As I study this video more and more (yep, we just keep looking at things because we are that nerdy and that paranoid that we missed something) I saw at least 3 very subtle findings.
Watch the video of this right handed physical therapist who had L knee reconstruction (MCL/ACL with . . .
Holy twisted tibias Batman! What is going here in this R sided knee pain patient?
In this 1st picture note this patient is in a neutral posture. Note how far externally rotated her right foot is compared to the left. Note that when you drop a plumbline down from the tibial tuberosity it does not pass-through or between the . . .
And what have I been saying for years now?
Connected to the nervous system by large diameter afferent (sensory) fibers, muscle spindles are classically thought of as sentinels that appraise the nervous system of vital information like length and rate of change of length of muscle fibers, so that information . . .
While running intervals on a cool 19 degree morning, something dawned on me. My left knee was hurting from some patellar tracking issues, but only on initial contact and toe off. I generally run with a midfoot strike. I began concentrating on my feet, lifted and spread my toes and voila! my knee pain instantly improved. Very cool, and that is . . .
Posted in: cerebellumconvergencedivergencedry needlingextensorextensor digitorum brevisextensor digitorum longusflexorhip extensorlumbricalsneurologynucleiiperoneus brevispositionproprioceptionproprioceptivetrigger point dry needling instruction
I have recently run across some research that has changed the way we look at some of the rehab we do, especially proprioceptive rehab. Perhaps it will do the same for you.
Traditionally, we present increasing balance requirements to the weight bearing structure by changing one or more of the three parameters that keep us upright in the . . .
Posted in: afferentsbiomechanicscirculardiameterdry needlingexercisegaitinstabilityintramuscularintramuscular therapylarge diameter afferentsmusclemusclesneedleneedlingneurologyproprioceptionproprioceptiverehabsacculesemisemicircularsensationsensorystabilizerstimulationsystemtestingtpdnutriclevestibular
beware the gooses foot...
Recalcitrant knee pain just below the medial tibial plateau? Worse with sprints, hills and after running a while? It may be the pes anserine insertion(s).
Made up of the tibial insertions, from anterior to posterior, of the sartorius, gracilis and semitendinosis which lie superficial to the distal tibial insertion of the . . .
Posted in: anserinecoronaldry needlinggracilishamstringinsertional tendinitiskneemusclemuscle layersneedlingpessartoriussemisemitendinosisstabilizersuperficialtendinosisterribletpdntrigger point dry needlingtrio
This article goes along well with the last one I published.
We remember that we have 3 systems that keep us upright in the gravitational plane: The visual system, The vestibular system and the proprioceptive system. As we age, we seem to become more dependent upon the visual system to maintain stability of the head (which is . . .
Posted in: acupuncturecervical instabilitycleidoclinical testmastoidscalenescalenesscmsemicircularsensory nerve fiberssternosternocleidomastoidtrigger point dry needling instructionutriclevertigovestibular