Back Pain Made Manageable!


Pain experienced in middle and upper back could be a result of numerous causes. Mostly, such pain is linked to strain and overuse. For instance, lifting a heavy object, poor posture, or exercising for long puts on a strain on the back. Inevitably, it causes both pain and injury. However, tackling moderate as well as mild pain is becoming relatively easy with the following exercises.

Effective Pain Management with NYDNR!

Even if it is just a muscle strain, what you experience is different from what a second person experiences. Thus, it is essential to have a tailored treatment plan that can completely eliminate the pain. Both functional and anatomical processes are involved in treating back pain. Therefore, an integrative and inclusive approach is necessary which keeps the individual’s needs in mind.

NYDNR treats effective care of back pain using a mix of the following treatment methods:

  • ESWT
  • Acupuncture
  • Chiropractic
  • ISM
  • DNS

Myofascial release

Once there is no more pain, the therapists at NYDNR focus on restoring motor control and strength with the help of holistic approaches. There are basically three programs; exercise programs, therapeutic programs, and functional training programs.

Detailed exercise programs

Local joint and muscle dysfunction experienced in the back are treated using manual techniques. These include:

  • Core & breathing retraining
  • Tissue manipulation
  • Joint manipulation
  • Muscular techniques for spasms, weak muscles, and trigger points
  • Reflex stimulation
  • Core training
  • Sensory integration
  • Postural training

Apart from the manual techniques, techniques from Pilates and yoga are also used, keeping in mind individual needs.

Therapeutic treatment

NYDNR’s therapeutic program follows developmental kinesiology and evokes ideal moving patterns by stimulating centers of motor regulation. Then, the patients are conditioned with exercise such that they can activate the movement patterns unconsciously and relieve pain! The therapeutic treatment involves unforceful manipulations and soft tissue techniques conducted in primal positions, thus making it easier to relieve pain. The therapeutic program primarily emphasized on spinal stability. Deep spine muscles can lead to numerous abnormalities such as the following:

  • Joint subluxations
  • Fascial restrictions
  • Trigger points

For this reason, we primarily focus on teaching our patients how to control and feel their muscles so that they can reduce the load on their spine, make an optimal compensation, and decrease the shearing forces. Moreover, our patients are trained and taught the right way to activate core as well as other muscles. As a result, patients evoke the right movement patterns and activate locomotor programs involuntarily.

This is, perhaps, the greatest way to achieve a number of things including:

  • Improve stability of the spine
  • Improve posture
  • Release tension in the muscles
  • Remove subluxation
  • Prevent relapse
  • Alleviate suffering
  • Establish the right movement patterns
  • Prevent recurrences commonly associated with back pain.
  • Functional training

Professional athletes, recreational athletes, and patients that have more work demands can highly benefit from functional training which is a step ahead of spinal stability. This kind of training is not only more goal-oriented but also involves movements such as:

  • Twisting
  • Squats
  • Pulling
  • Lunges

All these exercises are done in highly challenging positions. Plus, various labile surfaces are used to enhance these movements.

Consult a Back Pain specialist at NYDNR

Since many jobs today involve sitting for excessively long hours, back pain has become quite common. We at NYDNR have extensively studied and understood back pain so that we can devise the right therapeutic intervention, keeping in mind the needs of each individual.

If the pain you are experiencing doesn’t fade away or is too much to handle, consult one of our specialists. Similarly, in case of a severe injury, you should first recover before you start stretching. Remember, a physiotherapist can be of great help too.

In some rare cases, pain that occurs in the middle and upper back can be an indication of a serious or fatal condition such as cancer and gallbladder disease. Therefore, in case your pain lasts for more than two weeks, a checkup with the doctor is definitely due.


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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