New York Dynamic Neuromuscular Rehabilitation & Physical Therapy
Acute or chronic pain in the adductor and/or groin region Pain may also be felt in the lower abdomen Symptoms may be complex Symptoms decrease after warmup but increase with prolonged activity Impaired performance
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In relatively close past people with flat feet were considered unfitting to the rows of military recruits, ballet dancers, athletes and more. Upon recent medical research and documented success stories of all sorts of professionals with flat feet – it has been accepted to consider this “verdict” largely baseless. The statistics numbers on people who […]
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Diastasis Rectus Abdominis (DRA) is a widening of the gap between the two sides of the rectus abdominis muscle (RA) during and after pregnancy. The RA is the long muscle running from the rib cage to the pelvis that forms the coveted “six pack” that so many fitness enthusiasts strive for. The two sides of […]
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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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