The Myodural Bridge Guest writer: Mitch Peritz DC
Once again, we are happy to have Dr Peritz write an excellent follow up to his last article (in case you missed it, click here). The next time you have a patient with an upper cervical problem, refer back to this article and think of all the far reaching implications of this often overlooked group.
The sub-occipital muscles . . .
Posted in: acupuncturecapitisdeep needlinggoninferiorlateralismajorminormusclemusclesneedlingobliquusobliquus capitis inferiorposteriorrectusrectus capitis inferiorsuboccipitalsuboccipital musclessuperiortpdntrigger point dry needling instruction
Have you thought about the importance of the iliacus? During gait? How about at initial contact and again at pre swing? (1) You realize it will be “turned off” if you have labral pathology, right? (2) Needling can be one way of “turning it back on”.(3)
Check out this brief video of one way to accomplish this. . . .
The multifidi are important proprioceptive sentinels for the low back, as well as the rest of the body, for virtually every activity you do weight bearing, including gait. They are implicated in many instances of low back pain, especially folks with flexion or extension intolerance, since their fiber orientation and thus mechanical advantage . . .
Acupuncture/Dry Needling and Proprioception. A Winning combination.
What a great combination of therapies for folks with chronic ankle instability, or almost any injury for that matter! Taking 2 modalities that emphasize afferent input from the peripheral mechanoreceptor system, which has such a large influence on the cerebellum as well . . .
It would logically follow that the gluteus medius is important for generating both forward progression and support, especially during single-limb stance suggesting that walking dynamics are . . .
Beautiful Glutes: Part 2
We are going to get a little techie here. Hang in there! If you missed part one, click here to go back and read it.
There are a paucity of studies on gluteal function during gait, but here is what is out there.
The upper and lower portions of the glute max shows activity at initial . . .
what sensation should you check and why?
What is the most important sensory modality to test and why? Pain? Motor? Sensation?
Posted in: afferentsclinicalclinical examcontinuing educationdiameterdry needlingeducationexamfiberfiberslargelarge diameter afferentsneedlingnerveneurologysensationsensesensorysensory nerve fibersvibrationvibratoryvibratory sense