New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Physical Therapy for Abdominal Adhesions

Abdominal adhesions arise when soft tissues form scar tissue in the abdomen, making them dense and sticky, and causing them to adhere to the abdominal wall, or to visceral organs — a condition sometimes referred to as “frozen abdomen.” While many patients with abdominal adhesions remain symptom-free, some may develop abdominal pain and other serious […]

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April 18, 2024

Clearing the Fog Around Shockwave Therapy

Shockwaves have been safely used on human tissues since the 1980’s, initially as a tool to break up kidney stones and gallstones. But shockwave technology has dramatically evolved over the past 40 years, transforming extracorporeal shockwave therapy (ESWT) into an evidence-based regenerative solution for eliminating pain and promoting tissue healing at the cellular level.However, not […]

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April 3, 2024

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

Getting to the Bottom of Rib Cage Pain

Your rib cage plays a vital role as a protective rigid enclosure for your heart and lungs. It also functions as an attachment site for your respiratory muscles, including your intercostal muscles and diaphragm, and provides structural support for your upper body. From a biomechanical standpoint, your ribcage serves to stabilize your thoracic spine during […]

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February 6, 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


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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