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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

IFI Syndrome: A Pain in the Rear

Hip pain can be both distracting and debilitating, nagging at you with each step or movement. While hip pain is sometimes indicative of a structural problem within the joint (intra-articular), pain can often stem from other sources outside of the joint (extra-articular). Some common causes of extra-articular hip joint pain include: ● Tendon injuries […]

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August 11, 2017

Manual Nerve Mobilization Therapy May Help Resolve Ankle Pain and Instability

Chronic Ankle Instability Ankle sprains are common sports injuries that occur when the ankle rolls in a lateral motion, doing damage to more injuries down the road. A suspected catalyst for CAI is peripheral nerve damage that occurs with a lateral ankle sprain. Inflammation and scar tissue at the injury site can reduce the […]

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August 10, 2017

Vaclav Vojta and Reflex Locomotion Therapy

Vaclav Vojta, MD was a pediatric neurologist and college professor whose life’s vocation is best remembered for his work with children inflicted with cerebral palsy, a brain disorder of unknown origins that affects muscle tor skills. Children with cerebral palsy often have difficulty speaking, standing and walking. In the course of his work, Vojta discovered […]

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August 10, 2017

The Janda Approach to Pain Management and Body Mechanics

Vladamir Janda was a respected Czech neurologist, physical therapist and teacher who sadly died in 2002, at the age of 74. However, his life’s work left a legacy that is only now receiving the acclaim it deserves in the United States, in the fields of chiropractic, physical therapy, orthopedics and exercise science. The Janda Philosophy […]

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August 10, 2017

KAREL LEWIT, MD, DSC.

Karel Lewit was born on April 25, 1916 in Ljubljana, Slovenia, Austro-Hungary and died on October 2, 2014 in Prague, Czech Republic. 1) Karel Lewit was a neurologist and world authority in myoskeletal medicine. He was a pioneer of modern diagnostics and reflex therapy of musculoskeletal disorders in Czechoslovakia, and the world. As a young […]

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August 10, 2017

Prague school of Rehabilitation

A group of neurologists and other specialists in Prague was since the early 1950s researching and developing new approaches to avoid what harms him. The patient must always leave your office with homework. 1) The Prague School promoted a synergy of clinical approach and radiology for better diagnostics, and manual therapy with an emphasis on […]

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August 10, 2017

The Case for Sonography in Evaluating Injury

Since its advent in the 1980s, Magnetic Resonance Imaging, or MRI, has been broadly used in medicine for the diagnosis of musculoskeletal conditions. Meanwhile, sonography, while emerging and evolving simultaneously, has taken a back seat tool for providing state-of-the art imaging for patients. MRI vs Ultrasound: While both MRI and Ultrasound produce an image of […]

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August 9, 2017

Are Concussion Tests a Reliable Tool for Determining Return to Play in Athletes?

Concussions in sports are all the buzz these days, as athletes, coaches, parents and clinicians seek solutions to the pervasive problem. Protective gear helps, but some argue that it gives athletes a false sense of confidence that may in fact increase the risk of a concussion or other injury. It is known that athletes who […]

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August 8, 2017

Use of Balance Tests to Identify Chronic Ankle Instability

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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August 6, 2017

The Science Behind Chiropractic Care

If you have ever been treated for pain with chiropractic care, you know that it can make an amazing difference in how well you feel and how well are able to your nervous system, which governs pretty much everything that goes on in your body. Your Amazing Nervous System Your nervous system is like a […]

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August 5, 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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