We remember that we have 3 systems that keep us upright in the gravitational plane: The visual system, The vestibular system and the proprioceptive system. As we age, we seem to become more dependent upon the visual system to maintain stability of the head (which is largely under the purview of the vestibular system). Older folks seem . . .
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Posterior tibialis tendinitis is a primary soft tissue tendinopathy of the posterior tibialis that leads to altered foot biomechanics. Although the natural history of posterior tibialis tendon dysfunction is not fully known, it has mostly been agreed that it is a progressive disorder.(1)
The tibialis posterior originates from the . . .
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 . . .
Posted in: musclesmuscle layersperoneusperoneus longusdry needlingdry needling instructiontrigger point dry needling coursestrigger point dry needling seminarsneedling1st ray1st mtp1sttibialis posteriortibialis
The latissimus dorsi is THE functional link between the upper and lower extremity, particularly though its connections with the thoracolumbar fascia (1, 2). Affording itself a large attachment centrally from the T7 to L5 spinouses, laterally to the iliac crest and thoracolumbar fascia, rostrally to the lower 3 or 4 ribs and inferior . . .
Beyond the Trigger Point
Many of us needle. We are taught to dry needle trigger points and sometimes (especially in the seminars I teach), to needle the segmental innervation of the muscle involved. But should we do more? I think so, and here is one paper on incorporating needling myofascial meridians along with trigger points that supports . . .
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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 . . .
Posted in: gluteus mediusmuscle layersdry needlingtrigger point dry needling seminarstrigger point dry needling instructionneedlinginsertional tendinitishamstringhip painhipacupuncturetpdnquadratus femorisfemorisquadratus
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