Functional Integrative Rehabilitation Education
educational investments that pay clinical dividends
Dr Ivo Waerlop
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.
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 . . .
Posted in: acupuncturecuboiddry needlingextensor digitorum brevisextensor digitorum longusfacilitationfootfracturenavicularneedlingrehabilitationtpdntrigger point dry needling instruction
Return to the Suboccipitals
The Myodural Bridge Guest writer: Mitch Peritz DC
Once again, we are happy to have Dr Peritz write an excellent follow up to his last article (in case you missed it, click here). The next time you have a patient with an upper cervical problem, refer back to this article and think of all the far reaching implications of this often overlooked group.
The sub-occipital muscles . . .
Posted in: acupuncturecapitisdeep needlinggoninferiorlateralismajorminormusclemusclesneedlingobliquusobliquus capitis inferiorposteriorrectusrectus capitis inferiorsuboccipitalsuboccipital musclessuperiortpdntrigger point dry needling instruction
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. . . .
Posted in: acupuncturedeep needlingdry needlingflexorhiphip flexoriliacuslumbarlumbar instabilitymuscle layersneedlingpsoasspinal instabilitystimulationtpdn
Those Multifidi....
The multifidi are important proprioceptive sentinels for the low back, as well as the rest of the body, for virtually every activity you do weight bearing, including gait. They are implicated in many instances of low back pain, especially folks with flexion or extension intolerance, since their fiber orientation and thus mechanical advantage . . .
Posted in: backinstabilitylbpliftlowlow back painmultifidusmultifidus lift testneedlingtesttpdntrigger point dry needling instruction
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 . . .
The Glutes, Part 3
Here is the part you have been waiting for… In case you missed parts one and two, click here and here.
Functional Perspectives
It would logically follow that the gluteus medius is important for generating both forward progression and support, especially during single-limb stance suggesting that walking dynamics are . . .
Posted in: acupunctureclinical examdeep needlingdry needlingexamgaitgluteusgluteus maximusgluteus mediusgluteus minimuslumbarlumbar instabilitymuscle layersneedlingspinal instabilitytpdn
The Glutes, Part 2
Beautiful Glutes: Part 2
We are going to get a little techie here. Hang in there! If you missed part one, click here to go back and read it.
EMG data
There are a paucity of studies on gluteal function during gait, but here is what is out there.
The upper and lower portions of the glute max shows activity at initial . . .
Posted in: acupunctureclinical examdry needlingexamglutegluteus maximusgluteus mediusgluteus minimusmusclemuscle actionmyofascialneedlingtpdn
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