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Functional Integrative Rehabilitation Education

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The Tib Posterior

 Posterior tibialis tendinitis is a primary soft tissue tendinopathy of the posterior tibialis that leads to altered foot biomechanics. Although the natural history of posterior tibialis tendon dysfunction is not fully known, it has mostly been agreed that it is a progressive disorder.(1)

Silvrback blog imageThe tibialis posterior originates from the . . .

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November 20, 2017

The latissimus

 

The latissimus dorsi is THE functional link between the upper and lower extremity, particularly though its connections with the thoracolumbar fascia (1, 2). Affording itself a large attachment centrally from the T7 to L5 spinouses, laterally to the iliac crest and thoracolumbar fascia, rostrally to the lower 3 or 4 ribs and inferior . . .

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October 23, 2017

EHB

The extensor hallucis brevis : An overlooked "miracle worker"

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!Silvrback blog image

The Extensor Hallicus Brevis, or EHB as we fondly call it (beautifully pictured above causing the  extension (dorsiflexion) of the child’s . . .

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October 09, 2017

The 1st MTP

Functional Anatomy, Trigger Points and More...

Good Morning

 

I just released a new video excerpted from a recent Level 2 TPDN course. It's about one of my favorite articulations, the 1st MTP. One of the most important and most distal joints involved with the gait cycle whose dysfunction leads to a constellation of problems north in the kinetic chain.

 

Enjoy : )

 

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October 02, 2017

Beyond Needling Trigger Points

Beyond the Trigger Point

Many of us needle. We are taught to dry needle trigger points and sometimes (especially in the seminars I teach), to needle the segmental innervation of the muscle involved. But should we do more? I think so, and here is one paper on incorporating needling myofascial meridians along with trigger points that supports . . .

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September 25, 2017

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 . . .

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August 31, 2017

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 . . .

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May 18, 2017

Archive

All Categories: needling(35) tpdn(35) 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) trigger point dry needling seminars(7) gait(7) myofascial(6) trigger point seminar(6) education(6) trigger point dry needling courses(6) peroneus(6) posterior(6) dry needling seminar(6) intramuscular(6) rehabilitation(6) muscle action(6) trigger point dry needling course(6) rectus(5) foot(5) instability(5) clinical exam(5) muscle(5) continuing education(5) femoris(4) seminar(4) dry needling course(4) gluteus medius(4) course(4) vastus intermedius(4) vastus lateralis(4) lumbar(4) muscles(4) lumbar instability(4) lateralis(4) rectus femoris(4) neurology(4) spinal instability(4) exam(4) gluteus maximus(4) vastus(3) 1st mtp(3) dysfunction(3) tibialis(3) chronic(3) stimulation(3) trigger(3) continuing(3) extensor digitorum brevis(3) tibialis posterior(3) gluteus minimus(3) temporal summation(3) spacial summation(3) gon(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) major(2) capitis(2) suboccipital muscles(2) suboccipital(2) levator scapula(2) levator(2) joint(2) glute(2) back(2) low(2) lbp(2) multifidus(2) facilitation(2) fracture(2) cuboid(2) navicular(2) extensor digitorum longus(2) quadratus(2) 1st(2) 1st ray(2) upper(1) gait cycle(1) latissimus dorsi(1) rectus capitis inferior(1) obliquus capitis inferior(1) layers(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) posterior oblique sling(1) psoas(1) oblique(1) sling(1) electrical(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) iliotibial band(1) superficial(1) posterior chain(1) quadratus femoris(1) hip pain(1) test(1) denervation(1) spinal(1) vibration(1) knee(1) sensory nerve fibers(1) osteoarthritis(1) it band(1) fibers(1) nerve(1) hamstring(1) sensory(1) insertional tendinitis(1) tensor fascia lata(1) afferents(1) diameter(1) it(1) large(1) vibratory sense(1) tfl(1) metatarsal phalangeal(1) sense(1) deep(1) extensor(1) hallucis(1) hallicis(1) brevis(1) soleus(1) thoracic(1) vibratory(1) thoracic spine(1) sensation(1) electrical stimulation(1) meridian(1) lift(1) multifidus lift test(1) divergence(1) hip flexor(1) low back pain(1) convergence(1) flexor(1) iliacus(1) vastus medialis(1) greater occipital nerve(1) metatarsal(1) neck(1) phalangeal(1) home

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