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Post needling soreness is a common side effect of dry needling, particularly if multiple twitches are obtained. "Six" twitches seems to be the number of twitches necessary to obtain better clinical results (1). Mitigation of this "post needling soreness" has been explored. One study (2) looked at "spray and stretch" as a way to . . .
Does the 1st ray complex have super powers? Perhaps Marvel should consider a new superhero
“Ray”? We are not sure but here is a story that gets us one step closer to the answer.
While teaching a Level 1 Dry Needling course this past weekend (if you were there, then this will be
a review; if not, then read on) and . . .
Posted in: musclesmuscle layersperoneusperoneus longusdry needlingdry needling instructiontrigger point dry needling coursestrigger point dry needling seminarsneedling1st ray1st mtp1sttibialis posteriortibialis
The latissimus dorsi is THE functional link between the upper and lower extremity, particularly though its connections with the thoracolumbar fascia (1, 2). Affording itself a large attachment centrally from the T7 to L5 spinouses, laterally to the iliac crest and thoracolumbar fascia, rostrally to the lower 3 or 4 ribs and inferior . . .
Beyond the Trigger Point
Many of us needle. We are taught to dry needle trigger points and sometimes (especially in the seminars I teach), to needle the segmental innervation of the muscle involved. But should we do more? I think so, and here is one paper on incorporating needling myofascial meridians along with trigger points that supports . . .
Posted in: meridiansmeridianmyofascialdivergenceconvergenceacupuncturetrigger point dry needling courseneurologyspacial summationtemporal summationsummationtemporaldry needlingtpdntrigger point dry needlingneedling
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 femoroacetabular . . .
Posted in: gluteus mediusmuscle layersdry needlingtrigger point dry needling seminarstrigger point dry needling instructionneedlinginsertional tendinitishamstringhip painhipacupuncturetpdnquadratus femorisfemorisquadratus
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.
JM presented with left-sided content foot pain. On July 24 she broke her left navicular and cuboid (pretty unusual, as these fractures are rare. Navicular . . .
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.
. . .