New York Dynamic Neuromuscular Rehabilitation & Physical Therapy
Chronic lower back pain (LBP) is a persistent and debilitating condition that affects adult populations across the world. According to recent data from Statistica, around 620 million people world-wide suffer from chronic lower back pain, with projections that the condition will affect up to 7% of the world population by 2050. In the United States, […]
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Proximal Hamstring Tendinopathy (PHT), sometimes called high hamstring tendinopathy, is a condition involving the upper hamstrings where they attach to the ischial tuberosity – aka sitbones – at the base of the pelvis. PHT is a common sports injury associated with repetitive overuse, but it can also affect sedentary non-athletes, often from excessive sitting or […]
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Tailbone pain, clinically called coccydynia, describes pain and discomfort surrounding your coccyx – the small triangular bone at the base of your spinal column. Acute pain can arise after a fall on your bottom, often involving a coccyx bruise or fracture, or it can develop gradually from certain conditions and activities. We answer your questions […]
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For millennia human physical culture has been admired and celebrated, with toned and sculpted bodies inspiring the world’s most revered artistic masterpieces, and highly trained athletes pitting strength against strength, providing entertainment for the masses in public arenas. But until recently, human musculature has taken all the credit. Now, in the 21st Century, fascia has […]
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Whether you’re a novice runner, a recreational racer, or an elite competitor, running injuries are a constant risk that cannot be ignored. While sometimes pain and mild injuries self-resolve with rest and basic first aid, persistent pain is a telltale sign that you need professional attention. Finding the right doctor for your injury is key […]
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Below is a prime example of how ultrasound can take the guesswork out of diagnosis.
A bad physical therapy experience is one of the primary causes of unnecessary surgery
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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