New York Dynamic Neuromuscular Rehabilitation & Physical Therapy
Before the upsurge in technology use, CTS was mostly seen in physical laborers in manufacturing, construction and other jobs that require repetitive motion. It was once known as milkmaid disease, because it often developed in women who milked cows by hand. Today, it is most prevalent in people who use computers on a regular daily […]
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Your ability to perform physical tasks and activities depends on a biomechanical lever system, where muscle pulls against bone at the joints to generate rotational torque that produces movement. The architecture of a particular joint dictates its range of motion, supported by tough inelastic ligaments that attach bone to bone, and by biotensegrity – a […]
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Hypermobility spectrum disorders (HSDs) include a range of complex multisystem connective tissue disorders that affect joint stability. People with hypermobile joints are prone to pain, loss of balance, and increased risk of injury. Ligament laxity is often blamed for joint hypermobility, but new research is shining the spotlight on fascia’s role in joint instability.
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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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