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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

How Myofascial Release Therapy Helps Reduce or Eliminate Chronic Pain

Just as your skin surrounds and supports your entire body, your fascia provides a second system of support, forming a web of tissue that encompasses your muscles, connective tissue, bones, nerves, blood vessels, and visceral organs, right down to the cellular level. Healthy fascia is supple and elastic, providing support without restricting the underlying structures. […]

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May 27, 2018

New Clinical Guidelines for Low Back Pain Say “No!” to Drugs

With an opioid epidemic raging in the United States and a wave of obesity and sedentary living that promotes chronic low back pain, clinicians are seeking ways to treat and resolve back pain that are efficacious, safe and effective. In 2017, the American College of Physicians (ACP) updated its Guidelines for treating low back pain, […]

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May 23, 2018

Knee ACL Injury May Change Brain Function After Rehab

ACL Basics A common and debilitating knee injury is a tear of the Anterior Cruciate Ligament, or ACL. This important structure holds the tibia bone of the shin in place, preventing it from shifting forward. during movement. The ACL is responsible for roughly 90 percent of knee stability in adults. Because to sustain an ACL […]

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May 19, 2018

Can Anything Be Done to Fix Flat Feet?

In relatively close past people with flat feet were considered unfitting to the rows of military recruits, ballet dancers, athletes and more. Upon recent medical research and documented success stories of all sorts of professionals with flat feet – it has been accepted to consider this “verdict” largely baseless. The statistics numbers on people who […]

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April 27, 2018

7 Everyday Stretches for a Healthy Mid and Upper Back

Mild to each stretch and breathe deeply, exhaling as you elongate your muscles. Seated Spinal Rotation: Sit on a mat with your legs to 60 seconds. Repeat on the opposite side. Prone Back Extension: Lie face-down on your mat, legs extended with the to 60 seconds. Triangle Side Bend with Rotation: Take a wide stance, […]

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April 19, 2018

To Crunch or Not to Crunch? DRA and Abdominal Exercise

Diastasis Rectus Abdominis (DRA) is a widening of the gap between the two sides of the rectus abdominis muscle (RA) during and after pregnancy. The RA is the long muscle running from the rib cage to the pelvis that forms the coveted “six pack” that so many fitness enthusiasts strive for. The two sides of […]

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April 15, 2018

MRI After Ultrasound: Is It Really Necessary?

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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April 13, 2018

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 […]

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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, […]

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April 9, 2018

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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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