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Functional Integrative Rehabilitation Education

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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. She has . . .

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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 rare. Navicular . . .

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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 the . . .

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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), among a . . .

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June 13, 2016

E Stim and Needling

While flying over the snow capped mountains of Montana, on my way home from teaching a level 1 dry needling course in Vancouver, BC , I saw lots of folks siting, neck flexed forward in a kyphotic posture, watching movies on their iphones and ipads, or playing a game. It made me think of posture and correct my own while writing this piece. We . . .

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May 16, 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

Archive

All Categories: needling(31) tpdn(30) dry needling(23) acupuncture(23) trigger point dry needling(15) trigger point dry needling instruction(11) deep needling(9) dry needling instruction(8) muscle layers(8) trigger point dry needling seminar(7) intramuscular therapy(7) rehab(7) dry needling seminar(6) education(6) trigger point seminar(6) peroneus longus(6) intramuscular(6) muscle action(6) rehabilitation(6) peroneus(5) clinical exam(5) myofascial(5) trigger point dry needling course(5) instability(5) muscle(5) rectus(5) trigger point dry needling courses(5) continuing education(5) trigger point dry needling seminars(5) lateralis(4) seminar(4) lumbar(4) vastus lateralis(4) femoris(4) course(4) exam(4) rectus femoris(4) posterior(4) foot(4) gluteus medius(4) gait(4) dry needling course(4) vastus intermedius(4) trigger(3) spinal instability(3) continuing(3) vastus(3) dysfunction(3) chronic(3) gluteus maximus(3) stimulation(3) gluteus minimus(3) lumbar instability(3) muscles(3) neurology(3) glute(2) obliquus(2) gon(2) quadratus(2) suboccipital(2) superior(2) spine(2) cuboid(2) inferior(2) counting(2) spacial summation(2) hip(2) gluteus(2) levator scapula(2) facilitation(2) shoulder pain(2) clinical(2) ankle(2) trapezius(2) low(2) fiber(2) changes(2) large diameter afferents(2) back(2) joint(2) major(2) cai(2) multifidus(2) quadriceps(2) minor(2) ppd(2) lbp(2) navicular(2) extensor digitorum brevis(2) temporal summation(2) cervical instability(2) fracture(2) therapy(2) extensor digitorum longus(2) headache(2) headaches(2) shoulder(2) cervical(2) pain(2) levator(2) vascular(2) scapula(2) vascular changes(2) capitis(2) suboccipital muscles(2) multifidus lift test(1) vibration(1) extensor(1) vibratory sense(1) flexor(1) fibers(1) sense(1) brevis(1) electrical stimulation(1) it band(1) it(1) obliquus capitis inferior(1) psoas(1) knee(1) sensation(1) test(1) vastus medialis(1) thoracic(1) temporal(1) large(1) lift(1) ehb(1) low back pain(1) extensor hallucis brevis(1) tibialis posterior(1) hip flexor(1) spinal(1) soleus(1) scalene(1) deep(1) layers(1) sensory nerve fibers(1) cadence(1) hallucis(1) hallicis(1) denervation(1) sensory(1) speed(1) tmj(1) temporomandibular(1) hamstring(1) middle(1) temporomandibular joint(1) osteoarthritis(1) neck(1) greater occipital nerve(1) scalenes(1) tfl(1) pttd(1) summation(1) quadratus femoris(1) thoracic spine(1) anterior(1) iliacus(1) scalaneus(1) tensor fascia lata(1) hip pain(1) vibratory(1) nerve(1) tibialis(1) electrical(1) afferents(1) rectus capitis inferior(1) iliotibial band(1) insertional tendinitis(1) diameter(1) upper(1) superficial(1) meridians(1) home

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