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.
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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 as . . .
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 influenced by . . .
Beautiful Glutes: Part 2
We are going to get a little techie here. Hang in there! If you missed part one, click here to go back and read it.
There are a paucity of studies on gluteal function during gait, but here is what is out there.
The upper and lower portions of the glute max shows activity at initial contact and near the . . .
what sensation should you check and why?
What is the most important sensory modality to test and why? Pain? Motor? Sensation?
Posted in: dry needlingcontinuing educationneedlingsensory nerve fibersfiberfibersnervesensoryclinical examclinicalexamlarge diameter afferentsafferentsdiameterlargevibratory sensesenseneurologyeducationvibratoryvibrationsensation