"Physical rehabilitation is time consuming and time should not be wasted." – Prof. Karel Lewit, Charles University, Prague
NYDNRehab is a premier physical rehabilitation clinic in Manhattan, NYC offering holistic boutique services. Our integrative, evidence-based approach is supported by advanced technologies, cutting-edge therapies, and over two decades of hands-on experience. Dr. Lev Kalika’s expertise in diagnostic ultrasonography sets NYDNRehab apart from other clinics, providing patients with on-site high-resolution imaging that takes the guesswork out of diagnosis, ensuring effective treatment and fast recovery.
Our personalized, one-on-one approach to patient care means that every patient gets customized treatment, based on your unique profile. As a stakeholder in your own recovery, we encourage your questions and listen attentively to your feedback. Our mission is to help you restore pain-free, unrestricted mobility in the shortest time possible, so you can get back to doing the things you love.
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Clinical director & DC, RMSK
Verified Expert Profiles
Dr. Lev Kalika, DC, RMSK, clinical director and founder of NYDNRehab, is an expert in integrative rehabilitative medicine, with 20+ years of clinical experience in diagnostic ultrasonography. In addition to operating his Manhattan clinical practice, Dr. Kalika regularly conducts and publishes peer-reviewed research on ultrasound-guided therapies and procedures. and frequently presents his work at international conferences.
Dr. Kalika is an active member of the American Institute of Ultrasound in Medicine (AIUM), and has developed his own unique approach to Musculoskeletal Dynamic Functional and Fascial Ultrasonography. His expertise in human anatomy and biomechanics, coupled with his skills in interpreting ultrasound imaging, means patients at NYDNRehab get a comprehensive and accurate diagnosis that translates to successful rehabilitation.
Orthobiologic specialist
Dr. Yuri Brosgol, MD is a neurologist with 20+ years of experience in treating pediatric and adult myofascial pain. As a pioneer in orthobiologics and fascial release techniques, Dr. Brosgol learned fascial hydro release methodology directly from Dr. Carla Stecco, the world’s leading specialist in fascial science. Dr. Brosgol’s expertise in orthobiologic procedures is dramatically enhanced by high-resolution ultrasound guidance.
Together, Dr. Kalika and Dr. Brosgol are revolutionizing the way injuries, pain syndromes and movement disorders are diagnosed and treated. Their combined expertise makes NYDNRehab the clinic of choice for physical rehabilitation in NYC.
Many of our patients come to us after multiple failed attempts by conventional practitioners whose reductionist approach zeroes in on relieving symptoms, without any effort to eradicate their underlying cause. Moreover, our current medical system is dictated by insurance providers who deny reimbursements for treatments that do not directly address the locus of pain, resulting in ineffective patient outcomes.
By contrast, integrative medicine seeks to connect the dots, to unveil the true cause of pain and dysfunction. We believe that the human body is more than just the sum of its parts – it is a synergistic set of systems that support one another, and pathology in one part of the body is often rooted in dysfunction elsewhere.
Rather than mask symptoms with drugs or fix mechanical issues with surgery, we tap into your body’s own healing mechanisms to repair tissues, restore neuromuscular pathways, fine-tune biomechanics, and optimize mobility and stability. Our approach calls for personalized treatment protocols based on each patient’s unique profile.
In the 21st Century, technology has found its niche in every sector, and rehabilitative medicine is no exception. While our competitors lag behind with generic treatment approaches and standardized recovery timelines, we are leading the charge with the latest technologies and evidence-based treatment approaches. By personalizing patient care, we are able to deliver the most satisfactory results in the least amount of time.
High-resolution ultrasound imaging is quickly surpassing other imaging technologies for diagnosing musculoskeletal conditions. Unlike radiation-based imaging like xray and MRI, ultrasonography is safe, convenient and patient-friendly.
Dynamic ultrasound imaging gives us multiple advantages:
Dr. Kalika’s expertise in musculoskeletal ultrasonography ensures fast and accurate diagnosis. Your ultrasound exam takes place on your first visit, in the convenience and comfort of our clinic, with no waiting for lab results.
Symptoms-based treatment is not enough to restore functional mobility. Pain symptoms often disappear over time while tissues remain disorganized, and compensation patterns disrupt efficient biomechanics. Advanced technologies make it possible to objectively measure and evaluate movement quality, giving us quantitative metrics to set concrete goals, track your progress, and confirm full recovery.
Our assessment toolbox includes:
Regenerative technologies leverage extracorporeal sonic, light, electric, magnetic, and radiofrequency waves to stimulate the body’s own healing mechanisms. We often use select technologies in combination, or as an adjunct to orthobiologics, to accelerate and optimize tissue healing.
Our regenerative technologies include:
Orthobiologics are injectable natural/neutral solutions, derived from the patient’s own body or from donors, and injected with precision under ultrasound guidance. The injected solutions trigger a regenerative response by activating growth factors, stem cells, and signaling molecules, to enhance and accelerate tissue repair.
Our orthobiologic solutions include:
Our one-on-one physical therapy sessions are designed to meet the specific needs of your condition. Unlike mainstream clinics that rely on one-size-fits-all exercises performed in a group setting, we carefully select the most effective exercises and therapies for optimal results.
Injury rehab is time-consuming, and an incorrect diagnosis can not only be a waste of time and money, but failure to accurately diagnose a condition in its early stages can lead to chronic issues, with sometimes devastating results.
At NYDNRehab, high-resolution ultrasound imaging takes the guesswork out of diagnosis, enabling us to visualize the body’s structures as they interact in real time. Our Manhattan clinic is one of the few rehab clinics in the United States to feature the most advanced diagnostic ultrasound available. Without dynamic imaging, it is almost impossible to accurately diagnose musculoskeletal conditions.
Clinical director & DC, RMSK
Dr. Yuri Brosgol
MD
Dr. Michael Goynatsky
DPT
Dr. Daniela Escudero
DPT
Dr. Michelle Agyakwah
DC
Dr. Tatyana Kapustina
L. Ac.
Below is a prime example of how ultrasound can take the guesswork out of diagnosis.
A bad physical therapy experience is one of the primary causes of unnecessary surgery
In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.
Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.
The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.
Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup
Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)
Complete tear of rectus femoris
with large hematoma (blood)
Separation of muscle ends due to tear elicited
on dynamic sonography examination
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