New York Dynamic Neuromuscular Rehabilitation & Physical Therapy
Because of the physical exertion involved, dancers are very susceptible to the fact that their ankle has twisted. Dancers never want to dance for a week or more. By using the appropriate physical therapy for ankle sprains, however, dancers can be leaping again in no time. Yes Sprain, Yes Pain When a dancer sprains an […]
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Overview of The Plantar Fascia The ligament at the botto a repetitive strain injury because it’s constantly used. The manifestation of inflammation and pain is a telltale sign that you’re suffering from plantar fasciitis. Actions that Lead to Plantar Fasciitis It doesn’t take much tor includes excessive pressure, so if you’re struggling with obesity, you’re […]
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Is surgery the only option for those suffering from chronic knee pain? Chronic knee pain is a common problem that plagues much of the population. This long-term swelling or sensitivity in the joints can inhibit people, particularly older patients, from even the most everyday forms of physical activity. Climbing stairs, or even walking, can be […]
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Pain in the body can be hard to mitigate. Of all the various types of pain, there is one that is both ubiquitock, and then further, all the way down the leg. This is the largest single nerve in the human body, and so when it is impacted it can cause a great deal of […]
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Trigger Point As a Problem Trigger points are a very common problem that occurs in millions of people every year. While these trigger points are found in many areas throughout the body, they commonly display themselves as neck pain. These trigger points typically occur due to an increase in tightness and pain. Trigger point therapy […]
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The increasing ubiquity of electronic medical records (EMR) has opened new avenues into monitoring, assessing, and analyzing data. As more and more patient records become digitized, healthcare providers have increasingly been facing new challenges that arise from storing, sorting, and making good use of this abundance of patient metrics. In this article, we will discuss […]
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Below is a prime example of how ultrasound can take the guesswork out of diagnosis.
A bad physical therapy experience is one of the primary causes of unnecessary surgery
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)
Complete tear of rectus femoris
with large hematoma (blood)
Separation of muscle ends due to tear elicited
on dynamic sonography examination
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