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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Femoroacetabular impingement

Femoral Acetabular Impingement (FAI)

Regardless of your age, hip pain can be debilitating. The hip joint is one of the most complex joints in the body. It is also critical to get around successfully. There are many different things that can cause hip pain. The potential causes include strains, osteoarthritis, referred pain from other joints, inflamed bursa and femoroacetabular […]

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May 30, 2016

Femoroacetabular impingement

Sports Injuries of the Shoulder

General Information About Sports Injuries of the Shoulder Depending on the sport, an athlete may be at a high risk of suffering an injury to make overhead motions. Sports like American or Rugby rules football, Volleyball, and Tennis are all sports which may put continuous stress on the muscles in the shoulder region and cause […]

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May 26, 2016

Shin Splints and Running

Shin splints are very common in both new and experienced runners. They can be caused by many different factors but luckily most people experience a full recovery after the proper shin splint treatment plan. Reactive Neuromuscular Training on Kineo Kineo – the most versatile muscle testing using artificial intelegence Kineo – the most versatile muscle […]

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May 25, 2016

What is Dry Needling in Physical Therapy?

Dry needling is one of the many techniques used by physical therapists to as trigger point dry needling or intramuscular manual therapy. Trigger Points Trigger points were discovered by neuroanato other areas. Type of Needles Used The stainless steel needles that therapists use for the procedure are known as thin filiform needles, which appear similar […]

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May 25, 2016

Healing Tennis Elbow Through The Use of Trigger Point Therapy

Tennis elbow is a condition that got its name due to something. Not every elbow pain is associated with tennis elbow, but it is a very real condition that needs medical attention. There are techniques that can be utilized that do not require surgical intervention. Tennis elbow treatment by Trigger Point Therapy To treat this […]

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May 24, 2016

Living With Myofascial Pain Syndrome

No matter who you are, you have no doubt experienced some type of pain or muscle discomfort. If you are unfortunate enough to live with cervical myofascial pain syndrome then this type of pain can be much worse for you and is a chronic type of disorder which may result in pain throughout different areas […]

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May 24, 2016

Sciatica treatment

Low Back Pain and Sciatica

Back pain is an epidemic in major industrial nations across the globe. It is estimated that up 80 percent of all adults will suffer back pain at some point in time during their life. This problem can take its to the society in which they live as well. However, back pain in the sacral region, […]

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May 24, 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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