New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Improve Posture, Reduce Pressure and Look Thinner with Hypopressive Exercise

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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December 11, 2017

Peroneal Tendinopathy

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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December 6, 2017


Patellofemoral Pain Syndrome

The structures in your lower body are designed to work in a coordinated sequence to produce uninhibited movement. When correctly aligned, your knee cap facilitates smooth gliding at the knee as your powerful leg muscles contract to propel you forward and upward. Pain occurring at the front of the knee and around the kneecap can […]

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December 4, 2017

10 Reasons Ultrasound Imaging beats MRI and Xray for Diagnosing and Treating Musculoskeletal Conditions

Musculoskeletal injuries from sports, trauma or overuse can be painful, messy and difficult to differentiate various layers and structures beneath the skin’s surface. Ultrasound imaging can identify the exact location and nature of a musculoskeletal injury within seconds, enabling the health care provider to accurately diagnose and treat injured patients. If you are not convinced […]

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November 30, 2017

High Hamstring Tendinopathy

High (or proximal) hamstring pain is becoming increasingly recognized as a source of chronic posterior hip pain. Reactive Neuromuscular Training on Kineo Kineo – the most versatile muscle testing using artificial intelegence

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November 27, 2017

What to do When a Pain in Your Neck becomes a Migraine Headache

If you suffer from persistent migraines, then the signs of it are very familiar and you can feel ahead of time the storm is coming. Very few people realize that neck pain is a powerful pre-factor for a migraine headache. Three of four migraine patients say that neck pain always escorts their migraine. 60% of […]

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November 24, 2017

Return to Sport after a Soccer Ankle Injury: How soon is too soon?

An ankle injury on the soccer field can be a devastating setback for an athlete at the top of their game. Not only does the athlete suffer, but the entire team takes a hit, and even the coach stands to face career issues if a key player goes down in mid-season. Needless to say, there […]

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November 22, 2017

Femoroacetabular Impingement (FAI)

While the term Femoroacetabular is quite a mouthful, it is just the clinical name for your hip joint, where the neck of your femur (the long bone of your upper leg) meets the acetabulum of your pelvis. Put simply it is the ball-and-socket complex that makes up your hip joint. In a healthy person, the […]

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November 21, 2017

Avoid Back Pain

Perception versus Reality: Is your back really stiff, or is it just you?

Feelings of stiffness in your low back are often cause for concern, and they can indicate a burgeoning problem that may require medical attention. But what if it’s all in your head? Of course, it is insulting and a bit denigrating when someone implies that your feelings of back stiffness are not real. Yet new […]

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November 17, 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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