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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

The Kinetic Link Between Pelvic Alignment and Low Back Pain

Your pelvis is the centerpoint of your body, connecting and stabilizing your upper and lower anatomy as it mediates force loads during physical activity. But multiple factors can alter your pelvic alignment, undermining its function and impacting structures along the entire kinetic chain. Learn about the role of the pelvic region in human movement, factors that […]

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February 29, 2024

How To Reduce Carpal Tunnel Syndrome Through Diet And Healthy Habits

Carpal tunnel syndrome (CTS) is a rising concern as more people work on computers, which requires repetitive motion. In addition to office workers, people working assembly line jobs, janitors, painters and cashiers are often at risk for symptoms of carpal tunnel (CT) due to the repetitive nature of their work. Fortunately, symptoms and pain may […]

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February 13, 2024

Diagnostic MRI vs Ultrasound Imaging

Diagnostic imaging modalities like X-ray, CT scan and MRI represented a quantum leap forward in 20th Century medicine, enabling doctors to look beneath the skin to visualize bones, joints, and soft tissues. But those breakthrough technologies have certain limitations in terms of risk, convenience, cost and utility. In the 21st Century, ultrasonography has taken diagnostic […]

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February 1, 2024

Dry Needling vs Steroid Injections

Dry needling is an evidence-based methodology for successfully treating plantar fasciitis. During the procedure, a filament-thin non-medicated (dry) needle is slowly advanced into and withdrawn from pain-generating trigger points in the plantar fascia. The needling procedure causes a twitch response in targeted trigger points that immediately relaxes tightly contracted myofascial fibers. Since no drugs are […]

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January 26, 2024

Deep Friction Fascia Manipulation for Pain-Free Movement

Moving effortlessly without pain or stiffness is something we take for granted in our youth. But as time marches on, the body’s structures succumb to internal and external forces that inhibit movement and cause pain. However, loss of pain-free mobility is not inevitable. Much of reduced mobility can be attributed to the densification of fascia, […]

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January 26, 2024

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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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