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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Weak in the Knees: Osteoarthritis Doubles Among 21st Century Americans Blog

Weak in the Knees: Osteoarthritis Doubles Among 21st Century Americans

Knee osteoarthritis (OA) is the most common and debilitating joint condition in the United States, affecting more than 19% of adults over age 45. That statistic is not only high, but it is alarming when considering it has more than doubled since the mid-20th Century. Scientists have attempted to explain the increase in OA by […]

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August 31, 2017

Managing Your Chronic Tendinitis Blog

Managing Your Chronic Tendinitis

Tendons are thick fibrous tissue that attach muscles to bone, near your joints. When you contract your muscle, the tendon pulls on the bone to which it is attached to produce movement. When subjected to strong forces, as when lifting weights, tendons can sustain mild damage, and become inflamed and painful. Tendinitis pain is most […]

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August 31, 2017

Frozen Shoulder Syndrome Diagnosis and Treatment Blog  Shoulder Pain Shoulder Frozen Shoulder Syndrome

Frozen Shoulder Syndrome Diagnosis and Treatment

If you are experiencing pain and stiffness in your shoulder that makes movement uncomfortable and restricted, you may have Frozen Shoulder Syndrome, medically known as adhesive capsulitis. Your shoulder is a complex joint that interacts with may structures, so shoulder pain can have multiple sources. Accurate diagnosis is key to effective treatment.

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August 31, 2017

Pain in the Rear: Understanding Deep Gluteal Syndrome Blog

Pain in the Rear: Understanding Deep Gluteal Syndrome

Deep gluteal syndrome, formerly referred to as piriformis syndrome, is an overuse syndrome characterized by buttock pain accompanied by symptoms of sciatica. The condition is often caused by the sciatic nerve becoming entrapped and impinged around the piriformis muscle in the sub-gluteal space. Range of Available Unique Physical Therapy Treatments at Nydnrehab

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August 18, 2017

Why Leg Length Matters in Chiropractic Blog  Ankle sprain

Why Leg Length Matters in Chiropractic

Many people are prone to ankle sprains, and that places them at risk for falls and injury. Identifying and treating chronic ankle instability (CAI) early on can spare patients the foot and ankle pain that comes with a sprain. Once CAI is identified, treatment for ankle pain can center around strengthening and correcting the muscles, […]

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August 13, 2017

Cervicogenic Headache: Cause and Treatment Blog

Cervicogenic Headache: Cause and Treatment

Everyone gets a headache from time to time, sometimes caused by fatigue, stress, illness or trauma. But chronic headache that persists over time should not be ignored. It can indicate structural or mechanical issues that can lead to more serious symptoms down the road. Cervicogenic headache does not originate in the head, but rather in […]

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August 12, 2017

IFI Syndrome: A Pain in the Rear Blog

IFI Syndrome: A Pain in the Rear

  Hip pain can be both distracting and debilitating, nagging at you with each step or movement. While hip pain is sometimes indicative of a structural problem within the joint (intra-articular), pain can often stem from other sources outside of the joint (extra-articular). Some common causes of extra-articular hip joint pain include: ● Tendon injuries […]

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August 11, 2017

Manual Nerve Mobilization Therapy May Help Resolve Ankle Pain and Instability Blog

Manual Nerve Mobilization Therapy May Help Resolve Ankle Pain and Instability

  Chronic Ankle Instability Ankle sprains are common sports injuries that occur when the ankle rolls in a lateral motion, doing damage to muscle and connective tissue. Forty percent of patients suffering a lateral ankle sprain develop chronic ankle instability (CAI), which can impede performance, cause ongoing foot and ankle pain, and lead to more […]

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August 10, 2017

Vaclav Vojta and Reflex Locomotion Therapy

Vaclav Vojta, MD was a pediatric neurologist and college professor whose life’s vocation is best remembered for his work with children inflicted with cerebral palsy, a brain disorder of unknown origins that affects muscle tone, coordinated movement and motor skills. Children with cerebral palsy often have difficulty speaking, standing and walking. In the course of […]

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August 10, 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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