Functional Integrative Rehabilitation Education

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Inability to descend the distal first ray = bunion

 
Silvrback blog image
Silvrback blog imageTake a look at this classic example a bunion.
 
A bunion occurs because of the untoward action of the adductor hallucis. Normally, when the distal first ray is anchored, it contributes to the transverse and medial longitudinal arches of the foot as well as applying compressive forces across . . .

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December 09, 2019

Toes in for squats?

Sometimes it’s OK for “toes in“ squats...

I often hear from folks and also read on a lot of blogs and articles about whether your toes should be in or out for squats or other types of activities. The real answer is “it depends”.

What it depends on is the patient’s specific anatomy. That means we . . .

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August 19, 2019

How good are your eyes? Can you pick up on the subtle gait abnormalities?

 

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 . . .

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June 24, 2019

Holy twisted tibias Batman!

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 . . .

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June 10, 2019

Muscle Spindles and Proprioception

And what have I been saying for years now? 

 

Silvrback blog imageConnected 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 . . .

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January 17, 2019

Facilitation

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 . . .

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December 22, 2018

Are We Rehabbing the wrong system?

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.

Silvrback blog imageTraditionally, 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 . . .

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December 04, 2018

Archive

All Categories: needling(50) tpdn(47) dry needling(34) acupuncture(30) gait(21) trigger point dry needling(18) trigger point dry needling instruction(17) muscle(14) rehab(14) trigger point dry needling seminar(14) dry needling instruction(12) muscle layers(11) deep needling(11) peroneus longus(11) trigger point dry needling seminars(10) peroneus(10) rehabilitation(10) dry needling seminar(10) dysfunction(8) gluteus maximus(8) gluteus minimus(8) gluteus medius(8) foot(8) dry needling course(8) education(8) intramuscular therapy(8) trigger point dry needling courses(7) trigger point seminar(7) muscle action(7) instability(7) hip(7) posterior(7) intramuscular(7) neurology(6) muscles(6) large diameter afferents(6) rectus(6) quadratus(6) clinical exam(6) vestibular(6) myofascial(6) trigger point dry needling course(6) rectus femoris(5) femoris(5) lateralis(5) spinal instability(5) lumbar(5) course(5) afferents(5) proprioception(5) sensory(5) lumbar instability(5) 1st mtp(5) continuing education(5) hip flexor(5) vastus intermedius(5) flexor(4) cervical instability(4) proprioceptive(4) vastus lateralis(4) diameter(4) sensation(4) sternocleidomastoid(4) iliacus(4) psoas(4) gluteus(4) stimulation(4) system(4) extensor digitorum longus(4) pain(4) quadriceps(4) vastus(4) extensor hallucis brevis(4) seminar(4) ankle(4) glute(4) extensor digitorum brevis(4) hamstring(4) gait cycle(4) exam(4) suboccipital muscles(4) suboccipital(4) extensor(3) iliotibial band(3) headaches(3) major(3) inferior(3) facilitation(3) soleus(3) insertional tendinitis(3) obliquus(3) exercise(3) minor(3) fibers(3) tibialis(3) tibialis posterior(3) changes(3) cervical(3) neck(3) gastroc(3) hip extension(3) semi(3) cleido(3) 1st ray(3) knee(3) chronic(3) fiber(3) superior(3) plantae(3) capitis(3) nerve(3) stabilizer(3) scm(3) hip extensor(3) trigger(3) large(3) temporal summation(3) utricle(3) multifidus(3) ppd(3) intrinsics(3) spacial summation(3) semicircular(3) sensory nerve fibers(3) mastoid(3) continuing(3) headache(3) sterno(3) cuboid(3) trapezius(3) latissimus dorsi(2) 1st(2) ankle rocker(2) quadrates plantae(2) flexor digitorum longus(2) walking(2) nucleii(2) cerebellum(2) ehb(2) saccule(2) needle(2) spine(2) brevis(2) therapy(2) hallicis(2) peroneus brevis(2) inhibition(2) superficial(2) circular(2) meridians(2) position(2) it band(2) clinical(2) lumbricals(2) coronal(2) vastus medialis(2) extension(2) scalenes(2) quadratus lumborum(2) biomechanics(2) scalene(2) reciprocal(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) vascular(2) reciprocal inhibition(2) vascular changes(2) gon(2) temporal(2) levator scapula(2) levator(2) joint(2) vertigo(2) summation(2) back(2) low(2) lbp(2) counting(2) iliocapsularis(2) gastrocnemius(2) fracture(2) navicular(2) obliquus capitis inferior(2) rectus capitis inferior(2) hallucis(2) clinical test(2) dorsiflexion(2) testing(2) divergence(2) balance(2) convergence(2) locking mechanism(1) electrical(1) engineering(1) it(1) plane(1) vision(1) tfl(1) tensor fascia lata(1) layers(1) meridian(1) vibratory(1) deep(1) sense(1) vibratory sense(1) vibration(1) spinal(1) denervation(1) thoracic(1) thoracic spine(1) electrical stimulation(1) greater occipital nerve(1) upper(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) osteoarthritis(1) lift(1) multifidus lift test(1) low back pain(1) quadratus femoris(1) hip pain(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) posterior chain(1) qp(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) test(1) parkinsons(1) endurance(1) technique(1) bridge(1) flexion(1) dorsi(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) reverse(1) function(1) lumborum(1) quadrates lumborum(1) screen(1) toe(1) spacers(1) separators(1) quadratus plantae(1) ilio(1) capsularis(1) adductor(1) magnus(1) rotation(1) rotator(1) thigh(1) head(1) canals(1) external(1) dizziness(1) gracilis(1) sartorius(1) semitendinosis(1) tendinosis(1) pes(1) anserine(1) terrible(1) trio(1) spindle(1) spindles(1) golgi(1) tendon(1) organ(1) origin(1) tibial(1) torsion(1) analysis(1) knee pain(1) squats(1) toes(1) in(1) out(1) forefoot(1) supinatus(1) varus(1) flexor digitorum brevis(1) home

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