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.
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.
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Dr. Kalika has spent many years developing a unique diagnostic approach that combines:
NYDNRehab offers the most technologically advanced and comprehensive approach to hip joint treatment and 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 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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.