beware the gooses foot...
Recalcitrant knee pain just below the medial tibial plateau? Worse with sprints, hills and after running a while? It may be the pes anserine insertion(s).
Made up of the tibial insertions, from anterior to posterior, of the sartorius, gracilis and semitendinosis which lie superficial to the distal tibial insertion of the . . .
Posted in: anserinecoronaldry needlinggracilishamstringinsertional tendinitiskneemusclemuscle layersneedlingpessartoriussemisemitendinosisstabilizersuperficialtendinosisterribletpdntrigger point dry needlingtrio
I have recently run across some research that has changed the way we look at some of the rehab I do, especially proprioceptive rehab. Perhaps it will do the same for you. We already know that needling can effect balance and proprioception, from some of the articles I have written here, here and here.
Traditionally, we present . . .
Posted in: afferentsbalancecervical instabilitychangesdiameterdry needlingdysfunctioninstabilitylarge diameter afferentslumbarlumbar instabilitymuscleneedlingproprioceptionproprioceptivequadratus lumborumsensationsensoryspinal instabilitysternocleidomastoidsystemtpdnvestibular
Do you do manual muscle testing on your patients before needling?
We all evaluate our patients; hopefully on the table as well as observation while weight bearing. Here is some food for thought...
When your patient or client is lying on the table (or wherever you are evaluating them), do you pay attention to where their head is in space (ie the position of their head)? Why should you care?
. . .
A Case for “Reverse Engineering”
You have often heard me say in my classes: “think of muscle function from a closed kinetic chain perspective”. In other words, the muscle (in the case of gait) working from the foot (or ground) up. Here is a study exemplifying this with the tibialis anterior and peroneus . . .
Gaining Anterior Length, Through Posterior Strength and vice versa….A Lesson in Reciprocal Inhibition
I found a really cool article, quite by accident. I was leafing through an older copy of one of my favorite journals “Lower Extremity Review” and there it was. An article entitled “Athletes with hip flexor tightness have reduced gluteus maximus activation”. Wow, I thought! Now there is a great . . .
Posted in: afferentsdiameterdorsidorsiflexionextensionfacilitationflexionglutegluteus maximusgluteus mediusgluteus minimushiphip extensionhip flexoriliacusinhibitionlargelarge diameter afferentslatissimus dorsimuscleneedlingpsoasreciprocalreciprocal inhibitionrehabrehabilitation
Get the most out of what you do!
When it comes to needling and exercise, proprioception is King.
What is proprioception? It is body position awareness; ie: knowing what your limbs are doing without having to look at them. We talk about this all the time in our seminars. Some studies use specific points, others general ones, but they boil down to "needling . . .
If you needle, you should know plenty...
This is a nice study looking at lateral gastroc activity and changing firing patterns with speed of movement. Great if you treat anyone or anything that walks...
You remember them, large diameter afferent (sensory) fibers coming from muscle spindles and appraising the nervous system of vital . . .
Posted in: afferentsankledeep needlingdysfunctionfiberfibersgaitgastrocgastrocnemiuslargelarge diameter afferentsmuscleneedlingnerveppdsensationsensorysensory nerve fiberssoleustrigger point dry needling seminars