trigger point dry needling(17) trigger point dry needling instruction(16) trigger point dry needling seminar(14) muscle(13) rehab(12) dry needling instruction(12) muscle layers(11) deep needling(11) peroneus longus(10) trigger point dry needling seminars(10) dry needling seminar(10) peroneus(9) intramuscular therapy(8) dry needling course(8) gluteus maximus(8) rehabilitation(8) education(8) dysfunction(8) foot(7) instability(7) posterior(7) muscle action(7) hip(7) trigger point dry needling courses(7) gluteus minimus(7) gluteus medius(7) intramuscular(7) trigger point seminar(7) quadratus(6) muscles(6) neurology(6) vestibular(6) large diameter afferents(6) trigger point dry needling course(6) myofascial(6) clinical exam(6) hip flexor(5) lumbar instability(5) rectus(5) sensory(5) 1st mtp(5) continuing education(5) course(5) afferents(5) proprioception(5) lumbar(5) spinal instability(5) suboccipital(4) hamstring(4) extensor digitorum longus(4) ankle(4) extensor digitorum brevis(4) seminar(4) glute(4) system(4) sternocleidomastoid(4) exam(4) cervical instability(4) vastus lateralis(4) vastus intermedius(4) femoris(4) rectus femoris(4) stimulation(4) diameter(4) sensation(4) lateralis(4) proprioceptive(4) gluteus(4) flexor(4) iliacus(4) psoas(4) suboccipital muscles(4) cervical(3) mastoid(3) headache(3) utricle(3) cuboid(3) large(3) multifidus(3) trigger(3) inferior(3) superior(3) facilitation(3) obliquus(3) minor(3) vastus(3) pain(3) spacial summation(3) temporal summation(3) ppd(3) capitis(3) intrinsics(3) hip extension(3) chronic(3) cleido(3) soleus(3) neck(3) exercise(3) tibialis(3) tibialis posterior(3) 1st ray(3) extensor hallucis brevis(3) major(3) plantae(3) gait cycle(3) trapezius(3) continuing(3) stabilizer(3) fiber(3) sensory nerve fibers(3) extensor(3) nerve(3) sterno(3) scm(3) fibers(3) semicircular(3) semi(3) hip extensor(3) headaches(3) changes(3) extension(2) walking(2) testing(2) balance(2) superficial(2) vertigo(2) vascular(2) vascular changes(2) divergence(2) convergence(2) counting(2) summation(2) temporal(2) clinical(2) it band(2) meridians(2) ehb(2) spine(2) brevis(2) therapy(2) hallicis(2) quadriceps(2) scalenes(2) scalene(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) knee(2) gon(2) levator scapula(2) levator(2) joint(2) back(2) low(2) lbp(2) fracture(2) navicular(2) obliquus capitis inferior(2) rectus capitis inferior(2) insertional tendinitis(2) latissimus dorsi(2) 1st(2) quadrates plantae(2) flexor digitorum longus(2) needle(2) gastroc(2) ankle rocker(2) iliocapsularis(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) dorsiflexion(2) clinical test(2) hallucis(2) peroneus brevis(2) biomechanics(2) quadratus lumborum(2) coronal(2) lumbricals(2) position(2) circular(2) nucleii(2) cerebellum(2) saccule(2) layers(1) scalaneus(1) upper(1) iliotibial band(1) qp(1) greater occipital nerve(1) vastus medialis(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) dizziness(1) parkinsons(1) electrical stimulation(1) tensor fascia lata(1) endurance(1) technique(1) bridge(1) gracilis(1) thoracic spine(1) test(1) flexion(1) dorsi(1) sartorius(1) thoracic(1) semitendinosis(1) tendinosis(1) denervation(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) pes(1) reverse(1) function(1) anserine(1) terrible(1) lumborum(1) quadrates lumborum(1) screen(1) spinal(1) toe(1) spacers(1) separators(1) trio(1) quadratus plantae(1) ilio(1) capsularis(1) electrical(1) vibration(1) engineering(1) tfl(1) vision(1) adductor(1) magnus(1) external(1) rotation(1) rotator(1) thigh(1) vibratory sense(1) low back pain(1) head(1) plane(1) canals(1) multifidus lift test(1) sense(1) quadratus femoris(1) hip pain(1) it(1) lift(1) osteoarthritis(1) temporomandibular joint(1) temporomandibular(1) tmj(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) pttd(1) deep(1) vibratory(1) speed(1) posterior chain(1) cadence(1) middle(1) anterior(1) meridian(1) home

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