New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

TMJ pain treatment in NYC

Patients with Temporo-Mandibular joints (TMJ) pain often become victims of excessive fragmentation of our complex healthcare system. An individual with persisting pain in the TMJ area may very soon find himself on a long, if un-amusing, journey through the complicated maze of the medical profession. From a dentist office too often however such a patient […]

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March 31, 2022

A Better Way to Rehab Your Sprained Ankle

Rehabbing Ankle Sprains Ankle sprains can occur during a run such as when a foot hits an uneven surface. They can also be suffered when jumping high for a basketball rebound or volleyball spike and then landing on the foot of another player. They are also known to occur while walking if care is not […]

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March 19, 2022

How to Relieve Pain in Your Lower Back

Challenging health professionals and physiotherapists around the world is the chronic low back pain thousands face. Even the simple management of this issue is challenging everyone today. However, there is evidence that a multidisciplinary approach to managing this pain will be the key to helping everyone. This infographic explores all the reasons pain can persist […]

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March 15, 2022

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


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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