Sports medicine NYC

Introduction

Sports medicine is a field of medical practice that involves treating injuries sustained by athletes as a result of their participation in athletic events. Sports medicine is concerned with restoring bodies to their proper functions, and the prevention and treatment of sports-related injuries. This is achieved through a variety of means, including conservative pain management, exercise training, and physical therapy. In sports both amateur and professional there’s been a significant increase in the number of reported injuries over the last several decades, as a result of the explosion of participation in sports more generally.

As a consequence there’s been a surge of interest in advanced physical therapy and sports medicine as a profession, with sports center physical therapy clinics emerging across the country with sophisticated techniques and equipment for treating sports injuries. Prominent among them is New York Dynamic Neuromuscular Rehabilitation Clinic (NYDNRehab), located in Manhattan. NYDNRehab is a leader in sports medicine and patient rehabilitation.

Varieties of Sports Physical Therapy

Today there are over 200,000 physical therapists trained to work in the United States. With this increase in numbers, the science of sports medicine and physical therapy has branched into several specialized categories.

Orthopedic physical therapy is one of these branches. Orthopedic physical therapy is a branch of sports medicine that deals with the rehabilitation and repair of the human musculoskeletal system, which includes approximately 200 bones and 700 muscles, and their associated joints, tendons, and ligaments. The science of orthopedics today incorporates into its program bone rehabilitation and treatment of degenerative diseases through techniques like exercise and muscle training. NYDNRehab treats the full spectrum of orthopedic disorders and injuries, including overuse injuries, tendinopathy, degenerative joint disease, and damage to the soft tissues. We make it our goals not only to relieve the immediate symptoms of pain but to restore the strength and stability of the patient’s body.

Integrated physical therapy treats patients by incorporating proven manual techniques with advances in technology. At NYDRehab the duality of this approach is exemplified by dynamic neuromuscular stabilization (DNS) and Computer Assisted Rehabilitation Environment (C.A.R.E.N). DNS is a treatment technique in which a physician places the patient into the precise postures of an infant just learning to crawl and walk. This postural alignment activates the brain’s motor control centers, which are activated at significant stages in our lives to teach us how to move. DNS has the effect of re-training patients in movement by bringing them back to the roots of movement. C.A.R.E.N, by contrast, is a cutting-edge virtual-reality simulation, similar to a holodeck, that allows patients to train their bodies in an imaginary environment. It’s one of the most effective instruments available for sports rehab physical therapy.

Manual physical therapy is a form of physical therapy in which treatment is primarily administered directly, through the hands, rather than through machines. Manual physical therapy may include joint mobilization and manipulation, stretching (in which the physician physically assists in stretching the patient’s muscles), or techniques in which the patient moves his or her own body, either with the physician’s assistance or with resistance designed to strengthen the afflicted areas. For example, one of the most effective methods of physical therapy for sports hernia involves correcting imbalances between the leg and torso muscles by guiding the patient in stretching the muscles and tissues of the hind limbs and lower abdomen. In some cases the physician may initiate the manual physical therapy in order to train the patient in doing it unaided.

At NYDNRehab, in addition to DNS, our physicians sometimes employ soft-tissue mobilization to treat hyper-sensitive trigger points that can cause tremendous pain if left untreated. This method of manual physical therapy has proven particularly effective in the treatment of ailments like Achilles tendinopathy, runner’s heel, TMJ, and orofacial pain. Some of these conditions can become chronic if left untreated, and hands-on therapy offers one of the most effective avenues to healing.

Professional Orthopedic and Sports Physical Therapy at NYDNRehab

Located on midtown Manhattan, NYDNRehab is widely recognized as a leader in the field of professional sports physical therapy and orthopedics. An outpatient clinic offering manual and rehabilitative treatment, NYDNRehab is led by Dr. Lev Kalika, a former student of the Prague Rehabilitation School. After studying in Europe and meeting Professor PavelKolar, the founder of the DNS method, he returned to America and began his own private practice. Today he has over fifteen years’ experience, and the clinic he founded is near the forefront of treatment for locomotion disorders, back pain, sports motion physical therapy, and orthopedic conditions. Employing techniques like precision gait (walking) analysis, soft-tissue mobilization, and extracorporeal shockwave therapy (ESWT) for the regeneration of damaged tendons, and incorporating technologies like diagnostic ultrasound and C.A.R.E.N, NYDNRehab offers a comprehensive approach to sports physical therapy in New York. We’re the first practitioners to offer DNS on the East Coast and the first outpatient clinic in New York to provide a C.A.R.E.N lab for virtual-reality rehabilitation.

130 West 42 Street Suite 1055, New York NY 10036
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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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