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Functional Integrative Rehabilitation Education

E Stim and Needling

While flying over the snow capped mountains of Montana, on my way home from teaching a level 1 dry needling course in Vancouver, BC , I saw lots of folks siting, neck flexed forward in a kyphotic posture, watching movies on their iphones and ipads, or playing a game. It made me think of posture and correct my own while writing this piece. We . . .

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May 16, 2016

Counting and Layers

Know where your needle is!

I often say when I am teaching “If you don’t know where your needle is, it probably shouldn’t be there” and “ Know your anatomy!”.

An easy place to get lost at times is in the posterior cervical muscles or anterior compartments of the lower leg and arms. In addition to using an app like 3D4Medical, Monster . . .

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May 09, 2016

The Glutes, part 1

Beautiful Glutes!     Part 1 

Place your hands on your buttocks and stand up from a seated position. Did you feel them fire? Now walk with your hands in your back pockets. Do you feel them active at the end of your stride? No? Maybe you should be in rehab. You should!

The glutes have been the fascination of many, . . .

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May 06, 2016

The Extensor Hallucis Brevis

A primary descender of the 1st ray

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! 

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The Extensor Hallicus Brevis, or EHB  (beautifully pictured above causing the  extension (dorsiflexion) of the my son's proximal big toe) is an important muscle for descending the distal . . .

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May 02, 2016

Needling and Instability

 

As people who needle, we often emphasize needling the paraspinal muscles associated with the segemental innervation of the peripheral muscle you are needling. For example, you may needle the L2-L4 paraspinals (ie: femoral nerve distribution) along with the quads, or perhaps the C2 PPD’s along with the suboccipitals. We do this to . . .

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April 25, 2016

A little manipulation can go a long way...

Movement isn’t important...until you can’t...

Grey Cook

 

 Manipulation of a joint appears to change the instantaneous axis of rotation of that joint (1). It would stand to reason that this change would effect muscle activation patterns (2). Can this be applied to the lower extremity? Apparently so, at least according to . . .

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April 14, 2016

Dry Needling and Autonomic Changes

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Leg Pain? Are you SURE its a disc?

Gluteus minimus dysfunction is often present in gait disorders, including stance phase mechanical problems, since it fires from initial contact through pre swing, like it better known counterpart, the gluteus medius. It is interesting that the trigger point referral pattern of the gluteus minimus has a . . .

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April 14, 2016

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