Functional Integrative Rehabilitation Education

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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 . . .

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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 . . .

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February 15, 2017

How's your Iliacus?

Have you thought about the importance of the iliacus? During gait? How about at initial contact and again at pre swing? (1) You realize it will be “turned off” if you have labral pathology, right? (2) Needling can be one way of “turning it back on”.(3)

Check out this brief video of one way to accomplish this.  . . .

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February 09, 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

Acupuncture, Dry Needling and Ankle Instability

Acupuncture/Dry Needling and Proprioception. A Winning combination.


What a great combination of therapies for folks with chronic ankle instability, or almost any injury for that matter! Taking 2 modalities that emphasize afferent input from the peripheral mechanoreceptor system, which has such a large influence on the cerebellum as well . . .

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January 11, 2017

The Glutes, Part 3

Here is the part you have been waiting for… In case you missed parts one and two, click here and here. 

Functional Perspectives

It would logically follow that the gluteus medius is important for generating both forward progression and support, especially during single-limb stance suggesting that walking dynamics are . . .

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December 19, 2016

The Glutes, Part 2

Beautiful Glutes: Part 2

We are going to get a little techie here. Hang in there! If you missed part one, click here to go back and read it. 

EMG data

There are a paucity of studies on gluteal function during gait, but here is what is out there.

The upper and lower portions of the glute max shows activity at initial . . .

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December 12, 2016

Archive

All Categories: needling(50) tpdn(47) dry needling(34) acupuncture(30) gait(21) trigger point dry needling(18) trigger point dry needling instruction(16) trigger point dry needling seminar(14) muscle(14) rehab(14) dry needling instruction(12) deep needling(11) peroneus longus(11) muscle layers(11) trigger point dry needling seminars(10) rehabilitation(10) dry needling seminar(10) peroneus(10) intramuscular therapy(8) dry needling course(8) gluteus minimus(8) gluteus maximus(8) gluteus medius(8) education(8) dysfunction(8) trigger point dry needling courses(7) trigger point seminar(7) muscle action(7) foot(7) instability(7) hip(7) posterior(7) intramuscular(7) neurology(6) muscles(6) large diameter afferents(6) rectus(6) quadratus(6) clinical exam(6) vestibular(6) myofascial(6) trigger point dry needling course(6) rectus femoris(5) femoris(5) lateralis(5) spinal instability(5) lumbar(5) course(5) afferents(5) proprioception(5) sensory(5) lumbar instability(5) 1st mtp(5) continuing education(5) hip flexor(5) vastus intermedius(5) flexor(4) cervical instability(4) proprioceptive(4) vastus lateralis(4) diameter(4) sensation(4) sternocleidomastoid(4) iliacus(4) psoas(4) gluteus(4) stimulation(4) system(4) extensor digitorum longus(4) pain(4) quadriceps(4) vastus(4) seminar(4) ankle(4) glute(4) extensor digitorum brevis(4) hamstring(4) gait cycle(4) exam(4) suboccipital muscles(4) suboccipital(4) cuboid(3) extensor(3) trapezius(3) iliotibial band(3) major(3) temporal summation(3) facilitation(3) soleus(3) insertional tendinitis(3) headache(3) exercise(3) inferior(3) fibers(3) tibialis(3) tibialis posterior(3) obliquus(3) cervical(3) neck(3) gastroc(3) hip extension(3) minor(3) cleido(3) 1st ray(3) changes(3) chronic(3) fiber(3) superior(3) plantae(3) capitis(3) nerve(3) semi(3) stabilizer(3) hip extensor(3) intrinsics(3) knee(3) large(3) trigger(3) utricle(3) multifidus(3) ppd(3) sterno(3) spacial summation(3) sensory nerve fibers(3) scm(3) mastoid(3) continuing(3) extensor hallucis brevis(3) semicircular(3) headaches(3) latissimus dorsi(2) 1st(2) ankle rocker(2) quadrates plantae(2) flexor digitorum longus(2) walking(2) nucleii(2) cerebellum(2) ehb(2) needle(2) saccule(2) spine(2) brevis(2) hallicis(2) therapy(2) superficial(2) inhibition(2) extension(2) circular(2) meridians(2) position(2) it band(2) clinical(2) lumbricals(2) coronal(2) vastus medialis(2) scalenes(2) quadratus lumborum(2) biomechanics(2) scalene(2) reciprocal(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) vascular(2) reciprocal inhibition(2) vascular changes(2) gon(2) temporal(2) levator scapula(2) levator(2) joint(2) vertigo(2) summation(2) peroneus brevis(2) back(2) low(2) lbp(2) counting(2) iliocapsularis(2) gastrocnemius(2) fracture(2) navicular(2) obliquus capitis inferior(2) rectus capitis inferior(2) hallucis(2) clinical test(2) dorsiflexion(2) testing(2) divergence(2) balance(2) convergence(2) calcaneo cuboid(1) electrical(1) engineering(1) it(1) plane(1) vision(1) tfl(1) tensor fascia lata(1) layers(1) meridian(1) vibratory(1) deep(1) sense(1) vibratory sense(1) vibration(1) spinal(1) denervation(1) thoracic(1) thoracic spine(1) electrical stimulation(1) greater occipital nerve(1) upper(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) osteoarthritis(1) lift(1) multifidus lift test(1) low back pain(1) quadratus femoris(1) hip pain(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) posterior chain(1) qp(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) test(1) calcaneocuboid(1) locking mechanism(1) parkinsons(1) endurance(1) technique(1) bridge(1) flexion(1) dorsi(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) reverse(1) function(1) lumborum(1) quadrates lumborum(1) screen(1) toe(1) spacers(1) separators(1) quadratus plantae(1) ilio(1) capsularis(1) adductor(1) magnus(1) rotation(1) rotator(1) thigh(1) head(1) canals(1) external(1) dizziness(1) gracilis(1) sartorius(1) semitendinosis(1) tendinosis(1) pes(1) anserine(1) terrible(1) trio(1) spindle(1) spindles(1) golgi(1) tendon(1) organ(1) origin(1) tibial(1) torsion(1) analysis(1) knee pain(1) squats(1) toes(1) in(1) out(1) home

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