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 . . .
Posted in: meridiansmeridianmyofascialdivergenceconvergenceacupuncturetrigger point dry needling courseneurologyspacial summationtemporal summationsummationtemporaldry needlingtpdntrigger point dry needlingneedling
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
Lets follow what I did on a recent post fracture foot
In this series, we will follow the progress of a post surgical, post rehab foot. These are the actual case notes and you can follow my thought process as we move along.
JM presented with left-sided content foot pain. On July 24 she broke her left navicular and cuboid (pretty unusual, as these fractures are rare. Navicular . . .
The Myodural Bridge Guest writer: Mitch Peritz DC
Once again, we are happy to have Dr Peritz write an excellent follow up to his last article (in case you missed it, click here). The next time you have a patient with an upper cervical problem, refer back to this article and think of all the far reaching implications of this often overlooked group.
The sub-occipital muscles (SOM) are . . .
Posted in: obliquus capitis inferiorrectus capitis inferiortrigger point dry needling instructiontpdngonsuboccipitalmusclessuboccipital musclescapitisposteriormajorminorobliquussuperiorinferiordeep needlinglateralisrectusmuscleacupunctureneedling