Functional Integrative Rehabilitation Education

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The Terrible Trio

beware the gooses foot...

 

Recalcitrant knee pain just below the medial tibial plateau? Worse with sprints, hills and after running a while? It may be the pes anserine insertion(s).

Silvrback blog imageMade up of the tibial insertions, from anterior to posterior, of the sartorius, gracilis and semitendinosis which lie superficial to the distal tibial insertion of the . . .

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October 27, 2018

Proprioception and Needling

Get the most out of what you do!

 

When it comes to needling and exercise, proprioception is King.

What is proprioception? It is body position awareness; ie: knowing what your limbs are doing without having to look at them. We talk about this all the time in our seminars. Some studies use specific points, others general ones, but they boil down to "needling . . .

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February 06, 2018

The 1st Ray; the NEW Superhero?

Does the 1st ray complex have super powers? Perhaps Marvel should consider a new superhero

“Ray”? We are not sure but here is a story that gets us one step closer to the answer. 

 

While teaching a Level 1 Dry Needling course this past weekend (if you were there, then this will be

a . . .

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November 08, 2017

The Quadratus Femoris

An often overlooked culprit

We often find clinically that the quadratus femoris as becoming the 1st dysfunctional muscle of the deep 6 external rotators (1) and its pain referral pattern can mimic the piriformis (2) and piriformis syndrome (3) as well as hamstring insertional tendinitis.  It has also been implicated in some cases of . . .

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May 18, 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

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.  . . .

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February 09, 2017

Acupuncture, Dry Needling and Ankle Instability

Acupuncture/Dry Needling and Proprioception. A Winning combination.


What a great combination of therapies for folks with chronic ankle instability, or almost any injury for that matter! Taking 2 modalities that emphasize afferent input from the peripheral mechanoreceptor system, which has such a large influence on the cerebellum as well . . .

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January 11, 2017

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