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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Patients with chronic knee pain

Is surgery the only option for those suffering from chronic knee pain? Chronic knee pain is a common problem that plagues much of the population. This long-term swelling or sensitivity in the joints can inhibit people, particularly older patients, from even the most everyday forms of physical activity. Climbing stairs, or even walking, can be […]

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August 30, 2016

Alternative treatments you can use for your sciatica

Pain in the body can be hard to mitigate. Of all the various types of pain, there is one that is both ubiquitock, and then further, all the way down the leg. This is the largest single nerve in the human body, and so when it is impacted it can cause a great deal of […]

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August 27, 2016

Chiropractic Strategies to Fix Neck & Back Pain

Neck and back pain can seriously dampen a person’s life. These type of ailments are among the most difficult to deal with; at times, their severity can even prevent a person from completing his or her daily tasks. In response to this problems, chiropractors have developed a series of techniques which can ease neck and […]

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August 26, 2016

Benefits of Trigger Point Therapy

Trigger Point As a Problem Trigger points are a very common problem that occurs in millions of people every year. While these trigger points are found in many areas throughout the body, they commonly display themselves as neck pain. These trigger points typically occur due to an increase in tightness and pain. Trigger point therapy […]

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August 24, 2016

What is Achilles Tendonitis?

Achilles Tendonitis is a simple condition that occurs when this specific tendon becomes overused. This section of tissue is basically designed to playing tennis, this tendon can easily become injured. In fact, this is one of the most common injuries found in athletes of any kind, particularly runners. While this injury can occur in a […]

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August 23, 2016

How to Benefit from Collecting Physical Therapy Metrics

The increasing ubiquity of electronic medical records (EMR) has opened new avenues into monitoring, assessing, and analyzing data. As more and more patient records become digitized, healthcare providers have increasingly been facing new challenges that arise from storing, sorting, and making good use of this abundance of patient metrics. In this article, we will discuss […]

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August 22, 2016

Myofascial Tension and Locomotion

Muscular “stiffness” describes the tension sto walk or move efficiently without it. Before our foot ever to kinetic energy. Finally, as the foot leaves the ground, this energy (sto have a natural spring in our step, rather than making inefficient mechanical movements and pounding our feet with each step. Myofascial Tensioning and Efficient Locomotion The […]

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August 20, 2016

Ultrasound Guided Dry Needling: Bringing Tendons Back to Health

Millions of people all over the world deal with some form or another of chronic illness every single day. One of the most widespread of these chronic conditions involves the injury or disease of one or more of the tendons in the body, commonly known as tendinopathy. Since tendons are the body members that attach […]

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August 19, 2016

Trigger Point Therapy Can Relieve Many Causes Of Lower Back Pain

Trigger Point Therapy For Low Back Pain Previously, lower back pain was considered a standalone ailment. Ater a number of research trials, physicians now understand that low back discomfort can be caused by a number of different disorders. It can be misleading when the same term is used to accurately make a diagnosis and effectively […]

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August 18, 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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