New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Patient’s Guide to Posture

Any dedicated people-watcher will tell you that people’s posture varies as much as their height, weight, hair color and taste in fashion. The way you carry yourself is part of what defines you as a unique individual. That being said, your posture is not set in stone — it can be modified and improved to […]

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September 13, 2023

Patient’s Guide to Meniscus Tears

The human knee is a complex hinge joint made up of multiple structures, designed to withstand force loads many times the mass of the individual. But the knee’s complexity brings with it the potential for complicated injuries that are challenging to rehabilitate. One of the most common knee injuries is a meniscus tear — a […]

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September 11, 2023

Neuromodulation and Electro Dry Needling Therapy for Fibromyalgia

For decades, fibromyalgia has been a mystery disease for which scientists were unable to identify the root cause. But in recent years, research has given us greater understanding of the condition and its origins. We now know that fibromyalgia is a neuromuscular disorder caused by hyper-sensitized nerves that increase the excitability of central neurons and […]

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September 1, 2023

Patient’s Guide to Integrative Care for Pelvic Pain

Chronic pain arising anywhere in the pelvic region can have far-reaching repercussions that impact your health and undermine your quality of life. For many people, especially men, pelvic pain is embarrassing, and patients often put off seeking treatment for as long as possible. But ignoring your pelvic issues and delaying treatment can lead to further […]

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August 29, 2023

Lateral Epicondylitis (Tennis Elbow)

Lateral epicondylitis, commonly called tennis elbow, is a painful inflammatory condition felt at the outside of the elbow. While the condition is often associated with tennis, it can also occur from occupational overuse from repetitive twisting motions. Tennis Elbow Symptoms Tennis elbow is marked by pain, burning and tenderness at the outside of the elbow, […]

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June 8, 2023


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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