Functional Integrative Rehabilitation Education
educational investments that pay clinical dividends
Dr Ivo Waerlop
Are We Rehabbing the wrong system?
I have recently run across some research that has changed the way we look at some of the rehab we do, especially proprioceptive rehab. Perhaps it will do the same for you.
Traditionally, we present increasing balance requirements to the weight bearing structure by changing one or more of the three parameters that keep us upright in the . . .
Posted in: afferentsbiomechanicscirculardiameterdry needlingexercisegaitinstabilityintramuscularintramuscular therapylarge diameter afferentsmusclemusclesneedleneedlingneurologyproprioceptionproprioceptiverehabsacculesemisemicircularsensationsensorystabilizerstimulationsystemtestingtpdnutriclevestibular
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 . . .
Posted in: backdysfunctionfacilitationintramuscularintramuscular therapylbplowlumbarmultifidusmusclesppdquadratusspinetpdntrigger point dry needlingtrigger point dry needling coursestrigger point dry needling instructiontrigger point dry needling seminar
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
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 . . .
Posted in: acupunctureanklecaichangeschroniccountingfootgaitintramuscularintramuscular therapymuscle actionmuscle layersneedlingperoneus longusrehabtpdnvascularvascular changes
The Tibialis Posterior. Did you know...
Lets take another look at the tibialis posterior
As clinicians , we often needle and treat the tibialis posterior for posterior tibial tendon dysfunction, platar fasicits, patellofemoral joint pain, and a host of other conditions. Lets take a look at some of the anatomy and see why it is a big player in these conditions.
The tibialis posterior . . .
Posted in: intramuscularintramuscular therapymuscleneedlingperoneusperoneus longusposteriorpttdtibialistibialis posteriortpdn
The Levator Scapula
levator scapula: from Ivo Waerlop on Vimeo.
From its proximal attachment to the upper 4 cervical transverse processes to its distal attachment to the superior medial border of the scapula, this muscle has multiple actions:
- elevating the scapula
- tipping the glenoid downward
- ipsilateral rotation of the . . .
Posted in: acupuncturecervicalcervical instabilitydry needlingdry needling instructiondry needling seminarintramuscular therapylevatorlevator scapulaneedlingpainrehabscapulashouldershoulder paintpdntriggertrigger point dry needling coursetrigger point dry needling instructiontrigger point seminar
Ahh, yes... The Trapezius
We all know that needling the trapezius can be a great thing, especially with the typical "J" referral pattern working so well for headache and neck pain.
We also know there is much literature to be found regarding its efficacy for: mechanical neck pain (1,2), myofascial pain (2-4), range of motion (5), local blood flow (6), . . .
Posted in: acupuncturedry needlingdry needling instructionheadacheheadachesintramuscularintramuscular therapyneedlingrehabrehabilitationseminartherapytpdntrapeziustriggertrigger point dry needlingtrigger point dry needling seminar
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