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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Assessing and managing juvenile osteochondritis dissecans of the knee

Juvenile osteochondritis dissecans can affect the knees of children and is especially problematic among youth athletes. This disorder involves a lesion that appears on the subchondral bone in the knee, and it affects between 15 and 29 children per 100,000. Boys are much likelier to develop the condition than are girls. Without proper assessment and […]

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May 4, 2017

Virtual Reality, Real Results: The Power of C.A.R.E.N for Recovery

Meeting the needs of soldiers wounded in the line of duty is always a priority. After all, these wounded warriors have put their lives on the line for their country, and they deserve the best chance possible for comprehensive recovery. While there are many new technologies that can serve this select group of individuals, one […]

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May 3, 2017

Manual therapy may result in better outcomes for ankle sprains

Ankle sprains are very common injuries, and people who suffer from them may suffer ongoing problems, including recurring sprains. Each year, seven ankle sprains occur for every 1,000 people. Up to address dysfunctions of the joints may result in better outcomes. Joint dysfunctions that can occur with inversion ankle sprains, which happen when the outer […]

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May 2, 2017

Evaluating the Symptoms of Tennis Elbow and Choosing Effective Treatments

When an athlete is experiencing tennis elbow, the individual may notice pain as soon as the patient bends the wrist, and the condition significantly reduces grip strength and causes tightness in the person’s forearm. If a patient does not receive medical care, the athlete might suffer from fibrosis, which can harden the tissue and decrease […]

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April 30, 2017

Physical Conditioning During Recovery From Foot Surgery

Background Likely as a result of continuous running and cutting while playing field hockey, a 25 year-old female experienced a plantar fascia tear. The tear was discovered via diagnostic imagining after the athlete had been suffering from painful plantar fasciitis for approximately six months. Goals for Rehabilitation After undergoing surgery in order to gait recovery […]

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April 28, 2017

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

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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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