Knee Pain Specialist NYC

Your knees are essential to everyday movement, and knee pain can be debilitating, keeping you from doing the things you love. Because multiple structures come together at the knee joint, it can be difficult to pinpoint the exact cause of knee pain, which often leads to misdiagnosis, excessive use of pain pills and unnecessary surgeries.

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Diagnosis

The sports medicine specialists at NYDNRehab are experts in diagnostic musculoskeletal ultrasonography. Diagnostic Ultrasound not only enables the doctor to identify the structural causes of knee pain, but it allows your clinician to view the knee region in real time, with the knee in motion. In addition to ultrasound, video gait analysis can help us identify faulty movement mechanics that contribute to hip and groin pain. Once the exact cause is determined, an effective treatment plan can be initiated.

Knee testing

Knee pain and dysfunction cannot be effectively resolved using only subjective clinical analysis. Without objective quantifiable data, physical therapy often addresses the symptoms without resolving the underlying cause.

At NYDNRehab, our groundbreaking motion analysis technology and high resolution diagnostic ultrasonography have enabled us to develop a battery of tests that perfectly reveal the dynamic functional pathology of the knee joint.

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Our test protocol includes
  • Single leg squat stability test with C.A.R.E.N. using perturbation and 3D motion analysis
  • Knee joint stability test using DLEST methodology on C.A.R.E.N

ACL stability testing and training

  • 3D SEBT ( star excursion banner test) for assessing the involvement of the knee joint and musculature in postural stability
  • 3D gait or running analysis
  • 3D kinematic joint angle analysis during a squat, lunge, drop jump and pelvic-on-hip rotation
Neuromotor brain-muscle testing with DD Robotech for:
  • Proprioception
  • Tracking ability
  • Force sense
  • Critical power
  • Reactive power
  • Flexibility
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Based on our experience and on evidence-based information, we believe that physical therapy and rehabilitation should be based on objective quantifiable data.

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None invasive approach

With over 20 years of clinical experience, Dr. Lev Kalika embraces a conservative, minimally invasive approach to knee injury treatment and rehabilitation.

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Сutting edge technologies

His Manhattan clinic features truly cutting edge technologies and innovative therapies rarely found in run-of-the-mill rehab centers.

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Continuing education

Dr. Kalika pursues continuing education with a passion, keeping abreast of current research and expanding his credentials to offer the very best in advanced sports medicine care to his patients.

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Christopher Powers PT

Dr. Kalika studied under world renowned knee specialist Christopher Powers PT, PhD, and became certified in Advanced Functional Biomechanics by the University of Southern California.

Wide range of athletes

Under Dr. Kalika’s care, a wide range of athletes, from novice and recreational athletes to Olympic gold medalists, have overcome knee pain and enhanced their overall performance.

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As an expert in musculoskeletal sonography, Dr. Kalika uses ultrasound and research-grade motion and gait analysis technology to provide an accurate in-office diagnosis for knee pain.

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Lev is a renowned lecturer on various sports medicine topics, and has been featured on the lecture circuit both in the US and abroad. His particular areas of expertise include sports medicine, diagnostic musculoskeletal ultrasonography, dry needling, virtual reality rehabilitation and technological innovations in rehabilitative medicine.

Board Certifications
  • Registered Musculoskeletal Sonographer
  • Advanced Functional Biomechanist
Education and training
  • National University, Chicago, USA
  • Charles University, Prague, Czech Republic

Professional associations and memberships

Dr. Kalika is currently a certified member of:

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American Institute of Ultrasound Medicine

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Active member of ISMST

International Society of Extra Corporeal Shockwave Therapy

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Active member of GCMAS

Gait and Clinical Movement Analysis Society

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Active member of NASS

North American Spine Society

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Active member of IADMS

International Association of Dance Medicine and Science

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Active member of Virtual Rehabilitation Society

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Active member of ASRA

American Society of Regional Anesthesia and Pain Medicine

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Publications

Dr. Kalika has made multiple valuable contributions to the sports medicine community through the publication of peer reviewed research and clinical trials.

About Dr. Kalika treatment

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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)

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Complete tear of rectus femoris
with large hematoma (blood)

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

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