Functional Integrative Rehabilitation Education

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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.

Silvrback blog imageTraditionally, 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 . . .

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December 04, 2018

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 . . .

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August 31, 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 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 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 . . .

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October 31, 2016

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 . . .

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September 29, 2016

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), . . .

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June 13, 2016

Archive

All Categories: needling(50) tpdn(46) dry needling(33) acupuncture(30) gait(20) trigger point dry needling(17) trigger point dry needling instruction(16) trigger point dry needling seminar(14) muscle(14) rehab(13) dry needling instruction(12) deep needling(11) muscle layers(11) peroneus longus(10) trigger point dry needling seminars(10) dry needling seminar(10) rehabilitation(9) peroneus(9) dysfunction(8) dry needling course(8) intramuscular therapy(8) education(8) gluteus maximus(8) posterior(7) hip(7) intramuscular(7) gluteus medius(7) muscle action(7) instability(7) gluteus minimus(7) trigger point dry needling courses(7) foot(7) trigger point seminar(7) clinical exam(6) vestibular(6) myofascial(6) quadratus(6) muscles(6) neurology(6) trigger point dry needling course(6) large diameter afferents(6) afferents(5) 1st mtp(5) continuing education(5) course(5) proprioception(5) rectus(5) lumbar(5) sensory(5) spinal instability(5) hip flexor(5) lumbar instability(5) extensor digitorum longus(4) system(4) cervical instability(4) vastus lateralis(4) diameter(4) stimulation(4) rectus femoris(4) proprioceptive(4) flexor(4) seminar(4) sternocleidomastoid(4) sensation(4) extensor digitorum brevis(4) ankle(4) vastus intermedius(4) hamstring(4) pain(4) femoris(4) gluteus(4) exam(4) psoas(4) lateralis(4) iliacus(4) glute(4) suboccipital muscles(4) suboccipital(4) temporal summation(3) major(3) soleus(3) extensor(3) tibialis(3) chronic(3) capitis(3) cleido(3) large(3) multifidus(3) cuboid(3) stabilizer(3) sensory nerve fibers(3) facilitation(3) insertional tendinitis(3) exercise(3) tibialis posterior(3) cervical(3) hip extension(3) scm(3) gait cycle(3) 1st ray(3) plantae(3) intrinsics(3) semicircular(3) semi(3) changes(3) mastoid(3) vastus(3) spacial summation(3) sterno(3) ppd(3) fibers(3) hip extensor(3) utricle(3) superior(3) fiber(3) knee(3) quadriceps(3) extensor hallucis brevis(3) trapezius(3) headaches(3) headache(3) inferior(3) obliquus(3) minor(3) neck(3) trigger(3) continuing(3) nerve(3) needle(2) vertigo(2) gastroc(2) ankle rocker(2) iliocapsularis(2) extension(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) dorsiflexion(2) clinical test(2) hallucis(2) iliotibial band(2) peroneus brevis(2) counting(2) biomechanics(2) quadratus lumborum(2) coronal(2) lumbricals(2) summation(2) temporal(2) clinical(2) position(2) it band(2) circular(2) meridians(2) nucleii(2) cerebellum(2) saccule(2) ehb(2) walking(2) spine(2) brevis(2) therapy(2) hallicis(2) scalenes(2) scalene(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) vascular(2) vascular changes(2) gon(2) levator scapula(2) levator(2) joint(2) back(2) low(2) lbp(2) fracture(2) navicular(2) obliquus capitis inferior(2) rectus capitis inferior(2) testing(2) divergence(2) balance(2) convergence(2) latissimus dorsi(2) 1st(2) quadrates plantae(2) flexor digitorum longus(2) superficial(2) multifidus lift test(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) vastus medialis(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) 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) gastrocnemius(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) 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) home

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