Functional Integrative Rehabilitation Education

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The Quadratus Femoris

An often overlooked culprit

We often find clinically that the quadratus femoris as becoming the 1st dysfunctional muscle of the deep 6 external rotators (1) and its pain referral pattern can mimic the piriformis (2) and piriformis syndrome (3) as well as hamstring insertional tendinitis.  It has also been implicated in some cases of . . .

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May 18, 2017

More on that post operative fractured foot

the second article in a series

 

This is part 2 of a series following a case. If you missed part 1, please go here and read what we found. 

The patient returns 1 week later and reports being approximately 25% improved. She has been performing her "toes up" exercises while walking all the time. She is having some difficulty still with balance. . . .

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March 14, 2017

A Serial Case

Lets follow what I did on a recent post fracture foot

In this series, we will follow the progress of a post surgical, post rehab foot. These are the actual case notes and you can follow my thought process as we move along. 

Silvrback blog image

History:

JM presented with left-sided content foot pain. On July 24 she broke her left navicular and cuboid (pretty unusual, as these fractures are . . .

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February 23, 2017

Return to the Suboccipitals

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 . . .

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February 15, 2017

How's your Iliacus?

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.  . . .

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February 09, 2017

Acupuncture, Dry Needling and Ankle Instability

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 . . .

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January 11, 2017

The Glutes, Part 3

Here is the part you have been waiting for… In case you missed parts one and two, click here and here. 

Functional Perspectives

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 . . .

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December 19, 2016

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

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