In regret triggered by the title of Probst et al 2019.[1] This diagram illustrates the anatomical location of piriformis relative to the pelvis, and the characteristic pain referral patterns that form part of the myofascial syndrome. The blue dots on the leg represent tingling that might occur if there is nerve entrapment in piriformis syndrome. … Continue reading Piriformis revisited
Inspired by Ronel et al Mil Med 2018.[1] My first blog of 2019 and I have been struggling to find inspiration. That is what comes from setting yourself an arbitrary target rather than just waiting for something divine. The former is driven by the modern requirements of a social media presence, and the latter is … Continue reading 20000 needles…
The following story was reported to me by a colleague from general practice. The details are altered somewhat to preserve anonymity, including the name of the teller, but regular readers will recognise some characteristic use of language and style. Safe angulation for needling quadratus lumborum near lower lateral attachment to the iliac crest. Dear Mike … Continue reading A Tale of two Fridays
Inspired by Sánchez-Mila Acupunct Med 2018 [1] I have been curious about the potential effect of acupuncture needling in muscles with high tone since witnessing the rapid relief of lumbar muscle spasm following insertion of acupuncture needles whilst serving as a medical officer in the British military. Subsequently I have tried the technique (combined with … Continue reading Needling and spasticity
