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 . . .

Read More

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 . . .

Read More

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, . . .

Read More

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! 


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 . . .

Read More

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 . . .

Read More

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 . . .

Read More

April 14, 2016

Dry Needling and Autonomic Changes


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 . . .

Read More

April 14, 2016


All Categories: needling(35) tpdn(35) dry needling(26) acupuncture(25) trigger point dry needling(16) trigger point dry needling instruction(12) trigger point dry needling seminar(9) muscle layers(9) deep needling(9) dry needling instruction(9) rehab(7) intramuscular therapy(7) peroneus longus(7) trigger point dry needling seminars(7) gait(7) myofascial(6) trigger point seminar(6) education(6) trigger point dry needling courses(6) peroneus(6) posterior(6) dry needling seminar(6) intramuscular(6) rehabilitation(6) muscle action(6) trigger point dry needling course(6) rectus(5) foot(5) instability(5) clinical exam(5) muscle(5) continuing education(5) femoris(4) seminar(4) dry needling course(4) gluteus medius(4) course(4) vastus intermedius(4) vastus lateralis(4) lumbar(4) muscles(4) lumbar instability(4) lateralis(4) rectus femoris(4) neurology(4) spinal instability(4) exam(4) gluteus maximus(4) vastus(3) 1st mtp(3) dysfunction(3) tibialis(3) chronic(3) stimulation(3) trigger(3) continuing(3) extensor digitorum brevis(3) tibialis posterior(3) gluteus minimus(3) temporal summation(3) spacial summation(3) gon(2) superior(2) pain(2) hip(2) changes(2) vascular(2) vascular changes(2) ppd(2) counting(2) summation(2) temporal(2) clinical(2) cervical instability(2) cervical(2) meridians(2) large diameter afferents(2) fiber(2) ehb(2) gluteus(2) extensor hallucis brevis(2) spine(2) therapy(2) quadriceps(2) inferior(2) headaches(2) obliquus(2) minor(2) headache(2) trapezius(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) ankle(2) major(2) capitis(2) suboccipital muscles(2) suboccipital(2) levator scapula(2) levator(2) joint(2) glute(2) back(2) low(2) lbp(2) multifidus(2) facilitation(2) fracture(2) cuboid(2) navicular(2) extensor digitorum longus(2) quadratus(2) 1st(2) 1st ray(2) upper(1) gait cycle(1) latissimus dorsi(1) rectus capitis inferior(1) obliquus capitis inferior(1) layers(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) posterior oblique sling(1) psoas(1) oblique(1) sling(1) electrical(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) iliotibial band(1) superficial(1) posterior chain(1) quadratus femoris(1) hip pain(1) test(1) denervation(1) spinal(1) vibration(1) knee(1) sensory nerve fibers(1) osteoarthritis(1) it band(1) fibers(1) nerve(1) hamstring(1) sensory(1) insertional tendinitis(1) tensor fascia lata(1) afferents(1) diameter(1) it(1) large(1) vibratory sense(1) tfl(1) metatarsal phalangeal(1) sense(1) deep(1) extensor(1) hallucis(1) hallicis(1) brevis(1) soleus(1) thoracic(1) vibratory(1) thoracic spine(1) sensation(1) electrical stimulation(1) meridian(1) lift(1) multifidus lift test(1) divergence(1) hip flexor(1) low back pain(1) convergence(1) flexor(1) iliacus(1) vastus medialis(1) greater occipital nerve(1) metatarsal(1) neck(1) phalangeal(1) home

Cover image credit: