New York Dynamic Neuromuscular Rehabilitation & Physical Therapy
Foot pain is more than just a nuisance. Ongoing foot discomfort and dysfunction can keep you from doing the activities you love, not to get on with your life. Your feet do more that help you stand and get around. They form a critical foundation upon which your entire body relies. As a base, you […]
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TABLE OF CONTENTS What Poor Posture Does to Your Body Types of Posture Braces and What They Are Designed to Do Why Braces Alone Often Fall Short What the Latest Research Says About Posture Correction New Approaches Beyond Traditional Posture Braces When Posture Problems Are a Red Flag for Urgent Evaluation Who Should NOT Use […]
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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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