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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

The Root Cause Of Your Muscle Pain: Myofascial Trigger Points

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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August 14, 2016

Physical Therapy and its Role in Chronic Neck Pain

Pain within the neck area can be one of the most frustrating conditions to deal with, especially if the pain has been identified as chronic. This means that the pain persists or recurs over a lengthy period of time. Thankfully, it’s been recently proven that physical therapy for neck pain can be highly beneficial in […]

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August 13, 2016

Coping With Chronic Neck Pain

Chronic neck pain can be overwhelming and debilitating. According tors state that 7 out of 10 people will experience uncomfortable neck pain in their lifetime. While many cases will be resolved easily, others may become chronic and worsen over time. What Is Neck Pain? The neck is also referred top of the shoulders. Some common […]

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August 9, 2016

Cervicogenic headache physical therapy management

The medical term cervicogenic headache refers to be caused by problems in the muscles or bones in the neck, including issues with the joints, ligaments, muscles and other soft tissues. The original issue in the neck may be the result of trauma or it is associated with people who have poor posture or keep their […]

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August 6, 2016

Osteoarthritis of the Knee: Marching On Through the Pain

What Is Knee Osteoarthritis or Osteoarthritis of the Knee? Every bone is surrounded by cartilage, or a flexible, thick tissue, in a sense. This tissue is meant to the body as a whole. In relation to break down, the joint then begins rubbing against the connecting bone and results in the painful condition known as […]

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August 4, 2016

The Many Uses of Musculoskeletal Ultrasound

It’s not uncommon for the modern patient tomy students and found them enthusiastic about this marriage of technology and hands-on learning. What Is Musculoskeletal Ultrasound? Painless, safe, and involving no radiation whatsoever, diagnostic musculoskeletal (MSK) ultrasound uses sound waves tool can provide valuable information for a physiotherapist. What Can a Musculoskeletal Ultrasound Detect? MSK diagnostic […]

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August 1, 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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