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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Simple Steps to Increase Ankle Health

People tend to take their ankles for granted. They often do not stop to think that these joints support their body weight, allow them to walk, run, turn, stand on tiptoe, and do so much more. Dancers, figure skaters, and athletes depend on ankles to pivot, change direction, jump, and sprint. As long as these […]

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June 14, 2016

Helping Plantar Fasciitis with Acupuncture

There is nothing worse than having foot pain. It makes walking unbearable, and wearing a shoe may not even be an option to pressure points all over the body. Each pressure point coincides with a part of the body. By stimulating these areas, the body promotes healing. It sounds crazy, but it is sweeping that […]

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June 10, 2016

Managing TMJ pain with physiotherapy

What is the TMJ? The temporomandibular joint, also known as the TMJ, joins your jaw to your skull. Try feeling it; it lies just in front of your ear hole. There are many causes for tmj disorder, some of which are poor posture, growth disorder, bad habits, inflammation, or injury. The lower jaw bone, called […]

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June 8, 2016

Exercises for Sciatica Pain Relief

If you are suffering from chronic sciatica pain, you may find that gentle exercise and stretch on a daily basis can help to the back of the legs. Sciatica pain may be accompanied by sensations of tinging, numbness or weakness. It is often associated with an underlying medical condition, such as a lumbar herniated disc […]

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May 31, 2016

Recuperating From An Anterior Cruciate Ligament Impairment (ACL)

Over two-thirds of hurting ACL’s are caused by not contacting bodily parts. They are caused by not controlling movement, sudden stoppage, erratic change of movement, and jumping in a poor position

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May 31, 2016

Can Frozen Shoulder Happen to You?

The short and simple answer is, yes. The fact is that it is so little is known about frozen shoulder syndrome that it is safe to say this shoulder joint condition can happen to anyone. Frozen shoulder or adhesive capsulitis is a condition in which the tissue around the shoulder joint stiffen causing limited movement […]

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May 31, 2016

Exercises to Alleviate Pain From Plantar Fasciitis

Pain in the foot can be debilitating to everyday life. The more severe the pain, the more difficult it is to complete simple tasks. There are numerous exercises that assist with alleviating the pain from Plantar Fasciitis. What is Plantar Fasciitis? In essence, Plantar Fasciitis is pain that resides in the heel portion of the […]

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May 31, 2016

How To Approach Your Ankle Sprain Appropriately

Inward Rolling vs Outward Rolling Sprains All athletes who play sports with a heavy emphasis on running or pivoting are relatively likely to get an ankle sprain at some point in time. Generally, the most common type of ankle sprain will be one in which the ankle rolls inward. There might be a sharp pain […]

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May 31, 2016

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

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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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