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Functional Integrative Rehabilitation Education

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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 . . .

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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 : )

 

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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 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

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

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 . . .

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February 15, 2017

Archive

All Categories: needling(44) tpdn(39) acupuncture(29) dry needling(27) trigger point dry needling(16) gait(15) trigger point dry needling seminar(13) trigger point dry needling instruction(13) dry needling instruction(11) deep needling(11) muscle layers(10) rehab(10) peroneus longus(10) muscle(9) peroneus(9) trigger point dry needling seminars(9) dry needling seminar(8) rehabilitation(8) muscle action(7) intramuscular therapy(7) gluteus maximus(7) trigger point seminar(7) education(7) posterior(7) foot(7) myofascial(6) trigger point dry needling course(6) trigger point dry needling courses(6) intramuscular(6) dry needling course(6) dysfunction(6) gluteus minimus(6) gluteus medius(6) instability(5) continuing education(5) muscles(5) clinical exam(5) 1st mtp(5) course(5) rectus(5) hip(5) seminar(4) neurology(4) gluteus(4) lumbar(4) vastus intermedius(4) femoris(4) vastus lateralis(4) spinal instability(4) lateralis(4) lumbar instability(4) ankle(4) rectus femoris(4) quadratus(4) exam(4) large diameter afferents(4) glute(4) fiber(3) afferents(3) capitis(3) obliquus(3) chronic(3) spacial summation(3) temporal summation(3) superior(3) hip flexor(3) suboccipital muscles(3) minor(3) ppd(3) tibialis(3) major(3) vastus(3) psoas(3) tibialis posterior(3) gait cycle(3) facilitation(3) extensor digitorum brevis(3) iliacus(3) cuboid(3) large(3) 1st ray(3) soleus(3) suboccipital(3) multifidus(3) continuing(3) headaches(3) fibers(3) nerve(3) sensory(3) headache(3) trigger(3) stimulation(3) inferior(3) vascular changes(2) walking(2) exercise(2) pain(2) flexor(2) changes(2) vascular(2) sensory nerve fibers(2) counting(2) diameter(2) summation(2) temporal(2) clinical(2) cervical instability(2) cervical(2) meridians(2) sensation(2) ehb(2) extensor hallucis brevis(2) spine(2) therapy(2) neck(2) quadriceps(2) trapezius(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) gon(2) levator scapula(2) levator(2) joint(2) back(2) low(2) lbp(2) fracture(2) navicular(2) extensor digitorum longus(2) obliquus capitis inferior(2) rectus capitis inferior(2) hamstring(2) latissimus dorsi(2) 1st(2) plantae(2) quadrates plantae(2) intrinsics(2) gastroc(2) proprioception(2) extension(2) hip extension(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) proprioceptive(1) denervation(1) spinal(1) technique(1) vibration(1) lift(1) multifidus lift test(1) low back pain(1) vibratory sense(1) sense(1) deep(1) vibratory(1) bridge(1) ankle rocker(1) labrum(1) meridian(1) divergence(1) convergence(1) obturator externus(1) flexion(1) dorsiflexion(1) dorsi(1) layers(1) peroneus brevis(1) quadratus femoris(1) hip pain(1) insertional tendinitis(1) iliotibial band(1) reverse(1) it band(1) tensor fascia lata(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) tfl(1) test(1) function(1) ischemic(1) it(1) posterior chain(1) superficial(1) compression(1) engineering(1) electrical(1) flexor digitorum longus(1) post treatment soreness(1) qp(1) needle(1) iliocapsularis(1) scm(1) sternocleidomastoid(1) sterno(1) cleido(1) mastoid(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) greater occipital nerve(1) vastus medialis(1) electrical stimulation(1) thoracic spine(1) thoracic(1) upper(1) calcaneo cuboid(1) brevis(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) calcaneocuboid(1) locking mechanism(1) hip extensor(1) parkinsons(1) hallicis(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) hallucis(1) capsule(1) extensor(1) knee(1) osteoarthritis(1) endurance(1) home

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