New York Dynamic Neuromuscular Rehabilitation & Physical Therapy
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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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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At age 22, you tore your ACL playing soccer. Surgery went well, rehab went well, and you got back to your life. Now you are 38, and your knee aches after long walks. Your hip feels off. Your lower back tightens going up and down stairs. You wonder whether any of it connects to that […]
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The recent proliferation of articles and blogs advocating minimalist running as an effective technique for managing plantar fasciitis deserves an informed response. A critical analysis is necessary to be written by people with no actual experience in a clinical environment treating this ailment. They are generally speaking from personal experience, and the reader should consider […]
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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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