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Functional Integrative Rehabilitation Education

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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

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 as . . .

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January 11, 2017

Archive

All Categories: tpdn(34) needling(34) dry needling(26) acupuncture(25) trigger point dry needling(16) trigger point dry needling instruction(12) trigger point dry needling seminar(9) muscle layers(9) deep needling(9) dry needling instruction(9) rehab(7) intramuscular therapy(7) peroneus longus(7) gait(7) trigger point seminar(6) myofascial(6) education(6) trigger point dry needling courses(6) trigger point dry needling seminars(6) peroneus(6) intramuscular(6) dry needling seminar(6) rehabilitation(6) muscle action(6) trigger point dry needling course(6) rectus(5) posterior(5) continuing education(5) foot(5) instability(5) muscle(5) clinical exam(5) muscles(4) seminar(4) dry needling course(4) gluteus maximus(4) course(4) gluteus medius(4) lumbar(4) spinal instability(4) rectus femoris(4) lumbar instability(4) lateralis(4) vastus lateralis(4) neurology(4) femoris(4) vastus intermedius(4) exam(4) chronic(3) 1st mtp(3) trigger(3) stimulation(3) continuing(3) extensor digitorum brevis(3) dysfunction(3) temporal summation(3) spacial summation(3) vastus(3) gluteus minimus(3) facilitation(2) superior(2) pain(2) hip(2) changes(2) vascular(2) vascular changes(2) ppd(2) counting(2) summation(2) temporal(2) clinical(2) cervical instability(2) cervical(2) meridians(2) large diameter afferents(2) fiber(2) ehb(2) gluteus(2) extensor hallucis brevis(2) spine(2) therapy(2) quadriceps(2) inferior(2) headaches(2) obliquus(2) minor(2) headache(2) trapezius(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) ankle(2) tibialis(2) major(2) capitis(2) suboccipital muscles(2) suboccipital(2) gon(2) levator scapula(2) levator(2) joint(2) glute(2) back(2) low(2) lbp(2) multifidus(2) fracture(2) cuboid(2) navicular(2) extensor digitorum longus(2) quadratus(2) tibialis posterior(2) 1st(2) 1st ray(2) upper(1) psoas(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) it band(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) gait cycle(1) rectus capitis inferior(1) obliquus capitis inferior(1) test(1) it(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) latissimus dorsi(1) posterior oblique sling(1) oblique(1) spinal(1) vibration(1) denervation(1) sensory nerve fibers(1) fibers(1) sling(1) nerve(1) electrical(1) quadratus femoris(1) sensory(1) afferents(1) knee(1) diameter(1) osteoarthritis(1) tensor fascia lata(1) large(1) vibratory sense(1) hip pain(1) sense(1) deep(1) hamstring(1) tfl(1) vibratory(1) sensation(1) extensor(1) hallucis(1) hallicis(1) brevis(1) insertional tendinitis(1) thoracic(1) meridian(1) thoracic spine(1) divergence(1) electrical stimulation(1) convergence(1) soleus(1) superficial(1) layers(1) hip flexor(1) flexor(1) iliotibial band(1) lift(1) multifidus lift test(1) vastus medialis(1) greater occipital nerve(1) low back pain(1) neck(1) iliacus(1) home

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