Screen%20shot%202016-02-17%20at%2010.21.21%20pm_large

Functional Integrative Rehabilitation Education

All Categories: needling(50) tpdn(46) dry needling(33) acupuncture(30) gait(19) trigger point dry needling(17) trigger point dry needling instruction(16) muscle(14) trigger point dry needling seminar(14) rehab(13) dry needling instruction(12) deep needling(11) muscle layers(11) peroneus longus(10) trigger point dry needling seminars(10) dry needling seminar(10) rehabilitation(9) peroneus(9) education(8) gluteus maximus(8) dysfunction(8) intramuscular therapy(8) dry needling course(8) instability(7) gluteus medius(7) trigger point seminar(7) muscle action(7) foot(7) hip(7) intramuscular(7) trigger point dry needling courses(7) posterior(7) gluteus minimus(7) clinical exam(6) trigger point dry needling course(6) myofascial(6) neurology(6) large diameter afferents(6) quadratus(6) vestibular(6) muscles(6) afferents(5) lumbar instability(5) rectus(5) hip flexor(5) continuing education(5) 1st mtp(5) spinal instability(5) proprioception(5) lumbar(5) course(5) sensory(5) seminar(4) exam(4) gluteus(4) sensation(4) suboccipital(4) rectus femoris(4) sternocleidomastoid(4) cervical instability(4) extensor digitorum longus(4) vastus lateralis(4) proprioceptive(4) psoas(4) diameter(4) iliacus(4) flexor(4) stimulation(4) vastus intermedius(4) femoris(4) system(4) lateralis(4) glute(4) extensor digitorum brevis(4) hamstring(4) ankle(4) suboccipital muscles(4) 1st ray(3) trigger(3) exercise(3) superior(3) pain(3) continuing(3) soleus(3) large(3) cervical(3) fibers(3) nerve(3) sensory nerve fibers(3) fiber(3) vastus(3) spacial summation(3) temporal summation(3) ppd(3) extensor hallucis brevis(3) trapezius(3) headaches(3) headache(3) inferior(3) obliquus(3) minor(3) neck(3) major(3) tibialis(3) chronic(3) capitis(3) multifidus(3) cuboid(3) facilitation(3) insertional tendinitis(3) tibialis posterior(3) gait cycle(3) plantae(3) intrinsics(3) scm(3) sterno(3) cleido(3) hip extension(3) hip extensor(3) extensor(3) stabilizer(3) semicircular(3) semi(3) changes(3) mastoid(3) utricle(3) 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) convergence(2) fracture(2) navicular(2) obliquus capitis inferior(2) rectus capitis inferior(2) divergence(2) nucleii(2) latissimus dorsi(2) 1st(2) cerebellum(2) vascular changes(2) quadrates plantae(2) flexor digitorum longus(2) vascular(2) needle(2) balance(2) testing(2) gastroc(2) walking(2) ankle rocker(2) iliocapsularis(2) saccule(2) extension(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) dorsiflexion(2) clinical test(2) hallucis(2) peroneus brevis(2) biomechanics(2) quadratus lumborum(2) coronal(2) lumbricals(2) meridians(2) position(2) it band(2) clinical(2) ehb(2) temporal(2) summation(2) counting(2) spine(2) brevis(2) therapy(2) hallicis(2) circular(2) quadriceps(2) vertigo(2) superficial(2) scalenes(2) rotation(1) rotator(1) origin(1) thigh(1) qp(1) plane(1) dizziness(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) head(1) parkinsons(1) middle(1) canals(1) endurance(1) technique(1) bridge(1) spinal(1) vastus medialis(1) greater occipital nerve(1) flexion(1) dorsi(1) thoracic(1) vision(1) thoracic spine(1) golgi(1) engineering(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) cadence(1) speed(1) electrical stimulation(1) reverse(1) function(1) tendon(1) organ(1) pttd(1) scalaneus(1) tmj(1) temporomandibular(1) temporomandibular joint(1) gracilis(1) lumborum(1) vibration(1) osteoarthritis(1) quadrates lumborum(1) screen(1) sartorius(1) semitendinosis(1) electrical(1) vibratory sense(1) lift(1) multifidus lift test(1) low back pain(1) tendinosis(1) toe(1) sense(1) spacers(1) separators(1) deep(1) vibratory(1) meridian(1) pes(1) denervation(1) quadratus plantae(1) ilio(1) capsularis(1) anserine(1) it(1) terrible(1) quadratus femoris(1) hip pain(1) layers(1) spindle(1) iliotibial band(1) trio(1) spindles(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) test(1) anterior(1) upper(1) tensor fascia lata(1) posterior chain(1) adductor(1) tfl(1) magnus(1) external(1) home

Muscle Spindles and Proprioception

And what have I been saying for years now? 

 

Silvrback blog imageConnected to the nervous system by large diameter afferent (sensory) fibers, muscle spindles are classically thought of as sentinels that appraise the nervous system of vital information like length and rate of change of length of muscle fibers, so that information . . .

Read More

January 17, 2019

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 . . .

Read More

March 05, 2018

The Calcaneo Cuboid Locking Mechanism

Needle those Peroneii!

The Calcaneo Cuboid Locking Mechanism

Do you know what this is? You should if you treat folks who walk or run!

 

It is the mechanism by which the tendon of the peroneus longus travels behind the lateral malleolus of the ankle, travels underfoot, around the cuboid to insert into the lateral aspect of the base of the 1st . . .

Read More

January 29, 2018

More on that post operative fractured foot

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. . . .

Read More

March 14, 2017

A Serial Case

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. 

Silvrback blog image

History:

JM presented with left-sided content foot pain. On July 24 she broke her left navicular and cuboid (pretty unusual, as these fractures are . . .

Read More

February 23, 2017

The Temporalis

 
TMJ problems? Have you needled the temporalis? I find needling this muscle,along with the pterygoids to be paramount in TMJ dysfunction management. It seems that the antagonistic action or yin and yang of these two can solve mant TMY woes. Think of the interplay of the vertical fibers of the temporailis and the vertical fibers of . . .

Read More

October 27, 2016

Ahh, yes... The Trapezius

We all know that needling the trapezius can be a great thing, especially with the typical "J" referral pattern working so well for headache and neck pain. 

We also know there is much literature to be found regarding its efficacy for: mechanical neck pain (1,2), myofascial pain (2-4), range of motion (5), local blood flow (6), . . .

Read More

June 13, 2016

Archive

All Categories: needling(50) tpdn(46) dry needling(33) acupuncture(30) gait(19) trigger point dry needling(17) trigger point dry needling instruction(16) muscle(14) trigger point dry needling seminar(14) rehab(13) dry needling instruction(12) deep needling(11) muscle layers(11) peroneus longus(10) trigger point dry needling seminars(10) dry needling seminar(10) rehabilitation(9) peroneus(9) education(8) gluteus maximus(8) dysfunction(8) intramuscular therapy(8) dry needling course(8) instability(7) gluteus medius(7) trigger point seminar(7) muscle action(7) foot(7) hip(7) intramuscular(7) trigger point dry needling courses(7) posterior(7) gluteus minimus(7) clinical exam(6) trigger point dry needling course(6) myofascial(6) neurology(6) large diameter afferents(6) quadratus(6) vestibular(6) muscles(6) afferents(5) lumbar instability(5) rectus(5) hip flexor(5) continuing education(5) 1st mtp(5) spinal instability(5) proprioception(5) lumbar(5) course(5) sensory(5) seminar(4) exam(4) gluteus(4) sensation(4) suboccipital(4) rectus femoris(4) sternocleidomastoid(4) cervical instability(4) extensor digitorum longus(4) vastus lateralis(4) proprioceptive(4) psoas(4) diameter(4) iliacus(4) flexor(4) stimulation(4) vastus intermedius(4) femoris(4) system(4) lateralis(4) glute(4) extensor digitorum brevis(4) hamstring(4) ankle(4) suboccipital muscles(4) 1st ray(3) trigger(3) exercise(3) superior(3) pain(3) continuing(3) soleus(3) large(3) cervical(3) fibers(3) nerve(3) sensory nerve fibers(3) fiber(3) vastus(3) spacial summation(3) temporal summation(3) ppd(3) extensor hallucis brevis(3) trapezius(3) headaches(3) headache(3) inferior(3) obliquus(3) minor(3) neck(3) major(3) tibialis(3) chronic(3) capitis(3) multifidus(3) cuboid(3) facilitation(3) insertional tendinitis(3) tibialis posterior(3) gait cycle(3) plantae(3) intrinsics(3) scm(3) sterno(3) cleido(3) hip extension(3) hip extensor(3) extensor(3) stabilizer(3) semicircular(3) semi(3) changes(3) mastoid(3) utricle(3) 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) convergence(2) fracture(2) navicular(2) obliquus capitis inferior(2) rectus capitis inferior(2) divergence(2) nucleii(2) latissimus dorsi(2) 1st(2) cerebellum(2) vascular changes(2) quadrates plantae(2) flexor digitorum longus(2) vascular(2) needle(2) balance(2) testing(2) gastroc(2) walking(2) ankle rocker(2) iliocapsularis(2) saccule(2) extension(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) dorsiflexion(2) clinical test(2) hallucis(2) peroneus brevis(2) biomechanics(2) quadratus lumborum(2) coronal(2) lumbricals(2) meridians(2) position(2) it band(2) clinical(2) ehb(2) temporal(2) summation(2) counting(2) spine(2) brevis(2) therapy(2) hallicis(2) circular(2) quadriceps(2) vertigo(2) superficial(2) scalenes(2) rotation(1) rotator(1) origin(1) thigh(1) qp(1) plane(1) dizziness(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) head(1) parkinsons(1) middle(1) canals(1) endurance(1) technique(1) bridge(1) spinal(1) vastus medialis(1) greater occipital nerve(1) flexion(1) dorsi(1) thoracic(1) vision(1) thoracic spine(1) golgi(1) engineering(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) cadence(1) speed(1) electrical stimulation(1) reverse(1) function(1) tendon(1) organ(1) pttd(1) scalaneus(1) tmj(1) temporomandibular(1) temporomandibular joint(1) gracilis(1) lumborum(1) vibration(1) osteoarthritis(1) quadrates lumborum(1) screen(1) sartorius(1) semitendinosis(1) electrical(1) vibratory sense(1) lift(1) multifidus lift test(1) low back pain(1) tendinosis(1) toe(1) sense(1) spacers(1) separators(1) deep(1) vibratory(1) meridian(1) pes(1) denervation(1) quadratus plantae(1) ilio(1) capsularis(1) anserine(1) it(1) terrible(1) quadratus femoris(1) hip pain(1) layers(1) spindle(1) iliotibial band(1) trio(1) spindles(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) test(1) anterior(1) upper(1) tensor fascia lata(1) posterior chain(1) adductor(1) tfl(1) magnus(1) external(1) home

Cover image credit: http://wallpapershacker.com/skulls_sketches_skeletons_spine_drawings_hd-wallpaper-1015286/