Functional Integrative Rehabilitation Education
educational investments that pay clinical dividends
Dr Ivo Waerlop
The SCM and Gait
We remember that we have 3 systems that keep us upright in the gravitational plane: The visual system, The vestibular system and the proprioceptive system. As we age, we seem to become more dependent upon the visual system to maintain stability of the head (which is largely under the purview of the vestibular system). Older folks seem . . .
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The Tib Posterior
Posterior tibialis tendinitis is a primary soft tissue tendinopathy of the posterior tibialis that leads to altered foot biomechanics. Although the natural history of posterior tibialis tendon dysfunction is not fully known, it has mostly been agreed that it is a progressive disorder.(1)
The tibialis posterior originates from the . . .
Posted in: needlingposteriorposterior chaintibialistibialis posteriortpdntrigger point dry needling seminars
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 . . .
Posted in: 1st1st mtp1st raydry needlingdry needling instructionmuscle layersmusclesneedlingperoneusperoneus longustibialistibialis posteriortrigger point dry needling coursestrigger point dry needling seminars
The latissimus
The latissimus dorsi is THE functional link between the upper and lower extremity, particularly though its connections with the thoracolumbar fascia (1, 2). Affording itself a large attachment centrally from the T7 to L5 spinouses, laterally to the iliac crest and thoracolumbar fascia, rostrally to the lower 3 or 4 ribs and . . .
Posted in: dry needlinggaitgluteus maximuslatissimus dorsilumbar instabilityneedlingobliqueposteriorposterior oblique slingslingspinal instabilitytpdn
Beyond Needling Trigger Points
Beyond the Trigger Point
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Many of us needle. We are taught to dry needle trigger points and sometimes (especially in the seminars I teach), to needle the segmental innervation of the muscle involved. But should we do more? I think so, and here is one paper on incorporating needling myofascial meridians along with trigger points that . . .
Posted in: acupunctureconvergencedivergencedry needlingmeridianmeridiansmyofascialneedlingneurologyspacial summationsummationtemporaltemporal summationtpdntrigger point dry needlingtrigger point dry needling course
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 . . .
Posted in: acupuncturedry needlingfemorisgluteus mediushamstringhiphip paininsertional tendinitismuscle layersneedlingquadratusquadratus femoristpdntrigger point dry needling instructiontrigger point dry needling seminars
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
Cover image credit: http://wallpapershacker.com/skulls_sketches_skeletons_spine_drawings_hd-wallpaper-1015286/
