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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

How Automobile Accidents Can Cause Herniated Discs and Pinched Nerves

Automobile accidents can cause a great deal of damage to the structures of your spine as they react to forces generated by a crash. Whiplash, clinically known as cervical acceleration-deceleration (CAD) syndrome, can cause pain for years after a car crash, especially if discs become herniated and nerves are compressed. The weight of your head […]

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June 6, 2018

Diagnosing Adductor-Related Groin Pain

Acute or chronic pain in the adductor and/or groin region Pain may also be felt in the lower abdomen Symptoms may be complex Symptoms decrease after warmup but increase with prolonged activity Impaired performance  

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June 3, 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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