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 . . .
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 . . .
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 . . .
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 . . .
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!
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 . . .
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 . . .