Our Patient Our patient is a female in her 20s who came to us with severe right-sided neck pain, consequent to a dry needling session at another clinic. Her pain spanned from the upper trapezius area and down the medial scapular border. The patient has a history of chronic right-sided neck pain and previously had […]
Read MoreOur Patient Our patient is a 57 year old male complaining of right posterior thoracic pain that had persisted for over a month. The patient also reported chronic flatulence. Our Diagnostic Process Clinical Exam Our initial clinical exam led us to suspect myofascial pain, with possible nerve compression at the junction of vertebrae T 7-8, […]
Read MoreThe Challenge Knee pain is a widespread and complex problem, and finding solutions for targeted pain treatment and rehabilitation presents a challenge. We set out to discover whether precise muscle dry needling of myofascial trigger points under ultrasound guidance would be an effective treatment for medial knee pain in adults. Our goal was to restore […]
Read MoreOur Patient Our patient is a 31-year-old female experiencing knee pain during standing and walking. The patient presented with a Genu Valgum angle of 15-20 degrees. Our Diagnostic Process In addition to a clinical exam and measuring the Genu Valgum angle, we used high-resolution diagnostic ultrasound to examine the muscles and connective tissues that act […]
Read MoreOur Patient Our patient is a tall, slender 36 year-old female complaining of joint pain throughout her body, with her right (dominant) elbow causing the worst pain, and significantly interfering with her job and recreational activities. She also reported bloating, sluggish bowel movements and constipation. She had seen a number of doctors, including orthopedic surgeons, […]
Read MoreOur Patient Our patient is a 53 year-old female who came to us complaining of left shoulder/neck pain, elbow pain, and numbness and tingling extending to her fourth and fifth fingers. In the two weeks prior to her visit to our clinic, her elbow pain had begun to intensify. The Challenge The patient had previously […]
Read MoreOur Patient Our patient is a 52 year-old female runner who came to us after unsuccessful treatment elsewhere, complaining of mild low back pain shooting down her right leg. She explained that she had never had low back pain before, and that her locus of pain was slightly lower than her lumbar spine and closer […]
Read MoreOur Patient Our patient is a 33 year-old female runner complaining of hamstring and calf tightness, and posterior knee pain in both legs. The pain began in 2015, but she continued to run. The Challenge The patient had seen numerous running physical therapists and had undergone multiple gait analyses without any results. Five years prior […]
Read MoreOur Patient Our patient is a 56 year-old male jeweler who came to us with lateral elbow pain. The patient is a very athletic tennis player who works out at the gym on a regular basis. He stated that his pain initially started at the front of his elbow and eventually moved toward his lateral […]
Read MoreOur Patient Our patient is a 29 year-old female, a professional fencer since the age of 11, who came to us with right-sided hip pain. She denied any past trauma, and at the time of her visit she had just recovered from COVID. She had been diagnosed with femoroacetabular impingement (FAI), and had undergone 4 […]
Read MoreOur Patient Our patient is a 19 year-old male suffering from 3 years of sternal and lower frontal rib cage pain. The patient was a bodybuilder whose weight training regimen included chest presses, pushups, dips and other exercises that recruited muscles in the pectoral region. Various attempts to treat him had been unsuccessful, and his […]
Read MoreOur Patient Our patient is a 33 year-old female who had been suffering from low back pain for 18 years. Three years prior to visiting our clinic, she had developed severe left-sided sciatica. An MRI revealed a spinal anomaly and the patient underwent surgery for a multi-segmental spinal fusion. While the surgery initially relieved her […]
Read MoreOur Patient Our 41 year-old female patient complained of moderate to severe low back pain. She had gone through five pregnancies – two vaginal and three by C-section. Her back pain commenced about 3 months after abdominoplasty (“tummy tuck”) surgery to correct a 6 cm diastasis recti. The surgery took place 7 months prior to […]
Read MoreOur Patient Our patient is a 44 year-old female complaining of ankle pain. She had sprained the ankle two years prior and had been successfully treated with physical therapy. The Challenge Eight months after her initial treatment, the patient’s ankle pain returned, somewhat distal to the original site of trauma. She reported worse pain and […]
Read MoreOur Patient Our patient is a 57 year-old barber and recreational bodybuilder complaining of “tennis elbow” that would not go away. The pain worsened while lifting weights at the gym, and he reported pain and stiffness after waking up in the morning. He had previously had physical therapy, and an orthopedist had blindly injected a […]
Read MoreOur Patient Our patient is a 45 year-old female runner complaining of left sit bone pain when running and sitting. She has a history of proximal hamstring tendinopathy, and had been treated with plasma injections about 5 years prior, along with physical therapy. Her pain was initially resolved by the injections, and she continued to […]
Read MoreOur Patient Our patient is a 62-year-old female complaining of leg pain, calf and foot muscle weakness, and sensations of numbness in her lower extremities. Our Diagnostic Approach Our initial clinical exam indicated neuropathy, which we confirmed with multiple EMG tests. We followed up with an examination by high-resolution diagnostic ultrasonography. Our ultrasound exam of […]
Read MoreOur Patient A 33-year-old female came to us complaining of persistent left groin pain and painful intercourse. She had been seeing a physical therapist for hip pain that extended to her groin and pelvis. The Challenge In addition to physical therapy, the patient was treated with manual internal pelvic floor massage. When her condition did […]
Read MoreOur Patient A male cyclist came to us with erectile dysfunction and pelvic pain. He was being treated elsewhere with manual therapy, with no signs of improvement. The Challenge The therapist who had been treating the patient was using internal manual therapy to address tight pelvic floor muscles, when in fact the muscle tension was […]
Read MoreOur Patient Our patient was a 65 year-old male complaining of medial knee pain, with a history of low back pain. He had previously undergone a lumbar discectomy where a degenerative disc had been removed at L4-L5. He suffered from mild arthritis in both knees, and had an old medial meniscus tear. The patient had […]
Read MoreOur Patient Our patient was a 55 year-old male employee of the Metropolitan Transportation Authority (MTA). The patient’s job required heavy manual labor. He came to us complaining of hip and low back pain. The Challenge The patient’s job did not allow ample recovery time for standard physical therapy and injury rehabilitation to provide significant […]
Read MoreOur Patient Our patient was a 22 year-old male presenting with low back pain, scoliosis, and external hip and foot rotation. The Challenge The patient had previously sought orthopedic consultations and underwent MRI. The suspected diagnosis was ischio-femoral impingement, a condition associated with hamstring syndrome, to which his external hip and foot rotation were attributed. […]
Read MoreOur Patient Our patient, a 28 year-old male, had been suffering for over two years with unexplained facial and upper body pain. He had seen two separate neurologists and undergone MRIs of his brain and cervical spine, with no concrete diagnosis. The patient’s symptoms included: Pains in the face, anterior neck, chest and rib cage […]
Read MoreOur Patient Our female patient came to us after unsuccessful treatment at another clinic. She presented with painful hip snapping, leg paresthesia (tingling/numbness), low back pain, sacroiliac(SI) joint pain, and gluteal pain. She had previously been treated with epidural steroid injections, piriformis steroid injections, and hip steroid injection, without long-term results. The Challenge Navigating the […]
Read MoreOur Patient Our patient presented with persistent neck and interscapular pain lasting more than five years, with a history of overhead sports and a prior car accident. The patient had been unsuccessfully treated elsewhere. The Challenge Pain had begun prior to the patient’s car accident. The patient had received a brachial plexus hydrodissection, which failed […]
Read MoreOur Patient Our patient is a 58 year-old female with complaints of persistent pain in the sacroiliac joint, with radiating pain and paresthesia to the buttock and trochanter. She had previously received unsuccessful steroid injections for her symptoms at another clinic. The Challenge The patient had been previously diagnosed with a deviated coccyx and a […]
Read MoreOur Patient Our patient is a 30 year-old male who had been diagnosed with Ehlers-Danlos syndrome – a condition characterized by joint hypermobility. The patient’s medical history included frequent fractures and chronic pain in the lower back and buttock regions. The persistent pain was significantly impacting the patient’s daily activities and overall well-being. The patient […]
Read MoreOur Patient Our patient is a 43 year-old female suffering from hand numbness and impingement of the right shoulder consequent to chemotherapy treatment for thymoma. The patient had previously sought medical attention at another clinic where her condition had been misdiagnosed, resulting in unsuccessful, costly and time-consuming treatment. Our Diagnosis Our multidisciplinary team leveraged advanced […]
Read MoreOur Patient Our patient is a 30 year-old male with head trauma, suffering from persistent vertigo and neck pain. Prior attempts to resolve his condition had been unsuccessful, primarily due to misdiagnosis and ineffective treatments. Apparently the musculoskeletal component of vertigo had been overlooked. Our Diagnosis Immediately recognizing the potential link between the patient’s […]
Read MoreOur Patient Our patient was a 46 year-old male complaining of pain in his left shoulder and neck. During the clinical exam, it was revealed that two days prior, he had received an allergy injection in his left arm for asthma. Initial Diagnosis The initial diagnosis identified myofascial trigger points in the left rotator cuff […]
Read MoreOur Patient Our patient was a 40-year-old female with bilateral knee hydrarthrosis (fluid accumulation) and shoulder impingement, who was suspected to have arthritis. Ultrasound imaging revealed no significant structural abnormalities in the knees. However, fluid accumulation was evident, particularly in the left knee. Accumulation of fluid detected in both knees. In addition to excess knee […]
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