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
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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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 . . .
As people who needle, we often emphasize needling the paraspinal muscles associated with the segemental innervation of the peripheral muscle you are needling. For example, you may needle the L2-L4 paraspinals (ie: femoral nerve distribution) along with the quads, or perhaps the C2 PPD’s along with the suboccipitals. We do this to . . .
Posted in: examclinical examtemporalsummationtemporal summationspacial summationneurologyacupuncturedry needlingtpdntrigger point dry needlingneedlingdenervationppdlumbar instabilitycervical instabilitylumbarcervicalspinal instabilityspinalinstability