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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

The Foot Core System: Understanding the Function of Your Fabulous Feet

When you sto withstand high force loads and produce its own forces. With so much knowledge of human anatood structures in the human body, and feet are only recently getting the attention they deserve from the human movement scientific community. The Foot’s Complex Design The foot is a complex structure whose functions are governed by […]

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December 26, 2017

Improve Posture, Reduce Pressure and Look Thinner with Hypopressive Exercise

Whether you are a new mom wanting a flatter tummy, a professional athlete seeking to a traditional regimen of core and abdominal exercises may in fact be undermining your efforts by creating undue pressure in your lower abdominal region. Hypopressive exercise is a unique approach to reduce pressure on your internal organs, and eliminate uterine […]

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December 11, 2017

Peroneal Tendinopathy

Peroneal Tendinopathy, also called peroneal tendinitis, is a relatively rare but painful tendon injury that results from damage and degeneration of a peroneal tendon in the foot. The condition is most often associated with running, but basketball players, dancers and other athletes in sports that involve jumping and landing are also prone to the condition. […]

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December 6, 2017

10 Reasons Ultrasound Imaging beats MRI and Xray for Diagnosing and Treating Musculoskeletal Conditions

Musculoskeletal injuries from sports, trauma or overuse can be painful, messy and difficult to differentiate various layers and structures beneath the skin’s surface. Ultrasound imaging can identify the exact location and nature of a musculoskeletal injury within seconds, enabling the health care provider to accurately diagnose and treat injured patients. If you are not convinced […]

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November 30, 2017

Return to Sport after a Soccer Ankle Injury: How soon is too soon?

An ankle injury on the soccer field can be a devastating setback for an athlete at the top of their game. Not only does the athlete suffer, but the entire team takes a hit, and even the coach stands to face career issues if a key player goes down in mid-season. Needless to say, there […]

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November 22, 2017

Diagnosis and Treatment of Groin Pain in Athletes

Groin pain is a common complaint in athletes, especially in sports like hockey, soccer and football that involve pivoting, twisting and rapid directional changes. Chronic groin pain can interfere with performance, and can take an athlete out of the game for extended periods of time. In some cases it may become a career-ending injury. Treating […]

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November 16, 2017

Assessment and Diagnosis of Plantar Fasciopathy in Runners

Runners’ feet take a pounding, and over time the plantar fascia and its associated structures may become damaged with microtears, bone spurs or stress fractures. Correct diagnosis and treatment are key to full performance recovery. In its early stages, plantar fasciopathy usually presents as heel pain. Careful assessment will distinguish plantar fasciopathy from other causes […]

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November 13, 2017

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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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