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Functional Integrative Rehabilitation Education

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The Adductor Magnus

Not just for adduction anymore....

Silvrback blog imageAh yes... the adductor magnus. A commonly implicated muscle in hip dysfunction to include CAM lesions, femoroacetabular impingement, anterior femoral glide, as well as "hamstring insertional tendonitis" like symptoms (which would specifically be referring to the long head). 

You will recall that the adductor magnus consists of . . .

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June 06, 2018

Iliocapsularis update

you know about this guy?

I have written before about one of my favorite muscles for dysfunctional hips, the iliocapsularis. See here and here to catch up.

 

Silvrback blog imageAs you are probably (hopefully?) aware it has its proximal attachment at the anterior-inferior iliac spine and the anterior hip capsule (1), though it does not attach to the labrum (2). Its inserts . . .

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May 22, 2018

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 . . .

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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 . . .

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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 . . .

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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 . . .

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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 . . .

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May 18, 2017

Archive

All Categories: needling(47) tpdn(42) dry needling(29) acupuncture(29) gait(18) trigger point dry needling(16) trigger point dry needling instruction(14) trigger point dry needling seminar(13) dry needling instruction(12) deep needling(11) rehab(11) muscle(10) muscle layers(10) dry needling seminar(10) trigger point dry needling seminars(10) peroneus longus(10) peroneus(9) rehabilitation(8) gluteus maximus(8) education(8) dry needling course(8) muscle action(7) foot(7) trigger point seminar(7) intramuscular therapy(7) hip(7) gluteus medius(7) gluteus minimus(7) trigger point dry needling courses(7) dysfunction(7) posterior(7) clinical exam(6) quadratus(6) intramuscular(6) myofascial(6) trigger point dry needling course(6) instability(5) course(5) hip flexor(5) continuing education(5) 1st mtp(5) rectus(5) muscles(5) gluteus(4) psoas(4) iliacus(4) suboccipital muscles(4) suboccipital(4) femoris(4) vastus intermedius(4) lumbar(4) lateralis(4) large diameter afferents(4) spinal instability(4) neurology(4) lumbar instability(4) glute(4) vastus lateralis(4) rectus femoris(4) exam(4) seminar(4) ankle(4) afferents(3) trigger(3) superior(3) pain(3) flexor(3) continuing(3) soleus(3) large(3) fibers(3) nerve(3) sensory(3) fiber(3) vastus(3) spacial summation(3) temporal summation(3) ppd(3) stimulation(3) extensor hallucis brevis(3) trapezius(3) headaches(3) headache(3) inferior(3) obliquus(3) minor(3) major(3) tibialis(3) chronic(3) capitis(3) multifidus(3) cuboid(3) extensor digitorum longus(3) extensor digitorum brevis(3) facilitation(3) hamstring(3) tibialis posterior(3) gait cycle(3) 1st ray(3) plantae(3) intrinsics(3) hip extension(3) sterno(2) cleido(2) mastoid(2) ankle rocker(2) shoulder(2) hip extensor(2) scapula(2) joint(2) vascular(2) iliocapsularis(2) cai(2) extension(2) therapy(2) hallicis(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) spine(2) back(2) changes(2) low(2) latissimus dorsi(2) 1st(2) dorsiflexion(2) lbp(2) neck(2) exercise(2) quadriceps(2) walking(2) sensory nerve fibers(2) hallucis(2) extensor(2) quadrates plantae(2) flexor digitorum longus(2) gon(2) scm(2) vascular changes(2) counting(2) diameter(2) summation(2) temporal(2) brevis(2) sternocleidomastoid(2) clinical(2) it band(2) fracture(2) cervical instability(2) cervical(2) navicular(2) obliquus capitis inferior(2) meridians(2) sensation(2) vestibular(2) rectus capitis inferior(2) system(2) shoulder pain(2) levator scapula(2) gastroc(2) ehb(2) levator(2) proprioception(2) semicircular(1) qp(1) needle(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) parkinsons(1) endurance(1) proprioceptive(1) technique(1) bridge(1) canals(1) flexion(1) dorsi(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) clinical test(1) coronal(1) stabilizer(1) peroneus brevis(1) reverse(1) function(1) lumborum(1) spinal(1) test(1) denervation(1) vibration(1) vibratory sense(1) sense(1) deep(1) vibratory(1) quadrates lumborum(1) quadratus lumborum(1) screen(1) toe(1) meridian(1) divergence(1) convergence(1) thoracic(1) layers(1) thoracic spine(1) electrical stimulation(1) iliotibial band(1) tensor fascia lata(1) spacers(1) separators(1) biomechanics(1) vastus medialis(1) greater occipital nerve(1) quadratus plantae(1) lumbricals(1) ilio(1) capsularis(1) adductor(1) upper(1) tfl(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) magnus(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) external(1) knee(1) osteoarthritis(1) rotation(1) rotator(1) lift(1) multifidus lift test(1) low back pain(1) thigh(1) vision(1) plane(1) it(1) electrical(1) head(1) position(1) quadratus femoris(1) hip pain(1) insertional tendinitis(1) superficial(1) utricle(1) saccule(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) balance(1) semi(1) testing(1) posterior chain(1) circular(1) engineering(1) home

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