Functional Integrative Rehabilitation Education
educational investments that pay clinical dividends
Dr Ivo Waerlop
EHB
The extensor hallucis brevis : An overlooked "miracle worker"
Look at this beautiful muscle in a foot that has not yet been exposed to hard planar surfaces and shoes that limit or alter motion!
The Extensor Hallicus Brevis, or EHB as we fondly call it (beautifully pictured above causing the extension (dorsiflexion) of the . . .
Posted in: 1st mtp1st rayehbextensor digitorum brevisextensor hallucis brevisfootgaittpdntrigger point dry needling seminar
The 1st MTP
Functional Anatomy, Trigger Points and More...
Good Morning
I just released a new video excerpted from a recent Level 2 TPDN course. It's about one of my favorite articulations, the 1st MTP. One of the most important and most distal joints involved with the gait cycle whose dysfunction leads to a constellation of problems north in the kinetic chain.
Enjoy . . .
Posted in: 1st1st mtpacupuncturegaitgait cyclemetatarsalmetatarsal phalangealphalangealtpdntrigger point dry needling instructiontrigger point dry needling seminar
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 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
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
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
Cover image credit: http://wallpapershacker.com/skulls_sketches_skeletons_spine_drawings_hd-wallpaper-1015286/
