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Functional Integrative Rehabilitation Education

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The QL...in all it's glory

Today we are going to look at what I feel is one of the most important muscles to evaluate and treat with low back pain patients, as well as those with gait and lower extremity disorders. 

Let's look at some of the functional anatomy of the QL.

It is useful to think of the QL as having three divisions. Though they can’t act . . .

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August 31, 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 . . .

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March 14, 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 . . .

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November 07, 2016

The Tibialis Posterior. Did you know...

Lets take another look at the tibialis posterior

As clinicians , we often needle and treat the tibialis posterior for posterior tibial tendon dysfunction, platar fasicits, patellofemoral joint pain, and a host of other conditions. Lets take a look at some of the anatomy and see why it is a big player in these conditions.

The tibialis posterior . . .

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October 31, 2016

The Levator Scapula

levator scapula: from Ivo Waerlop on Vimeo.

From its proximal attachment to the upper 4 cervical transverse processes to its distal attachment to the superior medial border of the scapula, this muscle has multiple actions:

  • elevating the scapula
  • tipping the glenoid downward
  • ipsilateral rotation of the cervical spine
  • ipsilateral flexion . . .

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September 29, 2016

Ahh, yes... The Trapezius

We all know that needling the trapezius can be a great thing, especially with the typical "J" referral pattern working so well for headache and neck pain. 

We also know there is much literature to be found regarding its efficacy for: mechanical neck pain (1,2), myofascial pain (2-4), range of motion (5), local blood flow (6), among a . . .

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June 13, 2016

E Stim and Needling

While flying over the snow capped mountains of Montana, on my way home from teaching a level 1 dry needling course in Vancouver, BC , I saw lots of folks siting, neck flexed forward in a kyphotic posture, watching movies on their iphones and ipads, or playing a game. It made me think of posture and correct my own while writing this piece. We . . .

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May 16, 2016

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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