New York Dynamic Neuromuscular Rehabilitation & Physical Therapy
Muscular “stiffness” describes the tension sto walk or move efficiently without it. Before our foot ever to kinetic energy. Finally, as the foot leaves the ground, this energy (sto have a natural spring in our step, rather than making inefficient mechanical movements and pounding our feet with each step. Myofascial Tensioning and Efficient Locomotion The […]
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Millions of people all over the world deal with some form or another of chronic illness every single day. One of the most widespread of these chronic conditions involves the injury or disease of one or more of the tendons in the body, commonly known as tendinopathy. Since tendons are the body members that attach […]
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Trigger Point Therapy For Low Back Pain Previously, lower back pain was considered a standalone ailment. Ater a number of research trials, physicians now understand that low back discomfort can be caused by a number of different disorders. It can be misleading when the same term is used to accurately make a diagnosis and effectively […]
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Tennis Elbow or Lateral Epicondylitis is an inflammation of the tendons and muscles that attach to the bony knob on the outside of the elbow
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The concept that knots in muscle tissue contribute today, there is still no concrete proof that muscle tissue knots cause pain, or that they exist in the first place. What Causes Soft Tissue Sore Spots? Aside from the myofascial trigger point theory, another possibility that exists in relation tologist John Quintner in 1994. What causes […]
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What Is The Myofascial Trigger Point? The term “myofascial” comes from “myo”, which is the Greek word for muscle tissue, and “fascia” which is also Greek and refers to tightened knots in a muscle, can emerge because of the trauma or strain. These areas cause discomfort and reduce general muscle mobility. Even though it’s not […]
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Chronic neck pain can be overwhelming and debilitating. According tors state that 7 out of 10 people will experience uncomfortable neck pain in their lifetime. While many cases will be resolved easily, others may become chronic and worsen over time. What Is Neck Pain? The neck is also referred top of the shoulders. Some common […]
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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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