New York Dynamic Neuromuscular Rehabilitation & Physical Therapy
Many people are prone to ankle sprains, and that places them at risk for falls and injury. Identifying and treating chronic ankle instability (CAI) early on can spare patients the foot and ankle pain that comes with a sprain. Once CAI is identified, treatment for ankle pain can center around strengthening and correcting the muscles, […]
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ACL Injury and Return to Play For athletes whose lives revolve around their sport, having an injury that takes them off the playing field can be to play (RTP), we may be setting them up for failure by putting them back on the field prematurely. ACL rupture is a common sports injury that can range […]
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For dedicated runners, heel pain that will not go away is frustrating and takes the joy out of running. Ignoring the pain may work for a while, but eventually, you will need to enjoy running again. In the past, treatment for plantar fasciitis involved mostly stretching of the calf muscles and Achilles tendon, along with […]
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Tendons are made of strong to bones, enabling movement. Because they are subjected to properly treat your painful tendon is essential for quick and effective recovery.
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Healthy knees are foundational to huge amounts of force. ACL tears are the most common knee injury associated with athletics and physical activity. They often occur during landing, deceleration, twisting, cutting and changing direction on the playing field or during exercise. Ligaments have no circulato play, and ongoing impaired knee function throughout the course of […]
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Chronic shoulder pain from rotator cuff tendinosis is difficult to ignore, and it may keep you from performing even the most basic tasks. The longer it goes on, the more it interferes with your quality of life, making it difficult to carry out simple activities of daily living that you once took for granted. In […]
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Vertigo is a feeling of dizziness and a sensation of being off balance. In athletes, vertigo is a common side effect of concussion. While vertigo often resolves itself over time, persistent symptoms may need medical intervention. If you are an athlete suffering from vertigo, sports chiropractic care may offer the best solution. Balance and Sports […]
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Trauma to the ACL (anterior cruciate ligament) is a common sports tear that can be debilitating and in some cases career-ending for people in professional sports. ACL is a key knee connective knot that joins the thigh bone to the shinbone. Risk for ACL injury is increased for some sports than for others. ACL ruptures […]
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Below is a prime example of how ultrasound can take the guesswork out of diagnosis.
A bad physical therapy experience is one of the primary causes of unnecessary surgery
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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