Functional Anatomy, Trigger Points and More...
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 . . .
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 . . .
Posted in: meridiansmeridianmyofascialdivergenceconvergenceacupuncturetrigger point dry needling courseneurologyspacial summationtemporal summationsummationtemporaldry needlingtpdntrigger point dry needlingneedling
Today we are going to look at what I feel is one of the most important muscles to evaluate and treat with low back pain patients, as well as those with gait and lower extremity disorders.
Let's look at some of the functional anatomy of the QL.
It is useful to think of the QL as having three divisions. Though they can’t . . .
Posted in: quadratusfacilitationmultifiduslbplowbackdysfunctionmusclesspineintramuscularintramuscular therapyppdlumbartpdntrigger point dry needlingtrigger point dry needling coursestrigger point dry needling seminartrigger point dry needling instruction
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 . . .
Posted in: gluteus mediusmuscle layersdry needlingtrigger point dry needling seminarstrigger point dry needling instructionneedlinginsertional tendinitishamstringhip painhipacupuncturetpdnquadratus femorisfemorisquadratus
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.
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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. . . .
Posted in: extensor digitorum longusextensor digitorum brevisjointdysfunctionstimulationintramuscularintramuscular therapyfootnavicularcuboiddeep needlingmuscle layerstpdnneedlingfracturerehabilitationtrigger point dry needling instructionacupuncture
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.
JM presented with left-sided content foot pain. On July 24 she broke her left navicular and cuboid (pretty unusual, as these fractures are . . .