Functional Integrative Rehabilitation Education
educational investments that pay clinical dividends
Dr Ivo Waerlop
The QL...in all it's glory
Today we are going to look at what I feel is one of the most important muscles to evaluate and treat with low back pain patients, as well as those with gait and lower extremity disorders.
Let's look at some of the functional anatomy of the QL.
It is useful to think of the QL as having three divisions. Though they can’t act . . .
Posted in: quadratusfacilitationmultifiduslbplowbackdysfunctionmusclesspineintramuscularintramuscular therapyppdlumbartpdntrigger point dry needlingtrigger point dry needling coursestrigger point dry needling seminartrigger point dry needling instruction
The Quadratus Femoris
An often overlooked culprit
We often find clinically that the quadratus femoris as becoming the 1st dysfunctional muscle of the deep 6 external rotators (1) and its pain referral pattern can mimic the piriformis (2) and piriformis syndrome (3) as well as hamstring insertional tendinitis. It has also been implicated in some cases of femoroacetabular . . .
Posted in: gluteus mediusmuscle layersdry needlingtrigger point dry needling seminarstrigger point dry needling instructionneedlinginsertional tendinitishamstringhip painhipacupuncturetpdnquadratus femorisfemorisquadratus
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 . . .
Posted in: extensor digitorum longusextensor digitorum brevisjointdysfunctionstimulationintramuscularintramuscular therapyfootnavicularcuboiddeep needlingmuscle layerstpdnneedlingfracturerehabilitationtrigger point dry needling instructionacupuncture
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.
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 . . .
Posted in: dry needlingneedlingrehabilitationnavicularcuboidfootfracturefacilitationacupuncturetpdntrigger point dry needling instructionextensor digitorum brevisextensor digitorum longus
Return to the Suboccipitals
The Myodural Bridge Guest writer: Mitch Peritz DC
Once again, we are happy to have Dr Peritz write an excellent follow up to his last article (in case you missed it, click here). The next time you have a patient with an upper cervical problem, refer back to this article and think of all the far reaching implications of this often overlooked group.
The sub-occipital muscles (SOM) are . . .
Posted in: obliquus capitis inferiorrectus capitis inferiortrigger point dry needling instructiontpdngonsuboccipitalmusclessuboccipital musclescapitisposteriormajorminorobliquussuperiorinferiordeep needlinglateralisrectusmuscleacupunctureneedling
How's your Iliacus?
Have you thought about the importance of the iliacus? During gait? How about at initial contact and again at pre swing? (1) You realize it will be “turned off” if you have labral pathology, right? (2) Needling can be one way of “turning it back on”.(3)
Check out this brief video of one way to accomplish this.
. . .
Posted in: stimulationmuscle layersdeep needlingspinal instabilitylumbarlumbar instabilityacupuncturedry needlingtpdnneedlinghip flexorflexorhipiliacuspsoas
Those Multifidi....
The multifidi are important proprioceptive sentinels for the low back, as well as the rest of the body, for virtually every activity you do weight bearing, including gait. They are implicated in many instances of low back pain, especially folks with flexion or extension intolerance, since their fiber orientation and thus mechanical advantage . . .
Posted in: tpdntrigger point dry needling instructionneedlinginstabilitybacklowlow back painlbpmultifidus lift testtestliftmultifidus
Cover image credit: http://wallpapershacker.com/skulls_sketches_skeletons_spine_drawings_hd-wallpaper-1015286/