New York Dynamic Neuromuscular Rehabilitation & Physical Therapy
The stilts being referred to the back and spine. Most of the time we look more like circus acts than drop-dead seductive – tightrope walking and flying through the air with the greatest of ease takes lots of practice and painful artistry – which is why I have to earth. This is what I did […]
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Do your feet hurt by the end of the day? So do mine and, I’ll bet if you ask one out of every ten people the same question, you will get a similar response. Why? Shoes are slowly killing your feet! Take off your shoes for a minute …you’re probably saying “ahh” right now…that’s because, […]
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What is Physical Therapy? A patient may receive physical therapy when he or she has had an injury, disease or a deformity. Physical therapy involves treatments such as massages, heat treatments, and also certain routine exercise. Why Should You Get Physical Therapy? People with certain physical problems may have trouble moving around and doing everyday […]
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Here’s a guide to understanding a frozen shoulder This condition, also referred to restrict movement, which causes pain.
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While most people are familiar with physical therapy and massage therapy, many are unaware of the role that they can play to provide even better results than one or the other alone. What Does Each Type of Therapy Entail? Having a good understanding of each type of therapy establishes the basis for better relating how […]
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There is nothing worse than having foot pain. It makes walking unbearable, and wearing a shoe may not even be an option to pressure points all over the body. Each pressure point coincides with a part of the body. By stimulating these areas, the body promotes healing. It sounds crazy, but it is sweeping that […]
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Below is a prime example of how ultrasound can take the guesswork out of diagnosis.
A bad physical therapy experience is one of the primary causes of unnecessary surgery
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)
Complete tear of rectus femoris
with large hematoma (blood)
Separation of muscle ends due to tear elicited
on dynamic sonography examination
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