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 . . .
Posted in: quadratusfacilitationmultifiduslbplowbackdysfunctionmusclesspineintramuscularintramuscular therapyppdlumbartpdntrigger point dry needlingtrigger point dry needling coursestrigger point dry needling seminartrigger point dry needling instruction
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 . . .
Posted in: extensor digitorum longusextensor digitorum brevisjointdysfunctionstimulationintramuscularintramuscular therapyfootnavicularcuboiddeep needlingmuscle layerstpdnneedlingfracturerehabilitationtrigger point dry needling instructionacupuncture
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 . . .
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 . . .
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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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 . . .
Posted in: trapeziusheadacheheadachesintramusculartherapyintramuscular therapyrehabilitationacupuncturerehabseminardry needlingtpdntrigger point dry needlingdry needling instructionneedlingtrigger point dry needling seminartrigger
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 . . .
Posted in: rehabilitationdeep needlinglarge diameter afferentstemporal summationspacial summationacupuncturemyofascialdry needlingtpdntrigger point dry needlingtrigger point seminardry needling instructiondry needling seminareducationneedlingintramuscular therapytherapyintramuscularelectrical stimulationstimulationelectricalthoracic spinespinethoracic