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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Physical Therapy vs Surgery for ACL Injuries

Trauma to the ACL (anterior cruciate ligament) is a common sports tear that can be debilitating and in some cases career-ending for people in professional sports. ACL is a key knee connective knot that joins the thigh bone to the shinbone. Risk for ACL injury is increased for some sports than for others. ACL ruptures […]

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July 12, 2017

Shockwave therapy

Shockwave therapy an overview

The average athlete has a much higher level of conditioning today than ever before. The minimum level of performance necessary for success is also higher than ever. The slightest nagging injury can make the difference between being a successful everyday player and riding the bench – or not having a job at all. Originally developed in […]

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July 3, 2017

Back Pain Prevention-

Understanding Back Pain Prevention Tips and Treatment Options

Back pain is the most common disability for people under the age of 45. Moreover, this is estimated that four out of five people will experience some type of back pain over the course of their lives. Because this is such widespread problem, it`s important to identify, prevent and treat back pain.

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June 24, 2017

Physical Therapy

Physical Therapy Myths

Physical therapy is a critical to providing effective mobility treatment options that usually do not involve drugs or surgery. Here are seven of the most common myths and corresponding facts about physical therapy.

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June 23, 2017

Lower Back Pain

Lower Back Pain A Chronic Problem

Lower back pain is a condition that affects all human beings at one point of their lives. It mainly occurs in the lumbar region, which is the area below the ribcage. The discomfort associated with this medical condition is often intense. It may end on its own, or may require specialized treatment, more so if […]

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June 22, 2017

Sports Injuries

Identifying Sports Injuries

To stay healthy you need to minimize risk.

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June 20, 2017

high heels affect your body

How high heels affect your body

Continuous stress shortens and stiffens muscle-tendon units that connect ankles to calf muscles. Pressure placed on knee increases by 26% which leads to osteoporosis.

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June 19, 2017

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

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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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