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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Ankle pain

Ankle pain

Did you know that estimated 25,000 people in the U.S. sprain an ankle every day?! Here are some more surprising statistics about this common injury: Ankle sprains occur x7 times more often than ankle strains or fractures Ankle sprains are the most common injury in field hockey Around 70% of all male students who play varsity basketball teams will […]

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June 17, 2017

Plantar Fasciitis

About Plantar Fasciitis

Medical experts estimate that about one of ten individuals will suffer from this painful condition at some point in life. Approximately 2 million new causes are reported every year. The plantar fascia is band-like flat ligament connecting the bone of your heel toes, and walking stretches this ligament. Fasciitis is what medical professionals call a strain that causes […]

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June 16, 2017

Physical Therapy for Herniated Discs

Herniated discs can cause debilitating pain. There are many techniques available for treating this painful medical condition. The appropriate treatment depends on the patient’s situation, responses and willingness to try new methods. There are two main categories of treatments that can supplement physical therapy in a comprehensive treatment plan for herniated discs. The first category […]

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June 14, 2017

TMD NYC

The connection of TMJ and posture: postural phenomena

Did you know that over 15 percent of adults in the United States suffer from chronic facial pain? If you experience symptoms like aching jaws, headaches or earaches, it’s possible you may be suffering because of a disorder of your temporomandibular joints, or TMJ. What is TMJ? TMJ stands for “temporomandibular joint.” This acronym is […]

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June 13, 2017

Back Pain: MRI Scans May Reveal Internal Wrinkles, Too

Physical therapy is extremely beneficial for people suffering from back or neck pain. During the diagnosis, patients tend to ask a variety of questions regarding MRI imagery. These tests can reveal many details about the injury, and patents tend to express curiosity about the findings. As a clinician, I believe that it is very important […]

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June 11, 2017

Injury Recovery: Treating the Phases of Muscle Healing

Proper treatment of sports injuries is necessary to facilitate healing and get you back on track with your active lifestyle. Addressing each unique phase of muscle healing requires a different approach to ensure a full recovery. Destruction Sometimes referred toms in active people. During the week-long destruction phase, the body sends eicosanoids tocol at this […]

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June 10, 2017

Diastasis Recti: Debunking Myths, Treatments Are Available

Diastasis Recti is a condition that affects more than half of all pregnant women, and it can also affect newborns as well. The term diastasis means to those who engage in certain types of diets and exercise routines. The name of this condition describes the separation between the left and right portions of the abdominal […]

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June 9, 2017

Exercise and dry needling for shoulder pain and dysfunction

Exercise and dry needling for shoulder dysfunction and pain Experiencing chronic shoulder pain can be debilitating for people who suffer from it. There are numerous different treatment approaches that have varying levels of efficacy. Among conservative treatments, the options may include physical and manual therapy, exercise, acupuncture and dry needling. While exercise has previously been […]

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June 8, 2017

Can You Really Treat Heel Pain With Physical Therapy?

Approximately 2 million people are plagued by heel pain. It can start in the morning and last all day. Sometimes, it gets worse after you’ve been resting for a while. Other times, heel pain develops after you’ve been on your feet. Heel pain can extend up the ankle or into ignore. This type of pain […]

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June 6, 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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