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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Back Pain in Gaelic Games – why does it happen & what should be done?

The Gaelic Athletic Association (GAA) organizes Gaelic games, the two most prominent games being Gaelic football and hurling. Back pain is not uncommon among the athletes, affecting approximately 2.5% to experience back pain if they work in jobs that require periods of physical inactivity. In general, people who play sports are more likely to miss […]

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April 27, 2017

Proper diagnosis and management of athletic pubalgia

Each year, between 10 and 13 percent of reported sports-related injuries involve groin pain. Some of these people will be diagnosed with athletic pubalgia, which is also known as a sports hernia. These are injuries that may happen to continue participating in his or her chosen sport. Other conditions that cause groin pain When a […]

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April 25, 2017

Faster Recoveries After ACL Reconstructions: The Exciting Potential of Electro-Stimulation

In the center of each of your knees, there’s an anterior cruciate ligament (ACL). These ligaments are positioned diagonally. ACL injuries are fairly common, especially for athletes. To repair the damage, surgeons will sometimes graft tissues onto an ACL. That operation is an ACL reconstruction. After such a reconstruction, it’s easy for the muscles around […]

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April 19, 2017

Running May Improve Walking Efficiency In Older Adults

Many older adults assume that running is out of the question for their fitness routine unless they have been running for several years. However, experts now suggest that running and high-intensity exercise may be more beneficial for seniors than just walking. Also, they suggest that running can help seniors walk better and with greater ease. […]

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April 17, 2017

Chiropractic Treatment Supported by Clinical Trials and Reports

More and more medical experts recommend chiropractic treatment. They recognize that numerous clinical trials have confirmed the efficacy of this method. Research also proves that chiropractors offer competitive pricing and satisfy patients without compromising safety. Long-Term Pain A British study looked at the impact of chiropractic therapy on individuals who experienced chronic pain in their […]

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April 16, 2017

Rethinking The Pinched Nerve Theory

The pinched nerve theory suggests that muscular or bony obstructions catching a nerve cause pain during movement in the affected area. It also suggests that by removing those obstructions, the pinched nerve would be freed if the condition became a perpetual issue. Today, many top neurophysiologists agree that this is an outdated theory. They suggest […]

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April 14, 2017

Exercises That Help Prevent Hamstring Problems

Hamstring strains are common sports ailments. Many times, problems occur after previous strains. It is important to learn how Nordic hamstring exercises can prevent and help in the healing of these types of strains. Reasons to Perform Nordic Hamstring Exercises The best way to a solid routine, a person can improve movement and function and […]

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April 13, 2017

Assessing, diagnosing and managing radial tunnel syndrome

A disorder affecting the elbows and causing 4 percent of cases involving suspected lateral epicondylalgia, radial tunnel syndrome, or RTS, is a painful condition that athletes experience more frequently than others. Correctly assessing and diagnosing RTS is particularly challenging because there are several alternative diagnoses that clinicians must rule out. After it has been diagnosed, […]

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April 12, 2017

Give Your Spine a Break: The Importance of Proper Posture

Most people try to take care of their bodies. For teeth, there is brushing. For hair, there is washing. You probably trim your fingernails and scrub your skin. The food we eat is for our digestive system, and the exercise we do gives our cardiovascular system a boost. With all of this, do you think […]

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April 11, 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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