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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

Chronic Ankle Pain and What to Do About It

Chronic ankle pain is any long-term soreness or tenderness in the ankle or in the adjacent areas of the foot or lower leg. Associated symptoms can include: Inflammation Limited range of motion in the foot and ankle. Lack of mobility in the foot. Low tolerance to standing or bearing weight on the foot and ankle. […]

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April 28, 2016

When headaches become lethal: types of a headache that you should not ignore

When headaches become lethal: types of a headache that you should not ignore

Headaches are painful nuisances that everyone experiences at some point in their lifetime. They may be regarded as annoyances, but the causes of headaches may be severe conditions. Common non-life-threatening types are: sinus, tension, TMJ, neck, cluster, and migraine. You may wish toms, but often these may be treated with over the counter medicine and […]

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April 26, 2016

The New Leader in Point Injection Therapy: Trigger Point Acupuncture

Acupuncture has been the most widely recognized form of point injection therapy since the Chinese Sto learn more about trigger point acupuncture, and how it can help eliminate the discomfort that they are constantly experiencing. What Exactly Are “Trigger Points?” Trigger points are often referred to another trigger point, it results in a satellite trigger […]

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April 26, 2016

Core Stability from the Inside Out

Understanding the Core You’d have to your core will actually make a difference. No one can even agree on what the core is and what it does for the human body. The Story Behind the Core Take a look back over ten years ago to start working from the inside out. What Exactly is the […]

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April 25, 2016

What is TMJ?

What is TMJ?

“TMJ” is a frequent diagnosis for pain throughout the body, especially in the jaw, head, and neck. The “temporomandibular joint” (TMJ) refers to label maladies affecting the joint as “temporomandibular disorders” (TMD). A host of other afflictions, some of which have nothing to generate profit from unsuspecting patients. Caveat emptor: risky and improper treatment Dentists […]

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April 24, 2016

Understanding Acupuncture

Understanding Acupuncture

There are a variety of diseases and conditions that are not susceptible, or only partly responsive to traditional Western medicine. Millions of people throughout the world face this issue, and acupuncture may be a good alternative for them. What is Acupuncture? Acupuncture is a treatment that originated in China and has been practiced for thousands […]

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April 24, 2016

Knee Pain 101: Is Your Back the Culprit?

Knee Pain 101: Is Your Back the Culprit?

Research shows that a shockingly high number of patients still experience chronic knee pain, even after a full replacement. This can be discouraging to understand the root of your pain before you seek out treatment or relief. After all, you can’t fix what you don’t know is broken. Most people have the wrong information about […]

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April 22, 2016

Heal Thyself?: Getting Treatment for hamstring Injuries

As fitness is central toughen the muscle, the hamstring strain may represent a larger tear that calls for immediate attention from a trained physical therapist. Confirming a Hamstring Injury Certain telltale signs accompany a hamstring injury. Most frequent are: Swift and intense pain behind the thigh while exercising or laboring Continuous pain in the thigh […]

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April 21, 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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