Acupuncture is a method that uses insertion of thin needles to specific acupuncture points along the skin of a body. Applying heat or electrical stimulation to these points and using cupping, bodywork and herbal supplements raises the nervous activity and influence the body’s internal regulating systems, enhancing the therapeutic effect. Acupuncture is mainly used to treat medical conditions as well as promote health and overall wellbeing. There are nearly 2000 acupuncture points on a human body. These points are connected by 20 meridians that connect the internal organs, sense organs and different tissues. Acupuncture is an accumulation of nearly 2500 years of medical knowledge and practice. It is used worldwide and acknowledged by the World Health Organization. In a 2002 report WHO recognizes the positive effects of acupuncture and provides a broad range of suitable for acupuncture treatment medical conditions. It is considered to be particularly effective in treating orthopedic disorders such as neurological and muscular pain. Acupuncture not only relieves pain, but also stimulates the body’s natural healing potential and often benefits general physical and emotional wellbeing. Needles used for acupuncture are very different from the typical medical needle. They are almost hair thin and do not puncture deeper than the skin level. Most patients feel very little to no pain during the insertion of the needle. Once the needle is in place it is merely noticeable and does not bring any discomfort. At NYDNRehab our licensed physicians and practitioners will assist you with any questions or concerns regarding the procedure. Acupuncture is a much of an art as it is medicine. Acupuncturists in our clinic will evaluate your specific condition and depending on the symptom choose the best method or combination of methods for the most effective treatment.
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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