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Functional Integrative Rehabilitation Education

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Ischemic compression and Dry Needling

...it only takes a minute or 2...

 

Post needling soreness is a common side effect of dry needling, particularly if multiple twitches are obtained. "Six" twitches seems to be the number of twitches necessary to obtain better clinical results (1).  Mitigation of this "post needling soreness" has been explored. One study (2) looked at "spray and stretch" as a way . . .

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March 21, 2018

Acupuncture and Muscular endurance

I was treating patient with low back pain that had decreased lumbar endurance the other day utilizing both spinal manipulation and acupuncture, along with endurance based exercise. Incidentally, you should be able to hold a "superman" pose with your arms at your sides for approximately 150 seconds (1). The patient has been continuing to . . .

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February 22, 2018

More QT on the QP....

Needle, needle, needle....

You may have seen my last post on the QP. If not, see here. 

 "Thus, the tendon and tendinous slips of the FHL may distribute the load of the great toe to the second toe to the third or fourth toe in the forefoot, especially during toe-off. In addition, the main attachment of the QP to the tendinous slips of the FHL may provide . . .

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January 08, 2018

The QT on the QP

Quadratus Plantae

Possibly heard of, rarely implicated and not often treated, this is one muscle you should consider taking a look at. 

 

Silvrback blog imageThe quadratus plantae is generally considered to arise from two heads of differing and variable  fiber type composition, with the lateral head having slightly more Type 1 endurance fibers (1) The two . . .

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January 02, 2018

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 . . .

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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

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 . . .

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August 31, 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 layers(10) trigger point dry needling seminars(10) dry needling seminar(10) peroneus longus(10) muscle(10) peroneus(9) dry needling course(8) education(8) gluteus maximus(8) rehabilitation(8) muscle action(7) foot(7) trigger point seminar(7) intramuscular therapy(7) hip(7) gluteus medius(7) trigger point dry needling courses(7) gluteus minimus(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) neck(2) low(2) latissimus dorsi(2) 1st(2) dorsiflexion(2) lbp(2) changes(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

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