Functional Integrative Rehabilitation Education

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Inability to descend the distal first ray = bunion

 
Silvrback blog image
Silvrback blog imageTake a look at this classic example a bunion.
 
A bunion occurs because of the untoward action of the adductor hallucis. Normally, when the distal first ray is anchored, it contributes to the transverse and medial longitudinal arches of the foot as well as applying compressive forces across . . .

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December 09, 2019

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

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. . . .

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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 . . .

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February 23, 2017

A little more on the tibialis posterior....

A little more on the tibialis posterior (or any tendon for that matter)....

On my way back from Vancouver, BC, I am reminded of the many muscles we needle frequently, and some of our clinical discussions over the weekend.

We tend to think of the etiology of tendinopathies as being overuse or biomecanically stressful situations, which are . . .

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November 07, 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(17) trigger point dry needling seminar(14) muscle(14) rehab(14) dry needling instruction(12) deep needling(11) muscle layers(11) peroneus longus(11) dry needling seminar(10) trigger point dry needling seminars(10) rehabilitation(10) peroneus(10) dysfunction(8) gluteus medius(8) gluteus maximus(8) foot(8) gluteus minimus(8) education(8) dry needling course(8) intramuscular therapy(8) hip(7) trigger point seminar(7) intramuscular(7) instability(7) posterior(7) muscle action(7) trigger point dry needling courses(7) vestibular(6) rectus(6) trigger point dry needling course(6) muscles(6) quadratus(6) large diameter afferents(6) myofascial(6) neurology(6) clinical exam(6) course(5) lateralis(5) continuing education(5) proprioception(5) hip flexor(5) spinal instability(5) lumbar(5) vastus intermedius(5) rectus femoris(5) sensory(5) afferents(5) 1st mtp(5) lumbar instability(5) femoris(5) cervical instability(4) exam(4) vastus lateralis(4) proprioceptive(4) seminar(4) diameter(4) vastus(4) psoas(4) iliacus(4) flexor(4) hamstring(4) suboccipital(4) extensor hallucis brevis(4) suboccipital muscles(4) sensation(4) glute(4) sternocleidomastoid(4) gait cycle(4) stimulation(4) system(4) extensor digitorum longus(4) ankle(4) pain(4) quadriceps(4) extensor digitorum brevis(4) gluteus(4) cervical(3) trigger(3) exercise(3) superior(3) continuing(3) soleus(3) large(3) fibers(3) nerve(3) sensory nerve fibers(3) fiber(3) spacial summation(3) temporal summation(3) ppd(3) trapezius(3) headaches(3) headache(3) inferior(3) obliquus(3) minor(3) neck(3) major(3) tibialis(3) chronic(3) capitis(3) multifidus(3) cuboid(3) facilitation(3) insertional tendinitis(3) tibialis posterior(3) 1st ray(3) plantae(3) intrinsics(3) scm(3) sterno(3) cleido(3) gastroc(3) hip extension(3) hip extensor(3) extensor(3) stabilizer(3) semicircular(3) semi(3) changes(3) mastoid(3) utricle(3) knee(3) iliotibial band(3) superficial(2) walking(2) extension(2) circular(2) lbp(2) vascular changes(2) counting(2) spine(2) quadrates plantae(2) flexor digitorum longus(2) joint(2) vascular(2) needle(2) meridians(2) dorsiflexion(2) it band(2) clinical(2) clinical test(2) hallucis(2) nucleii(2) cerebellum(2) inhibition(2) back(2) convergence(2) ehb(2) saccule(2) divergence(2) balance(2) fracture(2) temporal(2) navicular(2) peroneus brevis(2) obliquus capitis inferior(2) low(2) vertigo(2) reciprocal inhibition(2) reciprocal(2) biomechanics(2) vastus medialis(2) hallicis(2) scalenes(2) therapy(2) testing(2) quadratus lumborum(2) coronal(2) scalene(2) lumbricals(2) ankle rocker(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) rectus capitis inferior(2) latissimus dorsi(2) 1st(2) summation(2) gastrocnemius(2) iliocapsularis(2) gon(2) brevis(2) position(2) levator scapula(2) levator(2) rotator(1) thigh(1) analysis(1) head(1) canals(1) external(1) engineering(1) forefoot(1) sense(1) deep(1) vibratory(1) dizziness(1) supinatus(1) gracilis(1) sartorius(1) semitendinosis(1) tendinosis(1) pes(1) anserine(1) terrible(1) trio(1) varus(1) meridian(1) layers(1) test(1) spindle(1) spindles(1) greater occipital nerve(1) golgi(1) tendon(1) organ(1) origin(1) tibial(1) upper(1) torsion(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) flexor digitorum brevis(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) tensor fascia lata(1) osteoarthritis(1) vibratory sense(1) tfl(1) lift(1) multifidus lift test(1) low back pain(1) electrical stimulation(1) thoracic spine(1) knee pain(1) thoracic(1) squats(1) toes(1) quadratus femoris(1) hip pain(1) in(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) out(1) posterior chain(1) denervation(1) spinal(1) qp(1) vision(1) plane(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) parkinsons(1) endurance(1) technique(1) bridge(1) it(1) flexion(1) dorsi(1) vibration(1) electrical(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) home

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