Functional Integrative Rehabilitation Education

A little more on the tibialis posterior....

A little more on the tibialis posterior (or any tendon for that matter)....

On my way back from Vancouver, BC, I am reminded of the many muscles we needle frequently, and some of our clinical discussions over the weekend.

We tend to think of the etiology of tendinopathies as being overuse or biomecanically stressful situations, which are often . . .

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November 07, 2016

Dry Needling, Trigger Point Dry Needling and Intramuscular Therapy Course: Level 2 The Extremities Vancouver, BC

Featuring Dr. Ivo Waerlop

Course Date: Friday, November 4th to  Sunday, November 6th, 2016 (3 Full Days)

This course, sponsored by Dr Ivo Waerlop and F.I.R.E will meet all of the CPTBC College practice standards set out under the self-declaration model for Physiotherapists practicing acupuncture/dry . . .

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November 01, 2016

The Tibialis Posterior. Did you know...

Lets take another look at the tibialis posterior

As clinicians , we often needle and treat the tibialis posterior for posterior tibial tendon dysfunction, platar fasicits, patellofemoral joint pain, and a host of other conditions. Lets take a look at some of the anatomy and see why it is a big player in these conditions.

The tibialis posterior . . .

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October 31, 2016

The Temporalis

TMJ problems? Have you needled the temporalis? I find needling this muscle,along with the pterygoids to be paramount in TMJ dysfunction management. It seems that the antagonistic action or yin and yang of these two can solve mant TMY woes. Think of the interplay of the vertical fibers of the temporailis and the vertical fibers of the . . .

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October 27, 2016

3 Points for Ankle Instability..

Not EXACTLY trigger point dry needling, but a form of needling nonetheless



In this study (1) they stimulated 3 points: ST41, BL60 and GB40. Take a look at their locations (above). ST41 (2) is at the base of the long extensor tendons; gee, we never emphasize long extensor function, do we? GB 40 is at the lateral malleolus between the peroneus longus/brevis and peroneus tertius; how important are these . . .

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October 24, 2016

The Levator Scapula

levator scapula: from Ivo Waerlop on Vimeo.

From its proximal attachment to the upper 4 cervical transverse processes to its distal attachment to the superior medial border of the scapula, this muscle has multiple actions:

  • elevating the scapula
  • tipping the glenoid downward
  • ipsilateral rotation of the cervical spine
  • ipsilateral flexion . . .

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September 29, 2016

Level One Class Graduates in Vancouver!

I had privilege to work with these fine instructors on my team this past weekend to teach Level 1 Dry Needling in Vancouver, BC. This is a great group of PT's who are a genuine pleasure to work worth. Thanks to Karly Foster and Aaron Vani and congrats to the graduating class!

We talked about many different aspects of needling and . . .

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September 26, 2016


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