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Functional Integrative Rehabilitation Education

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The Terrible Trio

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).

Silvrback blog imageMade 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 . . .

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October 27, 2018

Are we rehabbing the right system?

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


Silvrback blog imageTraditionally, we present . . .

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August 30, 2018

Dry Needling and Muscle testing

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?
. . .

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June 28, 2018

The Adductor Magnus

Not just for adduction anymore....

Silvrback blog imageAh 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 . . .

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June 06, 2018

Iliocapsularis update

you know about this guy?

I have written before about one of my favorite muscles for dysfunctional hips, the iliocapsularis. See here and here to catch up.

 

Silvrback blog imageAs 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 . . .

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May 22, 2018

Ischemic compression and Dry Needling

...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 . . .

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March 21, 2018

Reciprocal Inhibition?

Gaining Anterior Length, Through Posterior Strength and vice versa….A Lesson in Reciprocal Inhibition

 

 

Silvrback blog imageI 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 . . .

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March 05, 2018

Archive

All Categories: needling(49) tpdn(45) dry needling(31) acupuncture(30) gait(18) trigger point dry needling(17) trigger point dry needling instruction(15) trigger point dry needling seminar(14) dry needling instruction(12) muscle(12) rehab(11) muscle layers(11) deep needling(11) dry needling seminar(10) peroneus longus(10) trigger point dry needling seminars(10) peroneus(9) gluteus maximus(8) dysfunction(8) education(8) rehabilitation(8) dry needling course(8) intramuscular therapy(7) muscle action(7) hip(7) gluteus medius(7) gluteus minimus(7) trigger point seminar(7) trigger point dry needling courses(7) foot(7) posterior(7) myofascial(6) instability(6) trigger point dry needling course(6) intramuscular(6) clinical exam(6) quadratus(6) hip flexor(5) large diameter afferents(5) 1st mtp(5) lumbar(5) continuing education(5) spinal instability(5) vestibular(5) muscles(5) lumbar instability(5) course(5) rectus(5) hamstring(4) psoas(4) glute(4) ankle(4) seminar(4) suboccipital(4) suboccipital muscles(4) cervical instability(4) vastus lateralis(4) vastus intermedius(4) femoris(4) rectus femoris(4) exam(4) neurology(4) sternocleidomastoid(4) lateralis(4) sensory(4) afferents(4) gluteus(4) iliacus(4) cervical(3) stimulation(3) obliquus(3) system(3) large(3) extensor hallucis brevis(3) mastoid(3) pain(3) soleus(3) inferior(3) continuing(3) proprioception(3) flexor(3) tibialis(3) chronic(3) trapezius(3) vastus(3) trigger(3) capitis(3) headaches(3) multifidus(3) facilitation(3) spacial summation(3) temporal summation(3) diameter(3) ppd(3) sensation(3) major(3) changes(3) cuboid(3) superior(3) gait cycle(3) tibialis posterior(3) neck(3) headache(3) extensor digitorum brevis(3) fibers(3) plantae(3) nerve(3) intrinsics(3) scm(3) sensory nerve fibers(3) extensor digitorum longus(3) minor(3) sterno(3) cleido(3) fiber(3) hip extension(3) 1st ray(3) spine(2) walking(2) exercise(2) balance(2) superficial(2) vertigo(2) vascular(2) vascular changes(2) counting(2) summation(2) temporal(2) clinical(2) it band(2) meridians(2) ehb(2) brevis(2) therapy(2) hallicis(2) quadriceps(2) scalenes(2) scalene(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) knee(2) gon(2) levator scapula(2) levator(2) joint(2) back(2) low(2) lbp(2) fracture(2) navicular(2) obliquus capitis inferior(2) rectus capitis inferior(2) insertional tendinitis(2) latissimus dorsi(2) 1st(2) quadrates plantae(2) flexor digitorum longus(2) gastroc(2) ankle rocker(2) hip extensor(2) proprioceptive(2) iliocapsularis(2) extension(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) dorsiflexion(2) clinical test(2) hallucis(2) extensor(2) stabilizer(2) quadratus lumborum(2) coronal(2) semi(2) semicircular(2) utricle(2) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) denervation(1) spinal(1) saccule(1) circular(1) vibration(1) posterior chain(1) vibratory sense(1) sense(1) deep(1) canals(1) terrible(1) vibratory(1) meridian(1) qp(1) needle(1) divergence(1) convergence(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) tfl(1) parkinsons(1) layers(1) vision(1) endurance(1) plane(1) technique(1) bridge(1) it(1) testing(1) iliotibial band(1) dizziness(1) flexion(1) dorsi(1) cerebellum(1) nucleii(1) engineering(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) trio(1) peroneus brevis(1) reverse(1) function(1) electrical(1) gracilis(1) sartorius(1) semitendinosis(1) lumborum(1) quadrates lumborum(1) screen(1) toe(1) spacers(1) separators(1) biomechanics(1) quadratus plantae(1) lumbricals(1) ilio(1) capsularis(1) tendinosis(1) osteoarthritis(1) pes(1) adductor(1) temporomandibular joint(1) temporomandibular(1) magnus(1) tmj(1) lift(1) multifidus lift test(1) low back pain(1) pttd(1) external(1) speed(1) rotation(1) rotator(1) cadence(1) middle(1) anterior(1) scalaneus(1) upper(1) greater occipital nerve(1) thigh(1) tensor fascia lata(1) head(1) vastus medialis(1) position(1) quadratus femoris(1) hip pain(1) anserine(1) test(1) electrical stimulation(1) thoracic spine(1) thoracic(1) metatarsal phalangeal(1) home

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