Even without attempting to create a click-bait title, as soon as I put anything as “greater than” evidence-based practice (EBP) – I know there are readers posturing to disagree with everything written here. And I don’t blame you, I was an SPT and early DPT who was borne entirely into the EBP mentality, steadfastly clinging… Read More Results-based practice > Evidence-based practice
Nothing puts more wind in your proverbial blogging “sails” than running in to someone who has read (and enjoyed?) your content. A real person, in real life, telling you they really read and really enjoyed your blog…this really happened! You know who you are, and if lightning strikes twice and you’re reading this again –… Read More Sarcastic Anatomy – Multifidus
Well, CSM has come and gone – a great week of collaboration, networking, education, and camaraderie with fellow PTs, faculty, and students. My partialities quite obviously known, it is fascinating to reflect on the conference and really the status of dry needling and physical therapy nationwide. States becoming battlegrounds over the technique with some… Read More Dry Needling Digest: Journal Club for Dry Needling Clinicians Part II
One of the more common questions on our courses is – “when do I use e-stim with dry needling?”. A fair question, because if you feel dry needling is infantile in terms of clinical research, then use and understanding of intramuscular electrical stim is embryonic. That being said, there has been a dramatic shift towards… Read More #DryNeedling tip from @DPTwithNeedles – 4 reasons to consider stim
Many forget that Flexor Hallicus Longus originates from the posterior aspect of the fibula. This needle (not in picture) is at mid-shaft of the posterior fibula and we can see isolated 1st digit flexion and tendon activation posterior to the medial malleolus. Just another reminder of the intricate pulley system that our musculoskeletal system is… Read More Video – Flexor Hallucis Longus #DryNeedling + stim
An athlete doesn’t necessarily care about their Thomas Test results, but what they DO care about is performance and injury risk. I always find one test, movement, or impairment to immediately re-test – whether it’s pre- and post- dry needling, manual work, or corrective exercise…there should be a noticeable change to them (and me). If… Read More Video – #dryneedling for Thomas Test gains
What?! You can elicit a Localized Twitch Response (LTR) without a needle? Sounds pretty Mr. Myagi hands-on healing to me – but it’s true. Makes me ponder if we have the same neurophysiologic effect from a LTR elicited manually as asserted by the NIH Shah studies; or if the Spontaneous Electrical Activity quieting at… Read More Dry “hand”ling – is the twitch response with manual compression the same as #DryNeedling?