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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

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

Recurring Hamstring Strains in Athletes

Hamstring strains are common in sports like football, soccer and other sports that demand high speed kicking, rapid directional changes, and quick deceleration. Dancers are also prone to hamstring strains, with 34 percent reporting at least a single incident. Once an athlete injures a hamstring, re-injury risk goes up, causing the athlete to play. The […]

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September 8, 2017

Congratulations to Our 2017 Scholarship Winners!

NYDNRehab is pleased to announce our 2017 scholarship winners, Greg Stavinski and Daniel Kuchter. Congratulations! Scholarship applicants were required to demonstrate a strong interest in biomedical related research, and an understanding of biomechanics and movement science as applies to rehabilitation. They were also required to articulate their perspectives on technology’s role in the future of […]

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September 1, 2017

How to Manage Muscle Knots

In most cases muscle knots, often called myofascial trigger points, are nothing more than a mere annoyance, causing mild to moderate pain when pressure is applied. However, depending on their location, muscle knots can cause referred pain in other areas of your body that is easy to misdiagnose. What exactly are muscle knots? The cells […]

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August 31, 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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