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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

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

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

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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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