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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Functional Patterns Training

Everyone knows about the importance of exercise, but many give up when pain sets in. Functional patterns training is a methodology for re-educating your body’s tissues to move freely, without pain, stiffness or friction. Learn why NYDNRehab is the sports medicine clinic of choice for Functional Patterns Training.

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April 24, 2025

Extracorporeal Shock Wave Therapy for Chronic Low Back Pain

Chronic low back pain (LBP) is widely prevalent world-wide, and a leading cause of long-term disability. The United States, Australia, and Eastern Europe have the highest prevalence of LBP, with upwards of 225 cases per 100,000 population, according to a recent study published in Frontiers in Medicine. While trauma and overuse play a role, researchers […]

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April 17, 2025

Research at NYDNRehab

Ajimsha, M. S., Daniel Binsu, and S. Chithra. "Effectiveness of myofascial release in the management of plantar heel pain: a randomized controlled trial." The Foot 24.2 (2014): 66-71.https://www.sciencedirect.com/science/article/abs/pii/S0958259214000133
Cortés-Pérez, Irene, et al. "Efficacy of extracorporeal shockwave therapy, compared to corticosteroid injections, on pain, plantar fascia thickness and foot function in patients with plantar fasciitis: A systematic review and meta-analysis." Clinical Rehabilitation 38.8 (2024): 1023-1043.Efficacy of extracorporeal shockwave therapy, compared to corticosteroid injections, on pain, plantar fascia thickness and foot function in patients with plantar fasciitis …
Nicolosi, Christian, Joshay Ford, and Adele Meron. "Hydrodissection of Peripheral Nerve Entrapments." Current Physical Medicine and Rehabilitation Reports 11.3 (2023): 265-271.https://link.springer.com/article/10.1007/s40141-023-00405-7
Yang, Aiguo, et al. "The effectiveness of dry needling for plantar fasciitis: a systematic review and meta-analysis." Frontiers in Neurology 15 (2024): 1520585.The effectiveness of dry needling for plantar fasciitis: a systematic review and meta-analysis
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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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