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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Diagnosis and Treatment of Shoulder Pain

The shoulder is a complex joint, with multiple structures surrounding the joint and governing movement. Because of the complexity of the shoulder region, diagnosis of the source of shoulder pain is challenging. Here is what we know:

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October 18, 2017

Myoreflex Therapy for Muscle Pain

Muscle pain is a highly common affliction, especially if you are physically active. In fact, muscle pain may become such an integral part of your active lifestyle that you simply ignore it, brushing it off as a natural consequence of staying in shape. However, chronic and debilitating muscle pain is not normal, nor should it […]

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October 13, 2017

Chiropractic Treatment Protocols for Rehabilitation

When you think of a chiropractor, chances are you think of spinal manipulation. In fact, manual spinal adjustments are the hallmark of traditional chiropractic care. Since the spinal cord houses the central nervous system, a maladjusted spine can generate pain, tingling and numbness throughout your body. Manual spinal adjustments can alleviate pressure on discs and […]

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October 12, 2017

When to Consult a Foot Pain Specialist

Tired aching dogs can make you miserable and keep you from doing the things you love. Yet many people live with foot pain, accepting it as a normal part of aging. However most foot pain emanates from a specific cause that can often be identified and corrected. Many daily activities contribute to foot pain, including […]

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October 11, 2017

Physical Therapy for Painful and Injured Ankles

Your ankles play an important role in movement and stabilization of your entire body, and injury is not only painful but can be severely debilitating. Poor ankle function can limit your ability to walk, run and jump, and an unstable ankle can set you up for an injurious fall. In addition to injury. There are […]

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October 6, 2017

Understanding Rotator Cuff Tendinopathy

Your rotator cuff is the group of four muscles that cause your should joint to rotate internally (toward your trunk) and externally (away from your trunk). When the rotator cuff muscles and other muscles associated with them get out of balance, either from under- over- or misuse, they begin to cause pain in your shoulder […]

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September 29, 2017

Understanding Coccydynia (Tailbone Pain)

A painful condition called coccydynia is truly difficult tolerate. It actually is prompted by inflammation situated in your tailbone. Despite all the guessing about it, the most frequent reason for it is plain trauma a fracture, a heavy fall. This non-sto coccyx pain interference with your daily life. Anatomy of Coccyx Spinal column ends with […]

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September 29, 2017

Recognizing and Treating Plantar Fasciitis

Foot and heel pain can really slow you down, keeping you from activities you love and making every step a chore. In many cases, pain that begins in your heel is caused by plantar fasciitis, an inflammatoes. In some cases, tiny micro tears of the plantar fascia tissue aggravate the condition, increasing pain and prolonging […]

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September 26, 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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