Hip Pain Specialist

About Hip Pain

Hip pain is relatively common among adults of all ages. Older adults may suffer from degenerative hip diseases, while middle aged adults who were once athletic are prone to hip pain due to excessive sitting and previous sports injuries. Because of the hip joint’s involvement in most sports, runners and competitive athletes often develop hip pain from repetitive overuse or trauma. If left untreated, hip pain can have significant repercussions for the function and stability of other areas of your body.

Hip pain can sometimes be caused by conditions such as labral tears, femoroacetabular impingement (FAI), hip osteoarthritis, or bursitis, but more often it stems from the complex interplay of structures and tissues in the lumbo-pelvic-hip complex, often impacted by the patient’s walking gait.

Factors that contribute to hip pain include:

Biomechanical imbalances
Fascial distortions and densifications
Failed load transfer
Joint hypermobility
Gait abnormalities
Muscle weaknesses
Compensatory movement patterns developed over time.

Conventional treatment of hip pain often involves physical therapy and sometimes surgery. However, these solutions rarely address the root of the problem and can sometimes lead to further complications.

At NYDNRehab, we use cutting-edge diagnostic techniques like dynamic ultrasonography and high-tech gait and motion analysis to accurately diagnose the source of hip pain. We then create a personalized treatment plan based on the patient’s unique profile. Our goal is to restore pain-free function by addressing structural integrity and neuromuscular deficits that contribute to hip pain.

Our comprehensive treatment plan may include:

Fascial manipulation
Focused extracorporeal shockwave therapy
Neuromodulation
Extracorporeal magnetic therapy
Regenerative PRP injections
Prolotherapy
Interfascial plane injections
Targeted physical therapy
Personalized exercises to improve mobility and coordination of the structures that make up the lumbopelvic hip complex.

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Dr. Lev Kalika

Clinical director & DC RMSK

About Hip Pain Specialist Dr. Lev Kalika

Dr. Kalika has devoted much of his life’s work to revolutionizing lower extremity pain treatment by introducing high resolution diagnostic ultrasonography for structural diagnosis, combined with gait and motion analysis technology to visualize and objectify the functional movement of the lower extremities.

NYDNRehab’s motion and gait analysis lab is the only private lab in the US to feature research-grade technology, found only at top research universities and made available to patients in his private clinic. Dr.Kalika believes that what cannot be measured cannot be treated. The gait and motion analysis lab at NYDNRehab goes far beyond standard 3D technology, to quantify all parameters involved in human movement.

In addition to his academic credentials, Dr. Kalika is a Certified Biomechanist, Certified Gait Analyst, certified in Dynamic Neuromuscular Stabilization (DNS) ,certified in Anatomy in Motion (AIM) and certified in Integrated Systems Model (ISM) approaches. He has over 15 years of experience in diagnostic musculoskeletal ultrasonography, extracorporeal shock wave therapy (ESWT) and orthotic prescription. He is an expert in ultrasound guided injections and dry needling procedures. Dr. Kalika has been practicing fascial manipulation as a therapeutic treatment for over 15 years, and is certified in the Stecco method, the most effective evidence-based approach to fascia therapy.

Dr.Kalika’s expertise is sought by professional athletes, runners and dancers across the United States.

Why Hip Pain Treatment at NYDNRehab is Better than Traditional Physical Therapy

As a ball and socket joint located in the pelvic region, the hip joint is a multi planar joint surrounded by a complex network of muscles, ligaments, tendons and nerves. Conventional medical treatment for hip pain often focuses on pain management, along with strengthening and stretching exercises, without identifying the underlying cause. When those treatments fail, people with hip pain are often steered toward unnecessary surgeries.

The specialists at NYDNRehab believe that surgery should be the absolute last resort. We use the most advanced motion and gait analysis technology and the highest resolution musculoskeletal ultrasonography found in any private clinic in the USA.

Dr. Kalika has spent many years developing a unique diagnostic approach that combines:

Diagnostic musculoskeletal ultrasonography
Integrative gait and motion analysis
Biomechanical screening and analysis
Specialized gait physical therapy
Ultrasound guided procedures
Extracorporeal shockwave therapy (ESWT)
Electromagnetic transduction therapy ( EMTT)

NYDNRehab offers the most technologically advanced and comprehensive approach to hip joint treatment and physical therapy rehabilitation in New York City. We believe that successful outcomes in musculoskeletal medicine can only be achieved via thorough examination, using objective tools. It is our philosophy that what cannot be measured cannot be successfully treated.

Hip Conditions We Treat

Hip tendonitis

Femoroacetabular impingement (FAI)

Hip labrum tears

Adult hip dysplasia

Running hip pain

Hip flexor strains

Snapping hip syndrome

SI joint pain and dysfunction

Post surgical hip replacement pain and rehab

Hip fracture rehabilitation

Femoral head stress fractures

Symptoms, Causes and Risk Factors of Hip Pain

Symptoms

Pain when standing and walking
Snapping or popping sounds or sensations
Pain when climbing or descending stairs
Pain in the groin area
Stiffness and reduced range of motion

Causes

Overuse from sports or exercise
Trauma
Excessive sitting
Sprains and strains
Muscle imbalances

Risk Factors

Osteoporosis
Poor posture
Deficits in gait mechanics
Overweight or obesity
Participation in high-intensity sports

Accurate Hip Pain Diagnosis Means Successful Treatment

Because hip pain can stem from a number of causes and can affect multiple structures, accurate diagnosis is key to successful treatment. At NYDNRehab, we use advanced technologies to diagnose, analyze and treat hip pain and dysfunction.

In addition to a thorough clinical exam, our specialists use diagnostic ultrasonography to visualize tendons, ligaments, bursa, muscles and nerves surrounding the hip, in real time, with the patient in motion.

We also use sophisticated video gait analysis technology to visualize and measure ground reaction forces, joint kinematics, muscle firing patterns and other quantitative parameters, to get a clear functional overview of the hip and the entire lower kinetic chain.

Based on our experience and evidence-based information, we believe that physical therapy and rehabilitation should be based on objective quantifiable data.

In addition to diagnostic ultrasonography and gait analysis, our testing protocol includes:

Combined lumbopelvic hip stability test using DLEST methodology with C.A.R.E.N our computer assisted rehab environment
Hip joint stability test using DLEST methodology with C.A.R.E.N
3D star excursion banner test (SEBT) to assess the role of the hip joint and muscles in postural stability
3D kinematic joint angle analysis during a squat, lunge, drop jump and pelvis-on-hip rotation
Rehabilitative ultrasonography to view hip stabilizing muscle activation patterns

We Use High-Tech Equipment for Optimal Results

Our philosophy is that what cannot be measured cannot be successfully treated. After doing a complete clinical exam, diagnostic analysis and testing, we use our gathered data to establish a functional baseline and develop a personalized treatment protocol.

Your hip pain treatment plan may include:

Extracorporeal shock wave therapy (ESWT)
Electromagnetic Transduction Therapy (EMTT)
Ultrasound guided dry needling
C.A.R.E.N to restore weight-bearing symmetry and gait stability
Pelvic stability training
Redcord neurac therapy
Dynamic neuromuscular stabilization (DNS)

Regenerative Technologies
at NYDNRehab

The human body has its own innate healing mechanisms, but it sometimes needs a nudge to accelerate the healing process. Regenerative technologies help to jump-start healing by stimulating tissue repair at the cellular level. Our outpatient regenerative therapies expedite recovery with minimal discomfort for the patient.

Focused Shockwave Therapy

Focused Extracorporeal Shock Wave Therapy (ESWT)

Focused ESWT is used as a regenerative treatment for damaged tendon, muscle and bone tissue. This technology produces high frequency sound waves to stimulate the body’s own reparative mechanisms. It is especially effective for chronic degenerative tendon disorders and myofascial pain syndrome.

Extracorporeal Magnetic Transduction Therapy (EMTT)

EMTT is a fairly new technology that transmits high energy magnetic pulses to targeted tissues. The magnetic waves synchronize with the body’s own magnetic fields, causing a disturbance that triggers a regenerative response. EMTT waves can penetrate deep tissues up to 18 cm beneath the skin’s surface, to target difficult-to-reach tendons, muscles, bones and nerves.

Electromagnetic Transduction Therapy (EMTT)

Extracorporeal Pulse Activation Technology (EPAT)

EPAT, also known as defocused shock wave therapy, uses acoustic pressure waves to enhance blood circulation to targeted tissues. This speeds up the delivery of oxygen and nutrients to damaged tissues and stimulates cellular metabolism, to accelerate the healing process.

High Energy Inductive Therapy (HEIT)

HEIT uses electromagnetic fields to penetrate cells, tissues, organs and bones, to reactivate the electrochemical function of cells and cell membranes. HEIT generates a magnetic field 600 times stronger than the field of a normal magnet, to stimulate healing of nerves, muscles and blood vessels.

HIGH ENERGY INDUCTIVE THERAPY (HEIT)

INDIBA CT9 Radiofrequency Device

Our INDIBA Tecar therapy machine converts electrical current into a stable radio frequency current of 448 kHz, designed to increase and stabilize the exchange of ions in damaged cells, evoking a regenerative response that accelerates healing. INDIBA can be used to successfully treat joint and muscle disorders, low-back pain, sports injuries, surgical incisions and various pain syndromes. Another therapeutic effect of INDIBA is extreme and prolonged cellular hyperthermia. Due to this effect, INDIBA therapy combined with manual therapy and soft tissue tissue manipulation enables instantaneous release to occur, significantly shortening the number and duration of physical therapy sessions. What is normally accomplished in two months of physical therapy can be accomplished in 3-4 sessions with INDIBA.

Ultrasound Guided Dry Needling

Myofascial trigger points often contribute to lower back pain. Dry needling is an outpatient procedure that inserts non-medicated needles into the trigger point to evoke a twitch response, releasing the trigger point and immediately relieving pain. Ultrasound guidance eliminates the need for multiple insertions, reducing pain and discomfort for the patient.

Ultrasound Guided Injection
Therapies

Injection therapies use natural/neutral solutions that stimulate cellular repair by either nourishing or irritating the targeted cells. Guidance by ultrasound ensures that the injected substances hit their mark, for maximum effectiveness.

Platelet Rich Plasma (PRP)

PRP therapy uses a sample of the patient’s own whole blood, which is spun in a centrifuge to extract a high concentration of platelets. When injected into damaged tissues, PRP initiates tissue repair by releasing biologically active factors such as growth factors, cytokines, lysosomes and adhesion proteins. The injected solution stimulates the synthesis of new connective tissues and blood vessels. PRP can help to jump-start healing in chronic injuries and accelerate repair in acute injuries.

Proliferation Therapy, aka Prolotherapy

Prolotherapy uses a biologically neutral solution, often containing dextrose, saline or lidocaine. The solution irritates the affected connective tissue, stimulating the body’s own natural healing mechanisms to encourage growth of new normal ligament or tendon fibers.

Range of Available Unique Physical Therapy
Treatments at Nydnrehab

Preventing Hip Pain and Dysfunction

Staying physically active, managing your weight and perfecting your athletic skills can go a long way toward preventing hip pain and dysfunction. A 3D gait analysis can help you identify deficient gait patterns that can lead to hip pain later in life. Likewise, a biomechanical analysis can help you identify and correct motor deficiencies that can cause pain and injury.

Get Personalized Hip Pain Physical Therapy, Designed Just for You

At NYDNRehab, we never take a cookie-cutter approach to patient care. The causes and symptoms of hip pain can vary from one patient to the next, and each case requires a unique treatment approach. We thoroughly examine each patient and base our treatment solutions on your personal diagnosis. We provide one-on-one Physical Therapy, custom-designed for the individual patient.

Get State-of-the-Art Hip Pain Treatment That Really Works!

Hip pain can be debilitating, interfering with your ability to enjoy life to its fullest. Pain medications and surgeries often fail to get to the root cause of hip pain, treating the symptoms without resolving their underlying causes. At NYDNRehab, we make it our mission to get to the source of your hip pain and correct it, so you can move freely again, without pain or dysfunction. If you suffer from chronic hip pain and want to find the best hip doctor in NYC, visit NYDNRehab in midtown Manhattan. Our team of hip pain specialists provide individualized treatment plans to meet the unique needs of every patient. We don’t just treat hip pain – we get to its source and restore healthy pain-free function, so you can enjoy the very best quality of life. Contact us today and make an appointment to get rid of your hip pain for good.

Dr. Lev Kalika

Clinical director & DC RMSK

Clinical Case Studies
NYDNRehab

Case Study: Femoroacetabular Impingement

Our Patient Our patient is a 29 year-old female, a professional fencer since the age of 11, who came to us with right-sided hip pain. She denied any past trauma, and at the time of her visit she had just recovered from COVID. She had been diagnosed with femoroacetabular impingement (FAI), and had undergone 4 […]

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Case Study: Occupational Hip and Low Back Pain

Our Patient Our patient was a 55 year-old male employee of the Metropolitan Transportation Authority (MTA). The patient’s job required heavy manual labor. He came to us complaining of hip and low back pain. The Challenge The patient’s job did not allow ample recovery time for standard physical therapy and injury rehabilitation to provide significant […]

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