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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Chiropractic: In Depth

You may be familiar with the term chiropractic, but you may not fully understand what it is or why it is considered beneficial. What is Chiropractic? Chiropractic is a branch of alternative healthcare that is often used in conjunction with the care of a primary docto help alleviate certain types of pain. It generally centers […]

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May 9, 2021

Massage Gun

Getting the Most from Your Massage Gun: A Beginner’s Guide to Percussive Therapy For years now, athletes, trainers and therapists have been using percussive therapy delivered with a handheld device to relieve post-exercise stiffness and soreness. Recently, consumer-grade percussive devices have hit the market at affordable prices, and they have become popular gifts for athletes […]

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January 26, 2021

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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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