Functional Integrative Rehabilitation Education

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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

The Extensor Hallucis Brevis

A primary descender of the 1st ray

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! 

loading....loading....

The Extensor Hallicus Brevis, or EHB  (beautifully pictured above causing the  extension (dorsiflexion) of the my son's proximal big toe) is an important muscle for descending the . . .

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May 02, 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

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