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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Abdominal Muscle Function After Diastasis Rectus Abominis (DRA)

Diastasis rectus abominis (DRA) is a condition most commonly seen in post-partum females, although it occasionally occurs in obese individuals of both sexes. In a nutshell, DRA is a splitting of the linea alba, the thin but tough membrane that runs the length of the rectus abdominis (RA) muscle that defines the “six-pack.” In some […]

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September 25, 2017

Heel pain nyc

Running Footwear: Safety Gear or Setup for Injury?

Since the advent of the running craze in the 1970s, the athletic shoe industry has been perpetually evolving, adapting new technologies and materials to maximize absorption of shock, gait stabilization, arch support. Recently, shoe makers have even added wearable tech to the selection. Yet despite those apparent style and functionality alterations, the basics of athletic […]

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September 22, 2017

Managing SI Joint Pain

Your sacroiliac, or SI joints create the junction between your spine and your pelvis. Although limited in movement, SI joints play a vital role during physical activity, absorbing shock from impact forces and transferring upper body forces to the pelvis and lower extremities. Your SI joints are supported by a strong network of ligaments and […]

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September 21, 2017

Sleeping with Pinched Nerve Pain

A pinched nerve may be easy to sleep. Here are a few things you can do. How to sleep with pinched nerve in neck

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September 20, 2017

Can Wearing Your Woolies Help Ease Your Low Back Pain? This Peer-Reviewed Study Says Yes!

The tenacious nature of chronic low back pain (LBP) makes it one of the most commonly reported medical complaints of adults over 40. While in many cases health care providers can identify the specific root cause of LBP and prescribe effective treatment, a vast majority of LBP complaints are non-specific in nature, meaning they cannot […]

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September 10, 2017

Ultrasound vs MRI for Detecting Tennis Elbow Tears

Chronic lateral epicondylitis — aka tennis elbow – is a painful condition caused by repetitive overuse of the forearm wrist extensor muscles that attach to the epicondyle of the humerus bone, just above your elbow. Although tennis elbow can occur at any age, the condition is most commonly reported in adults aged 35-60. Despite its […]

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September 9, 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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