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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

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Weak in the Knees: Osteoarthritis Doubles Among 21st Century Americans

Knee osteoarthritis (OA) is the most common and debilitating joint condition in the United States, affecting more than 19% of adults over age 45. That statistic is not only high, but it is alarming when considering it has more than doubled since the mid-20th Century. Scientists have attempted to the increased incidence of knee OA. […]

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August 31, 2017

Managing Your Chronic Tendinitis

Tendons are thick fibrous tissue that attach muscles tor-cuff-tendinitis/” target=”_blank”>Tendinitis pain is most commonly experienced near ankles, knees, wrists, elbows and shoulders. If you experience pain and inflammation near your joint that does not diminish after a few days, contact NYDNRehab for diagnosis and treatment. The sports medicine team at NYDNRehab combines expertise and experience […]

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August 31, 2017

Frozen Shoulder Syndrome Diagnosis and Treatment

If you are experiencing pain and stiffness in your shoulder that makes movement uncomfortable and restricted, you may have Frozen Shoulder Syndrome, medically known as adhesive capsulitis. Your shoulder is a complex joint that interacts with may structures, so shoulder pain can have multiple sources. Accurate diagnosis is key to effective treatment.

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August 31, 2017

Why Leg Length Matters in Chiropractic

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 13, 2017

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

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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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