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Functional Integrative Rehabilitation Education

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The 1st Ray; the NEW Superhero?

Does the 1st ray complex have super powers? Perhaps Marvel should consider a new superhero

“Ray”? We are not sure but here is a story that gets us one step closer to the answer. 

 

While teaching a Level 1 Dry Needling course this past weekend (if you were there, then this will be

a review; if not, then read on) and . . .

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November 08, 2017

The Quadratus Femoris

An often overlooked culprit

We often find clinically that the quadratus femoris as becoming the 1st dysfunctional muscle of the deep 6 external rotators (1) and its pain referral pattern can mimic the piriformis (2) and piriformis syndrome (3) as well as hamstring insertional tendinitis.  It has also been implicated in some cases of femoroacetabular . . .

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May 18, 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

How's your Iliacus?

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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February 09, 2017

Acupuncture, Dry Needling and Ankle Instability

Acupuncture/Dry Needling and Proprioception. A Winning combination.


What a great combination of therapies for folks with chronic ankle instability, or almost any injury for that matter! Taking 2 modalities that emphasize afferent input from the peripheral mechanoreceptor system, which has such a large influence on the cerebellum as well as . . .

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January 11, 2017

The Glutes, Part 3

Here is the part you have been waiting for… In case you missed parts one and two, click here and here. 

Functional Perspectives

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 . . .

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December 19, 2016

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

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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