Archive | Clinical Practice

observations of an ethical, skeptical, pragmatic (evidence-informed) practice


Neurophysiology of Myofascial Trigger Point Dry Needling

Here are the notes from my presentation about the neurophysiology of myofascial trigger point dry needling delivered during the 2016 ChiroAdvance Symposium. References: Probable Mechanisms of Needling Therapies for Myofascial Pain Control Dry needling — peripheral and central considerations Discrete changes in cortical activation during experimentally induced referred muscle pain: a single-trial fMRI study. Dry Needling Related […]

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spine sparing squat

The Art and Science of Treatment Selection

As one who treats the movement systems (neuromusculoskeletal), I have several tools at my disposal: joint mobilization, spine and joint manipulation, soft tissue manual therapy, stretching, stabilization exercises, instrument assisted soft tissue manipulation, kinesiotaping, athletic taping, ice massage, traction, corrective exercise, education, listening, and encouraging (to name a few).  The problem is that some people assume […]

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