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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Achilles Tendinopathy: A Treatment Algorithm, New Options

As technology in medicine continues to the treatment of this painful condition. Overview of Achilles Tendinopathy This condition is commonly understory process in similar injuries. This requires a unique treatment approach. Under some circumstances, it can also happen in sedentary individuals as a part of a chronic condition. The Achilles tendon will responds to normal […]

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June 4, 2017

Myofascial Trigger Points

Researchers believe that myofascial trigger points may cause some of the symptoms associated with plantar fasciitis. These trigger points are extremely irritable and have nodules that are palpable. They are found in tight muscle bands. Compression or provocation of the points cause pain, which may be noticeable in the referred pain zone. This zone is […]

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June 3, 2017

How Physical Therapy Can Help Tennis Elbow

While its moniker may imply otherwise, tennis elbow is a painful affliction that commonly affects people who never play racket sports. The condition, known medically as lateral epicondylitis, is a repetitive movement injury that strikes the arm and elbow. Sufferers will experience a strong soreness in the outer forearm muscles next to the elbow. These […]

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June 2, 2017

New approach to rehabilitation of ankle sprains

Any strain can stretch or tear the supporting ligaments in the ankle. The resulting ankle sprain or sprained ankle quickly becomes painful and swollen. While initial focus is on reducing that pain and swelling, physiotherapy is necessary to fully rehabilitate this extremely flexible, load-bearing joint. All physiotherapy, however, is not the same. Overcoming Two Key […]

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June 1, 2017

TMJ Jaw Problems and Physical Therapy Solutions

Around one out of every nine U.S. citizens suffer from temporomandibular joint disorders. This medical problem can produce pain when you chew food or yawn. It often creates bothersome clicking noises. Many individuals find that it also results in jaw stiffness. Chewing is painful Yawning may also hurt Jaw pops or clicks Americans frequently visit […]

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May 12, 2017

How to treat Achilles Tendonitis

Having Achilles tendonitis is definitely a setback, but it’s not the end of the world. A few weeks’ worth of rest and physical therapy will get you right back in the game. The more you know about AT and how it occurs, the more likely you’ll be to take recovery seriously and prevent future injuries. […]

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May 10, 2017

Have Shoulder Pain? Ease It With Physical Therapy

The shoulder is a multifaceted joint. It’s a grouping of bones, tendons and muscles. It’s one of the most mobile areas of the body. That means that it’s also one of the places in the body where you’re likely to feel pain. What Bones Make Up The Shoulder? The bones of the upper arm, shoulder […]

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May 8, 2017

Physical therapy can help to heal pinched nerves

When people have pinched nerves, it can cause them to experience debilitating pain. The pain that a person might feel will depend on which nerve is pinched. While many people are prescribed narcotic pain medications when they have pinched nerves, the medications do not treat the actual impingement and simply minimize the pain that people […]

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May 5, 2017

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

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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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