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emerging information for providers and patients


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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Massage Therapy Compared to Medical Care for Chronic Back Pain

The Best Treatment for Back Pain According to the Best Evidence

The vast majority of back pain is functional- meaning the pain is because the back is not functioning correctly.  Accordingly, it makes since that back pain treatment strategies should focus on discovering and addressing the movement-related back pain. Unfortunately, many people with back pain are over diagnosed with a structural problem (such as scoliosis, spine […]

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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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Will Back Pain Go Away on Its Own?

Until recently, researchers believed that back pain will “heal” on its own. We have learned, however, that this is not always true. When back pain is not treated, it may go away temporarily but will most likely return. For more than 33% of people who experience low-back pain, the pain lasts for more than 30 […]

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