Where injuries come from?

preventing injuries

Many people with an injury come into our office not really knowing how the injury happened in the first place. They want to know how the injury happened so they can prevent it from occurring again. A better way to deal with the situation is to know what to do to prevent injuries in the first place, and prevent the injury from happening.

What Causes Injuries?

Many times the sports injury happened after the player was kick hit or punched just right. But many times the person has had that happen to them before. What caused the sports injury that particular time, when they have been hit or run into many times before?

The answer is relatively simple. All of the previous injuries or impacts that happened before weakened the muscle or other part of the body that experienced impact. Repetitive movements or impacts can cause the injury. So something as simple as bending over can cause a back problem or muscle problem if that area is already weakened due to repetitive motion or stress. That one movement did not cause the injury. The whole series of stresses caused the body part to rip, break or tear.

Balance is the Key

If your body is used to doing a motion a certain way, the rest of the body will compensate by adjusting for balance. When your knee hurts, the rest of your body will do what it needs to and adjust to keep you walking and standing with as little pain as possible. So your hip, ankle, foot and back will be moving in a way that is a little unnatural to make up for your injured knee. Or if you slept funny and woke up with a sore neck, your head and shoulders will have to pay the price for stiff muscles as well.

This unbalance causes what is known as a kinetic chain. This is your body’s adjusting to an overused or injured part to make it function. Unfortunately a continued imbalance can cause an injury to occur as the muscles or joints become damaged over time. It is important to be aware of what your body is telling you. If you have had an injury in the past, has your body properly recovered? A good evaluation of your injury, range of motion and physical therapy will do wonders to help you recover from your injury and prevent further injury.

Regaining Your Muscular Balance

There are many great methods for regaining your muscular well-being and balance. Physical therapy and Pilates will strengthen your muscles prevent injuries. Chiropractic will put your spine and your entire back in balance. Acupuncture will relieve your pain and get your energy flowing again. Ultrasound and shock wave therapy will help your muscles work more efficiently. Choosing a highly qualified rehab who has expertise in these areas to help you build muscle and help your body work correctly is essential to healing from an injury or preventing an injury from happening in the first place.


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

Buy now 3D Gait
Payment Success
Request TelehealthRequest Telehealth Request in office visit Book now