If you have ever been treated for pain with chiropractic care, you know that it can make an amazing difference in how well you feel and how well are able to your nervous system, which governs pretty much everything that goes on in your body.
Your Amazing Nervous System
Your nervous system is like a giant computer that processes information at rapid-fire speed and makes constant adjustments tore balance. There are three subgroups within your nervous system that each play a special role:
● Central Nervous System (CNS): Your CNS is made up of your brain and your spinal cord. You can think of it as Command Central. Your CNS constantly processes incoming information and sends out commands to keep everything humming along.
● Peripheral Nervous System (PNS): Your PNS sends messages from your extremities back to initiate or cease movement, and sends information back about what is happening in your arms, hands, legs and feet.
● Auto danger.
Your ANS, PNS and CNS coordinate to maintain equilibrium and keep you safe and healthy.
When Things Go Wrong
Sometimes things happen to the periphery and causing pain and disability.
Chiropractore healthy communication between your CNS, PNS and ANS. Chiropractic interventions are non-surgical and non-pharmaceutical, and often involve exercises, nutrition intervention and other forms of self-care. Side effects are typically minimal or non-existent, and the benefits are many. Chiropractic treatment can often resolve health care issues for which conventional medicine has no remedy.
About the Author
Dr. Lev Kalika is a world-recognized expert in musculoskeletal ultrasonography, with 20+ years of clinical experience in advanced rehabilitative medicine. In addition to operating his clinical practice in Manhattan, he regularly publishes peer-reviewed research on ultrasound-guided therapies and procedures.
Dr. Kalika is an esteemed member of the International Society for Medical Shockwave Treatment ((SMST), and the only clinician in New York certified by the ISMST to perform extracorporeal shockwave therapy. He is also an active member of the American Institute of Ultrasound in Medicine (AIUM), and has developed his own unique approach to dynamic functional and fascial ultrasonography.
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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