Functional Integrative Rehabilitation Education
educational investments that pay clinical dividends
Dr Ivo Waerlop
The Calcaneo Cuboid Locking Mechanism
Needle those Peroneii!
The Calcaneo Cuboid Locking Mechanism
Do you know what this is? You should if you treat folks who walk or run!
It is the mechanism by which the tendon of the peroneus longus travels behind the lateral malleolus of the ankle, travels underfoot, around the cuboid to insert into the lateral aspect of the base of the 1st . . .
Posted in: calcaneocalcaneo cuboidcalcaneocuboidcalcaneuscuboiddeep needlingdry needling instructionfibersgaitgastroclockinglocking mechanismmechanismneedlingnerveperoneusperoneus longusrehabrehabilitationsensorysoleustpdn
What do you know about Ia afferents?
If you needle, you should know plenty...
This is a nice study looking at lateral gastroc activity and changing firing patterns with speed of movement. Great if you treat anyone or anything that walks...
Ia afferents
You remember them, large diameter afferent (sensory) fibers coming from muscle spindles and appraising the nervous system of vital . . .
Posted in: afferentsankledeep needlingdysfunctionfiberfibersgaitgastrocgastrocnemiuslargelarge diameter afferentsmuscleneedlingnerveppdsensationsensorysensory nerve fiberssoleustrigger point dry needling seminars
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. . . .
Posted in: acupuncturecuboiddeep needlingdysfunctionextensor digitorum brevisextensor digitorum longusfootfractureintramuscularintramuscular therapyjointmuscle layersnavicularneedlingrehabilitationstimulationtpdntrigger point dry needling instruction
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 . . .
Posted in: acupuncturecapitisdeep needlinggoninferiorlateralismajorminormusclemusclesneedlingobliquusobliquus capitis inferiorposteriorrectusrectus capitis inferiorsuboccipitalsuboccipital musclessuperiortpdntrigger point dry needling instruction
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. . . .
Posted in: acupuncturedeep needlingdry needlingflexorhiphip flexoriliacuslumbarlumbar instabilitymuscle layersneedlingpsoasspinal instabilitystimulationtpdn
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 . . .
Posted in: acupunctureclinical examdeep needlingdry needlingexamgaitgluteusgluteus maximusgluteus mediusgluteus minimuslumbarlumbar instabilitymuscle layersneedlingspinal instabilitytpdn
1 point that influences gait
As I am flying home from teaching an extremity dry needling course in Vancouver, BC, I was reminded of many things and just how intertwined dry needling and acupuncture are.
When talking about the lower extremity and gait (as I have been know to do at more that one seminar), I often talk about the “reverse engineering” . . .
Posted in: acupuncturecadencedeep needlingdry needlingfemorisfibergaitlateralismuscle actionneedlingrectusrectus femorisspeedtpdntrigger point dry needling coursetrigger point dry needling seminarvastusvastus intermediusvastus lateralis
Cover image credit: http://wallpapershacker.com/skulls_sketches_skeletons_spine_drawings_hd-wallpaper-1015286/
