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Functional Integrative Rehabilitation Education

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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

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 . . .

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January 17, 2017

Archive

All Categories: tpdn(34) needling(34) 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) gait(7) trigger point seminar(6) myofascial(6) education(6) trigger point dry needling courses(6) trigger point dry needling seminars(6) peroneus(6) intramuscular(6) dry needling seminar(6) rehabilitation(6) muscle action(6) trigger point dry needling course(6) rectus(5) posterior(5) continuing education(5) foot(5) instability(5) muscle(5) clinical exam(5) muscles(4) seminar(4) dry needling course(4) gluteus maximus(4) course(4) gluteus medius(4) lumbar(4) spinal instability(4) rectus femoris(4) lumbar instability(4) lateralis(4) vastus lateralis(4) neurology(4) femoris(4) vastus intermedius(4) exam(4) chronic(3) 1st mtp(3) trigger(3) stimulation(3) continuing(3) extensor digitorum brevis(3) dysfunction(3) temporal summation(3) spacial summation(3) vastus(3) gluteus minimus(3) facilitation(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) tibialis(2) major(2) capitis(2) suboccipital muscles(2) suboccipital(2) gon(2) levator scapula(2) levator(2) joint(2) glute(2) back(2) low(2) lbp(2) multifidus(2) fracture(2) cuboid(2) navicular(2) extensor digitorum longus(2) quadratus(2) tibialis posterior(2) 1st(2) 1st ray(2) upper(1) psoas(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) it band(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) gait cycle(1) rectus capitis inferior(1) obliquus capitis inferior(1) test(1) it(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) latissimus dorsi(1) posterior oblique sling(1) oblique(1) spinal(1) vibration(1) denervation(1) sensory nerve fibers(1) fibers(1) sling(1) nerve(1) electrical(1) quadratus femoris(1) sensory(1) afferents(1) knee(1) diameter(1) osteoarthritis(1) tensor fascia lata(1) large(1) vibratory sense(1) hip pain(1) sense(1) deep(1) hamstring(1) tfl(1) vibratory(1) sensation(1) extensor(1) hallucis(1) hallicis(1) brevis(1) insertional tendinitis(1) thoracic(1) meridian(1) thoracic spine(1) divergence(1) electrical stimulation(1) convergence(1) soleus(1) superficial(1) layers(1) hip flexor(1) flexor(1) iliotibial band(1) lift(1) multifidus lift test(1) vastus medialis(1) greater occipital nerve(1) low back pain(1) neck(1) iliacus(1) home

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