New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

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 […]

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January 22, 2018

Are the Side Effects of Sitting a Threat to Your Health?

In the Age of Technology, most humans are spending increasingly less time on our feet, and increasingly more hours in some sort of sitting posture. Driving, working on a computer, being entertained and becoming educated all entail long bouts of sitting with few interludes of standing, walking or large muscle movement of any kind. While […]

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December 29, 2017

Do Orthopedic Surgeries Really Work?

When you are suffering from ongoing debilitating joint pain, surgery may seem like a quick, easy and permanent solution to make it all go away. But in reality, many orthopedic surgeries fall short of the mark, sometimes even doing more harm than good, thus delaying and prolonging the recovery process. Moreover, may surgical procedures are […]

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December 28, 2017

Understanding Abdominal Diastasis: What to do, and what to avoid

Abdominal diastasis, the separation of the rectus abdominis (six-pack) muscle along the linea alba ligament, is most commonly seen in pregnant and post-partum women. However, diastasis rectus abdominis (DRA) can also occur in people who are overweight and obese, and in people who do strenuous work. It can even occur in fit populations where the […]

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December 27, 2017

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

Pains, Strains and Muscle Complaints: Its Complicated!

If you are physically active in sports or exercise, or if you work at a physically demanding job, you are no stranger tors. A muscle strain, sometimes called a pulled muscle, occurs when muscle tissue is overstretched and to be independent of the area of injury. It’s All Connected Muscles do not function independently of […]

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December 18, 2017

Can Low Pressure Exercise Help Resolve Abdominal Diastasis?

Diastasis rectus abdominis (DRA), the separation of the right and left sides of the long rectus abdominis (RA) muscle that forms the “six pack,” is most commonly seen in pregnancy, although it does occur tough vertical line of connective tissue that connects the two sides of the RA, and naturally expands with the growing fetus. […]

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December 15, 2017


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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