Physical Therapy Blog l NYDNRehab


New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Myofascial Pain and Dysfunction: the Trigger Point Manual

What Is The Myofascial Trigger Point? The term “myofascial” comes from “myo”, which is the Greek word for muscle tissue, and “fascia” which is also Greek and refers to tightened knots in a muscle, can emerge because of the trauma or strain. These areas cause discomfort and reduce general muscle mobility. Even though it’s not […]

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March 10, 2022

Neck Pain

Neck Pain Treatment NYC Nowadays there is significant increase in the amount of patients with neck pain. Clinical experience and scientific data shows that this recent increase is due to excessive usage of hand held devices, computers, excessive sitting and increased amounts of stress. SYMPTOMS of Neck Pain Many patients complain of the pain in […]

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February 28, 2022


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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