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Functional Integrative Rehabilitation Education

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Ischemic compression and Dry Needling

...it only takes a minute or 2...

 

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 . . .

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March 21, 2018

The 1st Ray; the NEW Superhero?

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 . . .

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November 08, 2017

The latissimus

 

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 . . .

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October 23, 2017

Beyond Needling Trigger Points

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 . . .

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September 25, 2017

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 femoroacetabular . . .

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May 18, 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 rare. Navicular . . .

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February 23, 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

Archive

All Categories: needling(44) tpdn(39) acupuncture(29) dry needling(27) trigger point dry needling(16) gait(15) trigger point dry needling seminar(13) trigger point dry needling instruction(13) dry needling instruction(11) deep needling(11) muscle layers(10) rehab(10) peroneus longus(10) muscle(9) peroneus(9) trigger point dry needling seminars(9) dry needling seminar(8) rehabilitation(8) muscle action(7) intramuscular therapy(7) gluteus maximus(7) trigger point seminar(7) education(7) posterior(7) foot(7) myofascial(6) trigger point dry needling course(6) trigger point dry needling courses(6) intramuscular(6) dry needling course(6) dysfunction(6) gluteus minimus(6) gluteus medius(6) instability(5) continuing education(5) muscles(5) clinical exam(5) 1st mtp(5) course(5) rectus(5) hip(5) seminar(4) neurology(4) gluteus(4) lumbar(4) vastus intermedius(4) femoris(4) vastus lateralis(4) spinal instability(4) lateralis(4) lumbar instability(4) ankle(4) rectus femoris(4) quadratus(4) exam(4) large diameter afferents(4) glute(4) fiber(3) afferents(3) capitis(3) obliquus(3) chronic(3) spacial summation(3) temporal summation(3) superior(3) hip flexor(3) suboccipital muscles(3) minor(3) ppd(3) tibialis(3) major(3) vastus(3) psoas(3) tibialis posterior(3) gait cycle(3) facilitation(3) extensor digitorum brevis(3) iliacus(3) cuboid(3) large(3) 1st ray(3) soleus(3) suboccipital(3) multifidus(3) continuing(3) headaches(3) fibers(3) nerve(3) sensory(3) headache(3) trigger(3) stimulation(3) inferior(3) vascular changes(2) walking(2) exercise(2) pain(2) flexor(2) changes(2) vascular(2) sensory nerve fibers(2) counting(2) diameter(2) summation(2) temporal(2) clinical(2) cervical instability(2) cervical(2) meridians(2) sensation(2) ehb(2) extensor hallucis brevis(2) spine(2) therapy(2) neck(2) quadriceps(2) trapezius(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) gon(2) levator scapula(2) levator(2) joint(2) back(2) low(2) lbp(2) fracture(2) navicular(2) extensor digitorum longus(2) obliquus capitis inferior(2) rectus capitis inferior(2) hamstring(2) latissimus dorsi(2) 1st(2) plantae(2) quadrates plantae(2) intrinsics(2) gastroc(2) proprioception(2) extension(2) hip extension(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) proprioceptive(1) denervation(1) spinal(1) technique(1) vibration(1) lift(1) multifidus lift test(1) low back pain(1) vibratory sense(1) sense(1) deep(1) vibratory(1) bridge(1) ankle rocker(1) labrum(1) meridian(1) divergence(1) convergence(1) obturator externus(1) flexion(1) dorsiflexion(1) dorsi(1) layers(1) peroneus brevis(1) quadratus femoris(1) hip pain(1) insertional tendinitis(1) iliotibial band(1) reverse(1) it band(1) tensor fascia lata(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) tfl(1) test(1) function(1) ischemic(1) it(1) posterior chain(1) superficial(1) compression(1) engineering(1) electrical(1) flexor digitorum longus(1) post treatment soreness(1) qp(1) needle(1) iliocapsularis(1) scm(1) sternocleidomastoid(1) sterno(1) cleido(1) mastoid(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) greater occipital nerve(1) vastus medialis(1) electrical stimulation(1) thoracic spine(1) thoracic(1) upper(1) calcaneo cuboid(1) brevis(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) calcaneocuboid(1) locking mechanism(1) hip extensor(1) parkinsons(1) hallicis(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) hallucis(1) capsule(1) extensor(1) knee(1) osteoarthritis(1) endurance(1) home

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