Keeping Your Athletic Edge with TeleHealth Physical Therapy

Keeping Your Athletic Edge with TeleHealth Physical Therapy

Many athletes of all ages and skill levels rely on physical therapy and chiropractic care to enhance and maintain optimal performance. With recent reductions in team practices, games and competitions, it is more important than ever to find innovative and effective ways to stay in top shape and hang onto your competitive edge. TeleHealth online physical therapy services offer an effective solution for periods of reduced activity, giving you the training and advice you need to stay at the top of your game.

What is TeleHealth?

What is TeleHealth?

Lockdowns imposed by the recent global pandemic have made it difficult, if not impossible, to attend clinical in-person sessions for physical therapy and chiropractic care. However, a silver lining to this otherwise dark cloud has been the emergence of TeleHealth, an innovative concept that enables patients and their therapists to continue therapy sessions with the same effective results. Nearly everyone on the planet has experienced schedule disruptions that have dramatically altered the way we live and work. What we initially expected to be a temporary situation is gradually morphing into a “new normal” that leaves us scrambling to establish new routines and find new ways of doing things.

TeleHealth services are a godsend for patients undergoing injury rehab protocols, enabling them to continue physical therapy and work toward full recovery. TeleHealth enables HIPAA compliant video sessions with your physical therapist or chiropractor, so you can keep working toward your goals for improved performance and return to sport.

TeleHealth Physical Therapy

TeleHealth Physical Therapy

TeleHealth services leverage technology to deliver patient care on a variety of devices, and to monitor patient medical data and progress through secure electronic tools.

Telehealth physical therapy services are delivered in four fundamental ways:

  • Live synchronous patient-therapist sessions via real-time video deliver interactive patient care to your computer, tablet or mobile phone. Live sessions let you connect with your PT or chiropractor face-to-face for consultations, exercise sessions and guided corrective therapy.
  • Asynchronous services let you retrieve medical records, training videos, progress notes and other communications that are recorded and stored by your therapist, to be accessed at your convenience.
  • Remote patient monitoring enables your therapist to check on your health status and progress via secure electronic devices. Share vital statistics like heart rate or blood pressure, send videos of your home exercise sessions for review, or monitor your gait with wearable sensor technology and share the results with your therapist in real time.
  • Mobile health (mHealth) keeps you informed of schedule changes, provides valuable patient education, and alerts you to updates via a mobile application on your cell phone or other electronic devices.

TeleHealth Sports Physical Therapy at NYDNRehab

In response to the pandemic virus, many athletes who are patients of our Manhattan clinic have left NYC, either temporarily or permanently. TeleHealth offers you the opportunity to continue physical therapy and chiropractic care remotely, from anywhere in the world. Our dedicated team will make every effort to provide the same superior quality of care you received in person, so you can hold on to your competitive edge.

About the Author

Dr. Lev Kalika is clinical director of NYDNRehab, located in Manhattan. Lev Kalika is the author of multiple medical publications and research, and an international expert in the field of rehabilitative sonography, ultrasound guided dry needling and sports medicine Dr. Kalika works with athletes, runners, dancers and mainstream clients to relieve pain, rehabilitate injuries, enhance performance and minimize the risk of injuries. His clinic features some of the most technologically advanced equipment in the world, rarely found in a private clinic.


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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