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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

TMJ pain treatment in NYC

Patients with Temporo-Mandibular joints (TMJ) pain often become victims of excessive fragmentation of our complex healthcare system. An individual with persisting pain in the TMJ area may very soon find himself on a long, if un-amusing, journey through the complicated maze of the medical profession. From a dentist office too often however such a patient […]

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October 23, 2023

Sacroilliac Joint Pain Treatment NYC

The sacroiliac joint (SIJ) is a synovial planar joint located in the pelvis. It plays an important role in load transfer during physical activity, and helps to the lower body. Dysfunction of the SIJ can cause pain in the low back and legs, which is sometimes mistaken for sciatic nerve pain. Anatomy and Function of […]

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October 23, 2023

Neck Pain

Neck Pain Treatment NYC Nowadays there is significant increase in the amount of patients with neck pain. Clinical experience and scientific data shows that this recent increase is due to excessive usage of hand held devices, computers, excessive sitting and increased amounts of stress. SYMPTOMS of Neck Pain Many patients complain of the pain in […]

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October 23, 2023

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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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