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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Femoral Acetabular Impingement (FAI)

A femoroacetabular impingement or FAI is a medical term that refers to the hip bone socket, known by its medical term as the acetabular socket. How Femoroacetabular Impingement Injuries Occur FAI is somewhat unique among hip wounds because few sympto feel stiff, achy, and inflexible. Over time, the friction involved with rotating and moving around […]

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March 15, 2016

What is a Myofascial trigger Point?

Muscle soreness is common after exercise, an unexpected strain or even stress. But muscles that feel knotted and tight after to a wide range of conditions affecting all areas of the body. Myofascial Trigger Points Myofascial trigger points are irritated areas in tight or stressed bands of muscle. This irritated area can cause shortening of […]

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March 9, 2016

The Authoritative Guide to Achilles Tendon Injuries

One of the most common types of injuries that dedicates runners have to cure, severely hampering a workout routine or daily run regimen, the good news is that there are a number of effective treatments available. Achilles Tendonitis In order to reduce and eliminate the pain. As you may have learned in school, the achilles […]

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March 2, 2016

The Truth About Knee Osteoarthritis and Running

What exactly is Knee Osteoarthritis? The term osteoarthritis means inflammation of the joint and bones. This definition presents several problems. A diagnosis of osteoarthritis doesn’t actually explain what the cause of the joint pain is. Pain and inflammation occur as a reaction to ineffective treatment and a misunderstanding of the underlying cause. Does an osteoarthritis […]

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February 28, 2016

The Gentle Exercise Approach To Dealing With Herniated Disk

Herniated disk, more commonly known as slipped disk, is an extremely painful spinal condition usually affecting middle-aged people. It is also known as ‘bulging disk’, and occurs when sudden pressure is put on the spinal cord. What Happens During A Herniated Disk Our spine is made up of individual bones called vertebrae stacked on top […]

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February 24, 2016

Understanding Achilles Tendinitis

According to be your weakness. The Achilles tendon can also be called the calcaneal tendon. This tendon is the strongest and largest tendon in the human body. Tendons are flexible and to allow proper movement. Although the Achilles tendon is strong, it is susceptible to two conditions: Achilles Tendinosis and Achilles Tendinitis. In many cases, […]

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February 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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