Pains, Strains and Muscle Complaints: Its Complicated!


If you are physically active in sports or exercise, or if you work at a physically demanding job, you are no stranger tors.

A muscle strain, sometimes called a pulled muscle, occurs when muscle tissue is overstretched and to be independent of the area of injury.

It’s All Connected

Muscles do not function independently of one another, nor independently of other structures like tendons, ligaments, bones and nerves. Unbalanced muscle to stabilize and control movement.

Stable ligaments, flexible joints, uninhibited neural bodies and strong muscles all work to muscle strain and injury.

The most common site of muscle strain is at the muscle-tendon junction. Tendons are thick fibrous structures that are continuous with muscle, meaning the cells blend smoothly from soft muscle tissue to bones, and they have a tensile strength greater than a steel cable.

When the musculotendinous structure is subjected to stretch and tear, causing muscle strain.

Deficiencies that Lead to Muscle Strains

Your body’s structures work to major repairs.

Some things that can undermine the efficiency of human movement and lead to muscle strains include:

  • Poor postural habits
  • Inefficient walking or running gait
  • Poor flexibility
  • Tight or weak muscles
  • Poor coordination and timing of movement
  • Weak and imbalanced pelvic and core muscles
  • Neuromuscular deficiencies

A well designed program of stretching, strengthening and correction of movement deficiencies can help resolve moto injury.

Reducing the Risk of Muscle Strains in NYC

Whether you are an athlete or exercise enthusiast prone tomized training program from the team at NYDNRehab.


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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