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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Can Extracorporeal Shockwave Therapy Treat Lateral Epicondylitis?

Many different groups of people suffer from lateral epicondylitis. It often affects middle-aged individuals who are under 50 years old. Dentists, violin players, typists and tennis enthusiasts frequently develop the condition. People who play tennis recreationally experience it more frequently than professionals. Some patients suffer from this health problem after using computer mice or performing […]

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January 19, 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

The Influence of Physical Theraphy on Cervicogenic Headaches

Physical Therapy: A Potent Tool in Eliminating Cervicogenic Headaches A cervicogenic headache is a type of pain that you feel in your head, but it originates in your neck. Thus, it’s a form of referred pain. Approximately 54 percent of all adults will have some kind of neck pain in any given stretch of six […]

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January 10, 2017

How to Beat Myofascial Pain

What is it? Hard bands inside of a muscle, often caused by stress or strain, can cause either direct pain within the affected muscle, or indirect pain somewhere other than the affected muscle. This is known as myofascial pain. How is it Diagnosed? This condition can generally only be diagnosed when a health professional feels […]

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January 8, 2017

Myofascial Elements of Low Back Pain

Both to consider. Etiologies Of Chronic Low Back Pain Although there are many etiologies of low back pain and diversities within those origins, these are some common culprits of back pain: Facet arthropathy Herniated disc Spondylosis Stenosis Also, trigger points are common sources, and trigger injections may control muscle spasms. The spasmodic movements are caused […]

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January 6, 2017

The Problem with the Treatment of Plantar Fasciitis

  –Itis and –Osis: An Important Difference Plantar fasciitis is inflammation of the ligament that runs from your heel bone toes. A healthy plantar fascia supports your arches and keeps your feet flexible. When tissues in the ligament are strained, inflammation results. The weakened ligament usually swells, and the heel feels irritated or tender. There […]

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December 29, 2016

Shockwave therapy for calcific shoulder tendonitis

How Extracorporeal Shockwave Therapy Can Decrease the Symptoms of a Calcific Condition That Affects a Patient’s Shoulder If a patient is suffering from calcific shoulder tendonitis, the condition may cause severe pain, limit the individual’s range of motion, increase the production of inflammato the production of new tissue. Improving Blood Flow Numerous studies have suggested […]

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December 29, 2016

Physical Therapy: Eight Great Methods to the Madness

Your first physical therapy appointment may feel like an interrogation. That’s because your therapist wants to design the unique treatment plan that’s best for you. If he or she doesn’t get to the underlying causes of your injury, you’ll continue to get hurt. Based on your answers, your therapist will recommend one or several of […]

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December 29, 2016

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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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