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.

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Dr. Lev Kalika
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’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.

Why Hip Pain Treatment at NYDNRehab is Better than Traditional Physical Therapy
Why Hip Pain Treatment at NYDNRehab is Better than Traditional Physical Therapy Image 2

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 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

Hip Conditions We Treat

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.

Accurate Hip Pain Diagnosis Means Successful Treatment
Accurate Hip Pain Diagnosis Means Successful Treatment Image 2

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

  • Surface electromyography (SEMG) to identify deficient muscle firing patterns

Neuromotor testing with DD Robotech AI technology for:

  • Proprioception

  • Tracking ability

  • Force sense

  • Critical power

  • Reactive power

  • Flexibility

At NYDNRehab, we don’t stop searching until we pinpoint the exact underlying cause of your hip pain and dysfunction.

ACL stability testing and training
We Use High-Tech Equipment for Optimal Results

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
  • DD Robotech AI feedback retraining
  • AlterG anti-gravity treadmill
  • Pelvic stability training
  • Redcord neurac therapy
  • Dynamic neuromuscular stabilization (DNS)

Best Treatment Options

Acute hip pain

Acute hip pain

  • Intra articular ultrasound guided injections
  • EMTT
  • Neuromodulation
Chronic hip pain

Chronic hip pain

  • ESWT
  • Physical therapy
  • Ultrasound guided dry needling
Preventing Hip Pain and Dysfunction

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.

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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.

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    Dr. Lev Kalika
    Dr. Lev Kalika

    Clinical director & DC RMSK

    Our Specialists

    HyunJu YOO, PT, MPT, DPT, CPI (Licensed Physical Therapist)
    Dr. Christina Pekar DC
    Dr. Michelle Agyakwah DC
    Mariam Kodsy Physical Therapist
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    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)

    image

    Complete tear of rectus femoris
    with large hematoma (blood)

    image

    Separation of muscle ends due to tear elicited
    on dynamic sonography examination

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