Screen%20shot%202016-02-17%20at%2010.21.21%20pm_large

Functional Integrative Rehabilitation Education

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

More QT on the QP....

Needle, needle, needle....

You may have seen my last post on the QP. If not, see here. 

 "Thus, the tendon and tendinous slips of the FHL may distribute the load of the great toe to the second toe to the third or fourth toe in the forefoot, especially during toe-off. In addition, the main attachment of the QP to the tendinous slips of the FHL may provide more . . .

Read More

January 08, 2018

The QT on the QP

Quadratus Plantae

Possibly heard of, rarely implicated and not often treated, this is one muscle you should consider taking a look at. 

 

Silvrback blog imageThe quadratus plantae is generally considered to arise from two heads of differing and variable  fiber type composition, with the lateral head having slightly more Type 1 endurance fibers (1) The two heads are . . .

Read More

January 02, 2018

EHB

The extensor hallucis brevis : An overlooked "miracle worker"

Look at this beautiful muscle in a foot that has not yet been exposed to hard planar surfaces and shoes that limit or alter motion!Silvrback blog image

The Extensor Hallicus Brevis, or EHB as we fondly call it (beautifully pictured above causing the  extension (dorsiflexion) of the child’s . . .

Read More

October 09, 2017

More on that post operative fractured foot

the second article in a series

 

This is part 2 of a series following a case. If you missed part 1, please go here and read what we found. 

The patient returns 1 week later and reports being approximately 25% improved. She has been performing her "toes up" exercises while walking all the time. She is having some difficulty still with balance. She has . . .

Read More

March 14, 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 . . .

Read More

February 23, 2017

A little more on the tibialis posterior....

A little more on the tibialis posterior (or any tendon for that matter)....

On my way back from Vancouver, BC, I am reminded of the many muscles we needle frequently, and some of our clinical discussions over the weekend.

We tend to think of the etiology of tendinopathies as being overuse or biomecanically stressful situations, which are often . . .

Read More

November 07, 2016

The Extensor Hallucis Brevis

A primary descender of the 1st ray

Look at this beautiful muscle in a foot that has not yet been exposed to hard planar surfaces and shoes that limit or alter motion! 

loading....loading....

The Extensor Hallicus Brevis, or EHB  (beautifully pictured above causing the  extension (dorsiflexion) of the my son's proximal big toe) is an important muscle for descending the distal . . .

Read More

May 02, 2016

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

Cover image credit: http://wallpapershacker.com/skulls_sketches_skeletons_spine_drawings_hd-wallpaper-1015286/