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

Functional Integrative Rehabilitation Education

All Categories: needling(47) tpdn(42) dry needling(29) acupuncture(29) gait(18) trigger point dry needling(16) trigger point dry needling instruction(14) trigger point dry needling seminar(13) dry needling instruction(12) deep needling(11) rehab(11) muscle(10) muscle layers(10) dry needling seminar(10) trigger point dry needling seminars(10) peroneus longus(10) peroneus(9) rehabilitation(8) gluteus maximus(8) education(8) dry needling course(8) muscle action(7) foot(7) trigger point seminar(7) intramuscular therapy(7) hip(7) gluteus medius(7) gluteus minimus(7) trigger point dry needling courses(7) dysfunction(7) posterior(7) clinical exam(6) quadratus(6) intramuscular(6) myofascial(6) trigger point dry needling course(6) instability(5) course(5) hip flexor(5) continuing education(5) 1st mtp(5) rectus(5) muscles(5) gluteus(4) psoas(4) iliacus(4) suboccipital muscles(4) suboccipital(4) femoris(4) vastus intermedius(4) lumbar(4) lateralis(4) large diameter afferents(4) spinal instability(4) neurology(4) lumbar instability(4) glute(4) vastus lateralis(4) rectus femoris(4) exam(4) seminar(4) ankle(4) afferents(3) trigger(3) superior(3) pain(3) flexor(3) continuing(3) soleus(3) large(3) fibers(3) nerve(3) sensory(3) fiber(3) vastus(3) spacial summation(3) temporal summation(3) ppd(3) stimulation(3) extensor hallucis brevis(3) trapezius(3) headaches(3) headache(3) inferior(3) obliquus(3) minor(3) major(3) tibialis(3) chronic(3) capitis(3) multifidus(3) cuboid(3) extensor digitorum longus(3) extensor digitorum brevis(3) facilitation(3) hamstring(3) tibialis posterior(3) gait cycle(3) 1st ray(3) plantae(3) intrinsics(3) hip extension(3) sterno(2) cleido(2) mastoid(2) ankle rocker(2) shoulder(2) hip extensor(2) scapula(2) joint(2) vascular(2) iliocapsularis(2) cai(2) extension(2) therapy(2) hallicis(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) spine(2) back(2) changes(2) low(2) latissimus dorsi(2) 1st(2) dorsiflexion(2) lbp(2) neck(2) exercise(2) quadriceps(2) walking(2) sensory nerve fibers(2) hallucis(2) extensor(2) quadrates plantae(2) flexor digitorum longus(2) gon(2) scm(2) vascular changes(2) counting(2) diameter(2) summation(2) temporal(2) brevis(2) sternocleidomastoid(2) clinical(2) it band(2) fracture(2) cervical instability(2) cervical(2) navicular(2) obliquus capitis inferior(2) meridians(2) sensation(2) vestibular(2) rectus capitis inferior(2) system(2) shoulder pain(2) levator scapula(2) gastroc(2) ehb(2) levator(2) proprioception(2) semicircular(1) qp(1) needle(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) parkinsons(1) endurance(1) proprioceptive(1) technique(1) bridge(1) canals(1) flexion(1) dorsi(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) clinical test(1) coronal(1) stabilizer(1) peroneus brevis(1) reverse(1) function(1) lumborum(1) spinal(1) test(1) denervation(1) vibration(1) vibratory sense(1) sense(1) deep(1) vibratory(1) quadrates lumborum(1) quadratus lumborum(1) screen(1) toe(1) meridian(1) divergence(1) convergence(1) thoracic(1) layers(1) thoracic spine(1) electrical stimulation(1) iliotibial band(1) tensor fascia lata(1) spacers(1) separators(1) biomechanics(1) vastus medialis(1) greater occipital nerve(1) quadratus plantae(1) lumbricals(1) ilio(1) capsularis(1) adductor(1) upper(1) tfl(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) magnus(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) external(1) knee(1) osteoarthritis(1) rotation(1) rotator(1) lift(1) multifidus lift test(1) low back pain(1) thigh(1) vision(1) plane(1) it(1) electrical(1) head(1) position(1) quadratus femoris(1) hip pain(1) insertional tendinitis(1) superficial(1) utricle(1) saccule(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) balance(1) semi(1) testing(1) posterior chain(1) circular(1) engineering(1) home

Iliocapsularis update

you know about this guy?

I have written before about one of my favorite muscles for dysfunctional hips, the iliocapsularis. See here and here to catch up.

 

Silvrback blog imageAs you are probably (hopefully?) aware it has its proximal attachment at the anterior-inferior iliac spine and the anterior hip capsule (1), though it does not attach to the labrum (2). Its inserts . . .

Read More

May 22, 2018

The SCM and Gait

We remember that we have 3 systems that keep us upright in the gravitational plane: The visual system, The vestibular system and the proprioceptive system. As we age, we seem to become more dependent upon the visual system to maintain stability of the head (which is largely under the purview of the vestibular system).  Older folks seem . . .

Read More

January 12, 2018

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 . . .

Read More

October 02, 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 . . .

Read More

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 . . .

Read More

May 18, 2017

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

Archive

All Categories: needling(47) tpdn(42) dry needling(29) acupuncture(29) gait(18) trigger point dry needling(16) trigger point dry needling instruction(14) trigger point dry needling seminar(13) dry needling instruction(12) deep needling(11) rehab(11) muscle(10) muscle layers(10) dry needling seminar(10) trigger point dry needling seminars(10) peroneus longus(10) peroneus(9) rehabilitation(8) gluteus maximus(8) education(8) dry needling course(8) muscle action(7) foot(7) trigger point seminar(7) intramuscular therapy(7) hip(7) gluteus medius(7) gluteus minimus(7) trigger point dry needling courses(7) dysfunction(7) posterior(7) clinical exam(6) quadratus(6) intramuscular(6) myofascial(6) trigger point dry needling course(6) instability(5) course(5) hip flexor(5) continuing education(5) 1st mtp(5) rectus(5) muscles(5) gluteus(4) psoas(4) iliacus(4) suboccipital muscles(4) suboccipital(4) femoris(4) vastus intermedius(4) lumbar(4) lateralis(4) large diameter afferents(4) spinal instability(4) neurology(4) lumbar instability(4) glute(4) vastus lateralis(4) rectus femoris(4) exam(4) seminar(4) ankle(4) afferents(3) trigger(3) superior(3) pain(3) flexor(3) continuing(3) soleus(3) large(3) fibers(3) nerve(3) sensory(3) fiber(3) vastus(3) spacial summation(3) temporal summation(3) ppd(3) stimulation(3) extensor hallucis brevis(3) trapezius(3) headaches(3) headache(3) inferior(3) obliquus(3) minor(3) major(3) tibialis(3) chronic(3) capitis(3) multifidus(3) cuboid(3) extensor digitorum longus(3) extensor digitorum brevis(3) facilitation(3) hamstring(3) tibialis posterior(3) gait cycle(3) 1st ray(3) plantae(3) intrinsics(3) hip extension(3) sterno(2) cleido(2) mastoid(2) ankle rocker(2) shoulder(2) hip extensor(2) scapula(2) joint(2) vascular(2) iliocapsularis(2) cai(2) extension(2) therapy(2) hallicis(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) spine(2) back(2) changes(2) low(2) latissimus dorsi(2) 1st(2) dorsiflexion(2) lbp(2) neck(2) exercise(2) quadriceps(2) walking(2) sensory nerve fibers(2) hallucis(2) extensor(2) quadrates plantae(2) flexor digitorum longus(2) gon(2) scm(2) vascular changes(2) counting(2) diameter(2) summation(2) temporal(2) brevis(2) sternocleidomastoid(2) clinical(2) it band(2) fracture(2) cervical instability(2) cervical(2) navicular(2) obliquus capitis inferior(2) meridians(2) sensation(2) vestibular(2) rectus capitis inferior(2) system(2) shoulder pain(2) levator scapula(2) gastroc(2) ehb(2) levator(2) proprioception(2) semicircular(1) qp(1) needle(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) parkinsons(1) endurance(1) proprioceptive(1) technique(1) bridge(1) canals(1) flexion(1) dorsi(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) clinical test(1) coronal(1) stabilizer(1) peroneus brevis(1) reverse(1) function(1) lumborum(1) spinal(1) test(1) denervation(1) vibration(1) vibratory sense(1) sense(1) deep(1) vibratory(1) quadrates lumborum(1) quadratus lumborum(1) screen(1) toe(1) meridian(1) divergence(1) convergence(1) thoracic(1) layers(1) thoracic spine(1) electrical stimulation(1) iliotibial band(1) tensor fascia lata(1) spacers(1) separators(1) biomechanics(1) vastus medialis(1) greater occipital nerve(1) quadratus plantae(1) lumbricals(1) ilio(1) capsularis(1) adductor(1) upper(1) tfl(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) magnus(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) external(1) knee(1) osteoarthritis(1) rotation(1) rotator(1) lift(1) multifidus lift test(1) low back pain(1) thigh(1) vision(1) plane(1) it(1) electrical(1) head(1) position(1) quadratus femoris(1) hip pain(1) insertional tendinitis(1) superficial(1) utricle(1) saccule(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) balance(1) semi(1) testing(1) posterior chain(1) circular(1) engineering(1) home

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