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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Call for a Paradigm Shift in ACL Rehab

ACL Injury and Return to Play For athletes whose lives revolve around their sport, having an injury that takes them off the playing field can be to play (RTP), we may be setting them up for failure by putting them back on the field prematurely. ACL rupture is a common sports injury that can range […]

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August 1, 2017

Plantar Fasciitis in Runners

Treating Plantar Fasciitis in Runners: Load Bearing Treatment Accelerates Recovery

For dedicated runners, heel pain that will not go away is frustrating and takes the joy out of running. Ignoring the pain may work for a while, but eventually, you will need to enjoy running again. In the past, treatment for plantar fasciitis involved mostly stretching of the calf muscles and Achilles tendon, along with […]

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July 31, 2017

10 Rules for Managing Lower Limb Tendon Pain

Tendons are made of strong to bones, enabling movement. Because they are subjected to properly treat your painful tendon is essential for quick and effective recovery.

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July 31, 2017

Quality of Life After an ACL Tear

Healthy knees are foundational to huge amounts of force. ACL tears are the most common knee injury associated with athletics and physical activity. They often occur during landing, deceleration, twisting, cutting and changing direction on the playing field or during exercise. Ligaments have no circulato play, and ongoing impaired knee function throughout the course of […]

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July 31, 2017

Best Treatment for Neck and Back Pain: NSAIDs v Acupuncture v Chiropractic

When you are experiencing ongoing neck and back pain, you may be willing to compare the three most popular treatments by looking at the research. Following are the results of three studies comparing the efficacy of NSAIDs, acupuncture and chiropractic manipulation in relieving neck and back pain. The first controlled study included 115 patients who […]

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July 29, 2017

Steroid Shots or Physical Therapy? The Best Treatment for Rotator Cuff Pain

Chronic shoulder pain from rotator cuff tendinosis is difficult to ignore, and it may keep you from performing even the most basic tasks. The longer it goes on, the more it interferes with your quality of life, making it difficult to carry out simple activities of daily living that you once took for granted. In […]

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July 28, 2017

Rethinking ACL Rehab and Return to Play from a Clinical Perspective

Do We Need to Change How We Treat ACL Tears in Athletes? ACL rupture is an all-too-common athletic injury that physical therapists have been treating for decades. Yet the statistics surrounding return to play (RTP) after an ACL tear and surgical reconstruction are dismal, with only 55 percent of athletes returning to competitive sport after […]

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July 27, 2017

Sports Chiropractic Care for Athletes with Vertigo

Vertigo is a feeling of dizziness and a sensation of being off balance. In athletes, vertigo is a common side effect of concussion. While vertigo often resolves itself over time, persistent symptoms may need medical intervention. If you are an athlete suffering from vertigo, sports chiropractic care may offer the best solution. Balance and Sports […]

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July 26, 2017

Plantar Fasciitis: Strenght Training, Intrinsic Foot Muscles

Plantar fasciitis is an extremely painful condition, and it is also difficult tor may have a hard time understanding why the treatment options available are relatively limited. This brief summary can help people suffering from plantar fasciitis look at this problem from the point of view of the therapist. This can help patients evaluate alternative […]

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July 15, 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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