New York Dynamic Neuromuscular Rehabilitation & Physical Therapy
There is no question that participation in any type of physical activity comes with inherent risk of injury. When it comes tous force. In light of research linking cognitive dysfunction and decline in retired athletes to play. More Than Just Cognition Since the onset of discourse about concussion in athletics, a great deal of research […]
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Good posture has fabulous cosmetic benefits, making you look younger, taller and more confident. But there is more to perfect posture than how others perceive you. Good posture has lifelong health benefits that can dramatically improve your quality of life and even help you live longer! Learn the difference between static and dynamic posture, and […]
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Challenging health professionals and physiotherapists around the world is the chronic low back pain thousands face. Even the simple management of this issue is challenging everyone today. However, there is evidence that a multidisciplinary approach to managing this pain will be the key to helping everyone. This infographic explores all the reasons pain can persist […]
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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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