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?
. . .
Not just for adduction anymore....
Ah yes... the adductor magnus. A commonly implicated muscle in hip dysfunction to include CAM lesions, femoroacetabular impingement, anterior femoral glide, as well as "hamstring insertional tendonitis" like symptoms (which would specifically be referring to the long head).
You will recall that the adductor magnus consists of . . .
Posted in: hip extensionhiphip flexorpainclinical examgaitdry needlingtpdndry needling instructiontrigger point dry needling coursestrigger point dry needling seminarsneedlingthighrotatorrotationexternalmagnusadductor
you know about this guy?
As you are probably (hopefully?) aware it has its proximal attachment at the anterior-inferior iliac spine and the anterior hip capsule (1), though it does not attach to the labrum (2). Its inserts . . .
...it only takes a minute or 2...
Post needling soreness is a common side effect of dry needling, particularly if multiple twitches are obtained. "Six" twitches seems to be the number of twitches necessary to obtain better clinical results (1). Mitigation of this "post needling soreness" has been explored. One study (2) looked at "spray and stretch" as a way . . .
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: facilitationpsoasiliacushiprehabilitationlargediameterafferentslarge diameter afferentsrehabmuscleglutegluteus maximusgluteus mediusgluteus minimusdorsilatissimus dorsidorsiflexionextensionflexionneedlinghip extensionhip flexorreciprocal inhibitioninhibitionreciprocal
I was treating patient with low back pain that had decreased lumbar endurance the other day utilizing both spinal manipulation and acupuncture, along with endurance based exercise. Incidentally, you should be able to hold a "superman" pose with your arms at your sides for approximately 150 seconds (1). The patient has been continuing to . . .