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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Shock Away Pain from Knee OA with ESWT

Osteoarthritis (OA) is a common affliction that causes stiffness, crackling, swelling and tenderness in your joints. While it may occur in any joint, OA is particularly debilitating in the knee, as it can become quite painful when walking, causing you to limp and restricting your daily activities. It is estimated that OA affects up to […]

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October 10, 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

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

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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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