New York Dynamic Neuromuscular Rehabilitation & Physical Therapy
Imaging technology for musculoskeletal injuries has been a game changer for practitioners whose treatment approaches depend on being able to reveal the locus and nature of damaged tissue. Ultrasonography has been available for several decades as well, but early iterations of the technology provided unclear images that needed to be confirmed with MRI. However, recent […]
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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 […]
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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, […]
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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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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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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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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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