Physical Therapy Blog l NYDNRehab

Blog

New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Planks and Crunches for Abdominal Diastasis: Totally Tabu, or OK for You?

Abdominal diastasis, known clinically as diastasis recti abdominis, or DRA, is the separation that occurs along the midline of the rectus abdominis, or RA (the six-pack muscle) during and after pregnancy. As the fetus grows, the linea alba, the connective fascial tissue that binds the right and left halves of the RA, thins and stretches […]

Read More

April 10, 2018

Resolving Abdominal Diastasis: Alignment is Key to Closing the Gap

If your six-pack is split down the middle after pregnancy or due to overtraining, you are no doubt willing to try anything to pull it back together. The Internet offers scores of solutions for resolving diastasis rectus abdominis, or DRA, ranging from tips on bracing and binding, to exercises designed to bridge the gap. However, […]

Read More

April 9, 2018

Treatment Methods: Musculoskeletal Ultrasound

It would be nice if athletic injuries were simple, clean and easy to multiple structures. Traditionally, X-Ray and MRI have been used to be read and interpreted. Meanwhile, athletes and coaches are left guessing about the extent and severity of an injury, and treatment is delayed. Advantages of Ultrasound Imaging Musculoskeletal Ultrasound (MSUS) delivers high […]

Read More

January 22, 2018

bg

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)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

bg
Buy now 3D Gait
Payment Success
Request TelehealthRequest Telehealth Request in office visit Book now