New York Dynamic Neuromuscular Rehabilitation & Physical Therapy
No matter who you are, you have no doubt experienced some type of pain or muscle discomfort. If you are unfortunate enough to live with cervical myofascial pain syndrome then this type of pain can be much worse for you and is a chronic type of disorder which may result in pain throughout different areas […]
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Find the best specialist and speed your recovery As a runner, you are likely familiar with the minor aches and pains that can accompany intense efforts or longer training runs. But when an ache turns into an actual injury and sidelines you, it is time to call in the professionals. Knowing how to start your […]
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At the very base of the spine, several vertebrae fuse to the back area of the pelvis known as the ilium, forming the sacroiliac or SI joints. These joints are supported by a system of muscles and ligaments that minimize uncontrolled motion during situations of physical stress or exertion, primarily the gluteal and deep abdominal […]
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Plantar Fasciitis has been found to be the major cause of heel pain. This condition is the result of microscopic tears and inflammation in the muscles across the band of tissue at the bottom of the foot. The impact on the ligament (plantar fascia) results in swelling and causes burning and stabbing pain in the […]
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Many people with chronic pain disorders that do not respond to needle therapy for pain. Dry needling for lateral epicondylitis is gaining popularity because it resolves trigger point pain in a safe and effective manner. What Is Dry Needling? Needling has been used in a variety of formats to repeated manipulation, these trigger points can […]
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Suffering from a deep pain in the buttocks is called chronic high hamstring tendinopathy. The ailment is the result of pain that gradually escalates. The aggravation can increase through repetitive motion or prolonged sitting. The Cause of High Hamstring Tendinopathy It is believed the condition results when acute hamstring tears are not given time tor […]
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Physical therapy evaluations can be daunting, especially for first-time visitors, but they are quite straightforward. The following points will explore what one should expect during an evaluation Discussion With Therapist Before Evaluation Begins The therapist will need certain information to accomplish with physical therapy. This can be very beneficial in helping the therapist understand what […]
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Whether you are just starting a new workout plan or are an avid athlete, exercise has the tendency to cause aches and pains. One of the most common issues that athletes and newly active individuals both experience is tightness in the hamstrings. This issue is particularly complicated to identify and even remedy, though, as it […]
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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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