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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Comparing Two Types of Programs That Can Help Athletes Who Have Injured Hamstrings

When an athlete’s hamstring becomes injured, the individual will experience tightness that significantly restricts the person’s movements and severe pain that occurs while the muscles contract. The person may choose a rehabilitation program that requires eccentric training, or the athlete can participate in a program that strengthens the muscles of the core and enhances the […]

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March 8, 2017

The Myth of Core Stability

If you have a problem with pain in your back, you may have been to improve stability around the midsection. However, this advice may not be as helpful as it sounds. Examining the Core of the Problem Where did the idea of a weak core causing pain in your back come from? Eyal Lederman examined […]

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March 7, 2017

Shockwave Therapy Helps Patients With Frozen Shoulders

Numerous people suffer from a health problem known as “frozen shoulder” or adhesive capsulitis. This condition inflicts substantial amounts of pain and makes it harder to move joints. Fortunately, a recent study reveals that extracorporeal shockwave therapy can deliver relief. The ailment makes it difficult to work or exercise Patients frequently experience considerable discomfort Hard […]

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March 6, 2017

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Do You Suffer from Tech Neck?

Feel the neck pain? Neck repetitive strain injury that’s becoming more common as more people hunch over smartphones. Your phone impact on your posture more than you think. Aggravating muscle pain in the neck and shoulders, and sometimes lower back is occurring even in teens and adolescents. How can using a smartphone or other mobile […]

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February 16, 2017

Intrinsic Muscle Strength in Plantar Fasciitis

It is many blog posts on the to the impression that a particular treatment is effective. However, even placebo treatments can show an improvement in this ailment simply because they make it appear that the technique was effective. In reality, people who suffer from this type of fasciitis may experience an improvement in the condition […]

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February 13, 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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