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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

What To Do About Sacroiliac Joint Issues

The sacroiliac, or SI, joint connects the sacrum at the base of the spine to the pelvis. You have one joint on either side of the sacrum. The joint is responsible for the following: Transferring energy and load between your upper and lower body Absorbing shock as you walk so that vibration does not affect […]

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February 7, 2017

Physical Therapist’s Guide to Herniated Disk

What is a herniated disk? A herniated disk is when one of the disks that are found between the vertebrae in your spine is damaged and the gel-like fluid in the disk begins to leak or causes the disk to bulge. Intervertebral disks are basically shock absorbers for your spine, and they are often explained […]

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February 6, 2017

Neck Exercises for a Herniated Disk

Herniated disk pain can be debilitating. The intense pain affects adults who are middle-aged, for this demographic is susceptible to disk problems in adults. The disks are essential for absorbing the impact made while walking or running. They also help to properly supply the muscles served by that particular nerve branch. This is why the […]

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February 5, 2017

ESWT Treatment for Chronic Lateral Epicondylitis Study Recap

Can ESWT Treat Chronic Lateral Epicondylitis Effectively? A Major Study Says Yes. Chronic lateral epicondylitis (CLE) is the formal name of a condition that many people call tennis elbow. If you suffer from this ailment, the outer part of your elbow is often tender or in pain, and that discomfort increases when you perform actions […]

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February 4, 2017

6 Reasons You Shouldn’t Assume Foot Pain Is a Heel Spur

If you feel a pain in your heel and you think you haven’t done anything recently to hurt it, you might assume that it’s a heel spur. This is a mistake that could possibly prevent you from getting the right treatment for your heel. The first thing you should know is that heel spurs don’t […]

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February 3, 2017

A Return to Athletic Power: Six Keys to ACL Rehabilitation

  ACL rehabilitation, especially for men and women who are actively engaged in sports or other physical activities, must progress in a rigorous manner. When the early stages of rehab go well, individuals will be able to recover full mobility and strength rather quickly. Here are six of the most important keys to ACL rehab: […]

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January 19, 2017

TMD/Facial Pain and Forward Head Posture

The Subtle Relationship between Temporomandibular Joint Disorder and Forward Body Posture Temporomandibular joint disorder (TMD) is an organizational term that is used to include the following: physical activity massage therapy heating pads specialized oral devices commonly associated with advanced dentistry soft massage techniques Professionals agree that none of these techniques are completely effective on their […]

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January 12, 2017

Using Posture Treatment to Relieve Cervicogenic Headaches

Cervical dysfunction, which can lead to cervicogenic headaches, is a surprisingly common medical issue that afflicts approximately 35 percent of Americans. According to researchers, the headaches associated with this condition happen due to deep neck flexor impairments and cranio-cervical flexion performance deficits. In other words, any weakness or abnormalities in the cervical facets may end […]

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January 11, 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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