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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

What is the Sacroiliac Joint?

What is the Sacroiliac Joint?

At the very base of the spine, several vertebrae fuse to the back area of the pelvis known as the ilium, forming the sacroiliac or SI joints. These joints are supported by a system of muscles and ligaments that minimize uncontrolled motion during situations of physical stress or exertion, primarily the gluteal and deep abdominal […]

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May 11, 2016

Plantar Fasciitis

Infographic: Facts About Plantar Fasciitis & Heel Pain

Plantar Fasciitis has been found to be the major cause of heel pain. This condition is the result of microscopic tears and inflammation in the muscles across the band of tissue at the bottom of the foot. The impact on the ligament (plantar fascia) results in swelling and causes burning and stabbing pain in the […]

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May 5, 2016

What is Anterior Cruciate Ligament injury?

In the body, a special cellular material that functions much like an elastic band tors as the anterior (front) and posterior (rear) cruciate ligaments. These elastic bands are essential for a number of different flexions that keep the knee joint stable while allowing for lateral and forward motion. An ACL affliction is when some form […]

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April 29, 2016

Trigger Point Dry Needling for Lateral Epicondylitis

Many people with chronic pain disorders that do not respond to needle therapy for pain. Dry needling for lateral epicondylitis is gaining popularity because it resolves trigger point pain in a safe and effective manner. What Is Dry Needling? Needling has been used in a variety of formats to repeated manipulation, these trigger points can […]

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April 29, 2016

Plantar Fasciitis: Important Treatments for Those who Suffer

While there is a wide range of sports related injuries, one of the most common relates to the fact that it is most common in people between 40 and 60, which is also the highest population demographic of the United States. At this age, people are still active, but their tendons and tissues are becoming […]

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April 29, 2016

Physical Therapy Provides Cost-Saving, Effective Treatment of Low Back Pain

When a patient visits a docto the normal aging process. A Pain in the Wallet An MRI may provide peace of mind, but new research shows that in most cases the imaging procedure only adds a pain in the wallet on to a study led by a professor in the field of physical therapy. An […]

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April 29, 2016

Signs You May Suffer from Chronic High Hamstring Tendinopathy (and What You Can Do)

Suffering from a deep pain in the buttocks is called chronic high hamstring tendinopathy. The ailment is the result of pain that gradually escalates. The aggravation can increase through repetitive motion or prolonged sitting. The Cause of High Hamstring Tendinopathy It is believed the condition results when acute hamstring tears are not given time tor […]

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April 29, 2016

Procedures and Tests Administered With a Physical Therapy Evaluation

Physical therapy evaluations can be daunting, especially for first-time visitors, but they are quite straightforward. The following points will explore what one should expect during an evaluation Discussion With Therapist Before Evaluation Begins The therapist will need certain information to accomplish with physical therapy. This can be very beneficial in helping the therapist understand what […]

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April 29, 2016

The Best Hamstring Stretch to Reduce Pain and Increase Movement

Whether you are just starting a new workout plan or are an avid athlete, exercise has the tendency to cause aches and pains. One of the most common issues that athletes and newly active individuals both experience is tightness in the hamstrings. This issue is particularly complicated to identify and even remedy, though, as it […]

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April 28, 2016

Physical Therapy as an Effective Remedy for Lower Back Pain

Lower back pain, also known as LBP, affects millions of Americans. In many cases, it is difficult to effectively manage their pain. A recent study in BMC Health Services Research highlighted the effectiveness of physical therapy in treating lower back pain when it is administered early on and consistently. Early Intervention is Key When it […]

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April 28, 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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