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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

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

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

The Tibialis Posterior. Did you know...

Lets take another look at the tibialis posterior

As clinicians , we often needle and treat the tibialis posterior for posterior tibial tendon dysfunction, platar fasicits, patellofemoral joint pain, and a host of other conditions. Lets take a look at some of the anatomy and see why it is a big player in these conditions.

The tibialis posterior . . .

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October 31, 2016

3 Points for Ankle Instability..

Not EXACTLY trigger point dry needling, but a form of needling nonetheless

 

 

In this study (1) they stimulated 3 points: ST41, BL60 and GB40. Take a look at their locations (above). ST41 (2) is at the base of the long extensor tendons; gee, we never emphasize long extensor function, do we? GB 40 is at the lateral malleolus between the peroneus longus/brevis and peroneus tertius; how important are these . . .

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October 24, 2016

The Extensor Hallucis Brevis

A primary descender of the 1st ray

Look at this beautiful muscle in a foot that has not yet been exposed to hard planar surfaces and shoes that limit or alter motion! 

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The Extensor Hallicus Brevis, or EHB  (beautifully pictured above causing the  extension (dorsiflexion) of the my son's proximal big toe) is an important muscle for descending the distal . . .

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May 02, 2016

Dry Needling and Autonomic Changes

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Leg Pain? Are you SURE its a disc?

Gluteus minimus dysfunction is often present in gait disorders, including stance phase mechanical problems, since it fires from initial contact through pre swing, like it better known counterpart, the gluteus medius. It is interesting that the trigger point referral pattern of the gluteus minimus has a . . .

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April 14, 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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