Looking for a Neck Pain Specialist in NYC?

About Neck Pain Treatment

Neck pain is a common complaint among adults that can arise from a broad range of underlying causes. Traditional medicine targets neck pain with corticosteroid injections, anti-inflammatory drugs and narcotic pain medications, without attempting to correct the underlying mechanisms of pain. When medical interventions fail, surgery often becomes a last resort, with no guarantee of success.

At NYDNRehab, we take an integrative approach to neck pain, using advanced technologies to identify its true cause. Our holistic therapies aim to eradicate the source of your neck pain without drugs or surgery. We use high-resolution diagnostic ultrasonography on your first visit to precisely diagnose your condition, to ensure that your treatment protocol meets your specific needs.

Common Causes of Neck Pain

Your cervical spine and neck work together to support your head and house the main conduits of your central nervous system, enabling messages to travel freely between your body and your brain. Neck pain may involve the muscles and soft tissues that support your head and control neck movement, or emanate from the cervical spine itself, and the nerve roots housed in your spinal canal.

Common causes of neck pain include:

Types of Neck Pain

  • Axial Neck Pain Axial neck pain is the most common type of neck pain, sometimes referred to as mechanical neck pain. It is isolated to one area of the neck, and does not radiate. Pain can range from mild to severe, and can intensify with changes in posture or during physical activity. Axial neck pain is often caused by strained muscles or sprained ligaments. It may be related to trauma, or to degeneration of the cervical spine.
  • Radicular Neck Pain Pain that radiates from its locus into the neck, shoulder, arm or hand is often caused by compression of a nerve root. Pain can range from mild aches and tingling to searing pain that interferes with daily activities. Radicular neck pain is most often caused by degeneration of the bony structures of the cervical spine, or by a cervical herniated disc.
  • Referred Neck Pain Referred neck pain is often felt on one side of the neck, and is typically more spread out than radicular or axial neck pain. Pain is often deep, achy and throbbing. Referred neck pain can come from a myofascial trigger point located in another part of the body. It can also come from a heart attack, or from the temporomandibular joint (TMJ)
  • Myelopathic Neck Pain Compression of the cervical spinal cord can cause pain in the neck, and in distant regions of the body as far away as the feet. Myelopathic pain felt in another area of the body is often misdiagnosed by conventional medical practitioners.
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Dr. Lev Kalika

Clinical director & DC RMSK

About Dr. Lev Kalika, Best Rated Neck Pain Doctor in Manhattan

Dr. Lev Kalika has devoted his life’s work to finding innovative solutions and cutting edge technologies for treating musculoskeletal pain and dysfunction. As clinical director of NYDNRehab, Dr. Kalika has treated hundreds of patients suffering from neck pain and other musculoskeletal pain conditions.

Dr. Kalika has published multiple peer-reviewed research articles based on his expertise in musculoskeletal ultrasonography and various advanced therapies and procedures. Dr. Kalika teams up with an orthobiologic injection specialist to provide ultrasound guidance for injection therapies and regenerative procedures, performed strategically at just the right time to promote tissue healing.

The NYDNRehab clinic features some of the most advanced technologies in the world for diagnosing and treating neck pain. Our personalized one-on-one approach and cutting-edge therapies set us apart as the clinic of choice for neck pain in NYC.

Accurate Diagnosis is the First Step to Successful Treatment

Neck pain almost always arises from issues located distal to the locus of pain. At NYDNRehab, we treat the whole patient, not just your symptoms. Your healing journey begins with a comprehensive exam using the highest resolution diagnostic ultrasonography. Dr. Kalika’s expertise in diagnostic ultrasound imaging is second to none in NYC.

NYDNRehab features research-grade ultrasound equipment with the highest resolution available in New York City. Our equipment gives us capabilities for sonoelastography to test for tendon stiffness, and superior microvascular imaging (SMI) to assess inflammation and detect vascular neogenesis.

Advantages of Diagnostic Ultrasonography over MRI

Patients with musculoskeletal injuries are often referred for MRI, but ultrasound imaging trumps MRI when it comes to visualizing the structures affecting the cervical spine. Advantages of ultrasound imaging over MRI:
  • Much higher resolution
  • On-site imaging and interpretation – no waiting for lab results
  • Capabilities for dynamic assessment in real time
  • Ability to trace the path of long structures like muscles, bones and nerves
  • Can be used to visualize multiple areas in a single session
  • Capability to compare injured and uninjured structures on opposite sides of the body
  • Ability to visualize fascia adhesions related to nerve entrapment
  • Cutting-edge tool for guiding needling and regenerative procedures in real time
  • Ability to track patient progress via dynamic imaging during treatment
  • More comfortable, convenient and cost-effective for patients

Ultrasound-Guidance Ensures Accurate and Effective Procedures

High-resolution ultrasonography not only gives us a cutting-edge diagnostic tool – it is a game-changer when it comes to neck pain treatment. Most injuries involve multiple tissue types, and each demands its own therapeutic approach. Ultrasound imaging lets us differentiate between various tissues and structures to ensure that our needling and regenerative procedures hit their mark.

Ultrasound also provides a dynamic feedback tool for motor retraining. Injuries often disrupt optimal muscle coordination patterns when patients adopt compensation strategies to off-load injured tissues. Once the tissues have healed, it is necessary to restore neuromuscular pathways that govern motor unit firing patterns. Ultrasound gives the patient visual feedback, to restore optimal muscle activation patterns.

In addition, ultrasonography helps us track and confirm the effectiveness of our treatment protocols. Its capabilities for sonoelastography and superb microvascular imaging let us detect early signs of healing, and dynamic real-time imaging lets us measure progress as optimal mobility is restored.

Tensegrity is the Secret to Pain-Free Mobility

Most people take everyday mobility for granted until an injury occurs or pain sets in. Sometimes pain and reduced mobility seem to arise out of nowhere, with no apparent cause of onset. Regardless of whether your pain is caused by trauma or by something less obvious, tensegrity plays a key role.

Tensegrity refers to tensile integrity – a state where a system of individual components is held together under continuous elastic tension. In the human body, tensegrity is created by the myofascial system, the network of muscles and fascia that work together to produce, control, and guide forces, and to hold the body’s various organs and structures in place during movement.

Tensegrity can be disrupted when myofascial tissues are injured or damaged in some way. When that happens, nerves and blood vessels can become entrapped, preventing them from gliding among other structures and producing pain. At the same time, the elastic tension that governs joint alignment and controls movement becomes compromised, creating motor deficits that undermine mobility and stability.

Factors that disrupt myofascial tensegrity include:
  • Traumatic injury that affects multiple tissue types
  • Overuse injuries from sports, exercise or occupation
  • Old injuries that were never properly rehabilitated
  • Sedentary lifestyle with excessive sitting
  • Obesity that overloads the body’s structures
  • Inadequate hydration that deprives soft tissues of water needed to function
  • Diet high in sugar and carbs that causes myofascial tissue glycation, making it dense and sticky

Many doctors do not understand the crucial role of the myofascial system in preventing pain syndromes, movement disorders, and disease. In fact, most medical doctors have no idea how to correct myofascial dysfunction or even recognize it as a factor. They simply treat pain symptoms with medications and eventually recommend surgery.

At NYDNRehab, we understand that the body’s systems work together as an integrated whole, and that treating pain is not enough to eliminate its source. We use dynamic high-resolution ultrasound to explore the myofascial system in real time. Ultrasound imaging lets us visualize muscles, fascia, nerves and other structures in motion, to identify places where tensegrity has been disrupted.

Once we identify the problem, we use the most advanced therapeutic approaches to restore myofascial integrity and promote tissue healing.Ytn

Why Physical Therapy Alone is Often Not
Enough to Treat Neck Pain

Physical therapy is an important component of rehabilitation, but it does not provide a stand-alone solution. Prior to beginning physical therapy, we need to identify and treat complications that can undermine the effectiveness of physical therapy.

Issues that should be addressed prior to beginning physical therapy include:

  • Scar tissue and fascia adhesions
  • Neurogenic inflammation
  • Joint edema
  • Inflamed soft tissues
  • Myofascial trigger points
  • Compressed or entrapped nerves
  • Tendons that have degenerated and lost their elastic properties
  • Compensation patterns developed post-injury

Identifying and treating underlying issues prior to beginning physical therapy is key to getting fast and effective results. Failure to do so can completely undermine your treatment protocol, and in some cases your condition may even worsen.

We Treat the Whole Patient, Not Just Your Symptoms

The human body is made up of integrated parts and systems, designed to work in harmony. Today’s modern reductionist approach to medical treatment fails to acknowledge the integral relationship between structure and function, focusing on the locus of pain without considering its broader implications.

Most injuries involve multiple structures and tissue types, and pain is only a symptom that signals your brain to protect and heal the damaged tissues. It is not uncommon for an injury to stop hurting while damaged structures remain dysfunctional.

At NYDNRehab, our diagnostic process takes into account the interrelated nature of the body’s structures and systems, along with the unique anatomical characteristics of the individual patient. We use high resolution diagnostic ultrasound to visualize your injury dynamically, in real time, to determine whether structural (anatomical) changes are causing pain and dysfunction, or if dysfunction is causing structural changes.

Your ultrasound exam takes place on-site, on your first visit, where we examine multiple areas of the body in a single session – with no waiting for lab results!

Our Unique Approach to Neck Pain Treatment at NYDNRehab

The neck pain specialists at NYDNRehab take a holistic approach to diagnosis and treatment of neck pain. We understand that the human body is more than just a collection of isolated parts. It is an integrated and interactive ecosystem, and pain or dysfunction in one region can affect the entire body.

Our personalized one-on-one approach respects the unique characteristics of the individual and their condition. We never use cookie-cutter or one-size-fits-all protocols to treat neck pain and dysfunction. Our belief is that pain should be treated and resolved, not just managed. To that end, we conduct a thorough diagnostic exam based on symptoms, health history, evidence-based assessment and diagnostic ultrasonography.

Once we uncover the underlying mechanisms of your neck pain, we create a personalized treatment protocol, just for you. We use advanced technologies to collect quantifiable data that can be used to establish a baseline and measure your progress. It is our belief that what cannot be measured, cannot be effectively treated.

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Our Regenerative Technologies
Accelerate Healing

The human body has its own innate healing mechanisms, but tendons sometimes need a nudge to accelerate the healing process. Regenerative technologies help to jump-start healing by stimulating tissue repair at the cellular level. Our outpatient regenerative therapies expedite recovery with minimal discomfort for the patient.

Regenerative Therapies At NYDNRehab

SoftWave Electro-Hydraulic Shockwave Therapy

SoftWave Electro-Hydraulic Shockwave Therapy

SoftWave is a groundbreaking regenerative mechanotransduction technology that accelerates tissue healing. Its patented electro-hydraulic applicator delivers high-speed soundwaves that can penetrate up to six inches in depth. SoftWave’s defocused and linear focused shockwaves recruit maximum stem cells to the treatment site to promote healing. SoftWave’s wider and deeper penetration using defocused energy is a preferred treatment option for a broad spectrum of conditions, ranging from orthopedic injuries to pelvic health. SoftWave is the only unfocused shockwave technology currently available. According to recent research, SoftWave defocused waves combined with focused and radial shockwaves have maximum regenerative potential.


Myofascial Acoustic Compression Therapy (MyACT)

MyACT is a new type of focused shockwave technology that allows for deeper compression of the focused waves. Its higher frequency allows for precise neuro modulation under ultrasound guidance, with a special linear head for treating myofascial pain. MyACT transforms the mechanical energy of shockwaves into biochemical signals that precisely target damaged tissues. Most injuries involve more than one tissue type. When used together, our advanced shockwave technologies enable us to specifically target multiple tissue types with the most effective shockwave treatment.

Myofascial Acoustic Compression Therapy (MyACT)
Focused Extracorporeal Shock Wave Therapy (ESWT)

Focused Extracorporeal Shock Wave Therapy (ESWT)

Focused ESWT is used as a regenerative treatment for damaged tendon, muscle and bone tissue. This technology produces high frequency sound waves to stimulate the body’s own reparative mechanisms. It is especially effective for chronic degenerative tendon disorders and myofascial pain syndrome.


Extracorporeal Magnetic Transduction Therapy (EMTT)

EMTT transmits high energy magnetic pulses to targeted tissues that synchronize with the body’s own magnetic fields, triggering a regenerative response. EMTT waves can penetrate deep tissues to target difficult-to-reach tendons, muscles, bones and nerves.

Extracorporeal Magnetic Transduction Therapy (EMTT)
Extracorporeal Pulse Activation Technology (EPAT)

Extracorporeal Pulse Activation Technology (EPAT)

EPAT, sometimes called defocused shock wave therapy, is not a true shockwave. It uses mechanical pressure waves to enhance blood circulation, improving oxygen and nutrient delivery to muscle and fascia tissues, but has minimal regenerative properties.The mechanical properties of EPAT make it especially effective for fascial manipulation in combination with focused shockwaves. We combine EPAT with different types of shockwaves for holistic treatment, without additional cost to the patient.


High Energy Inductive Therapy (HEIT)

HEIT delivers high-intensity magnetic pulses to peripheral nerve tissues, to stimulate neuroplasticity. We leverage this FDA-approved methodology to treat pain and regenerate nerve fibers, for enhanced motor control.

High Energy Inductive Therapy (HEIT)
INDIBA Radiofrequency Therapy

INDIBA Radiofrequency Therapy

INDIBA is a form of TECAR therapy that helps to restore the ionic charge of damaged cells, for faster injury healing and rehabilitation.


NESA Neuromodulation Therapy

NESA generates a low-frequency electrical current of intermittent and cyclical stimuli that soothes hypersensitized nerves and restores optimal signaling between the autonomic nervous system and the brain. We leverage this FDA-approved methodology to treat pain and regenerate nerve fibers, to enhance motor control.

INDIBA Radiofrequency Therapy

We Guide Our Needling and Orthobiologic
Procedures with High-Resolution Ultrasound

Injection therapies use orthobiologic solutions that stimulate cellular repair by either nourishing or irritating the targeted cells. Dr. Kalika teams up with an orthobiologic injection specialist, guiding needling procedures by ultrasound to ensure that the injected substances hit their mark, for maximum effectiveness.

Platelet Rich Plasma (PRP)

PRP therapy uses a sample of the patient’s own whole blood, which is spun in a centrifuge to extract a high concentration of platelets. When injected into damaged tissues, PRP initiates tissue repair by releasing biologically active factors such as growth factors, cytokines, lysosomes and adhesion proteins. The injected solution stimulates the synthesis of new connective tissues and blood vessels. PRP can help to jump-start tendon healing in chronic injuries and accelerate repair in acute injuries.


Alpha-2-Macroglobulin (A2M)

Alpha 2 macroglobulin (A2M) is a naturally occurring blood plasma protein that acts as a carrier for numerous proteins and growth factors. As a protease inhibitor, A2M reduces inflammation in arthritic joints and helps to deactivate a variety of proteinases that typically degrade cartilage.


Prolotherapy

Prolotherapy uses a biologically neutral solution to irritate stubborn tissues, triggering the body’s innate healing mechanisms to grow new normal tendon, ligament and muscle fibers.


Interfascial Plane and Nerve Hydrodissection

Neck pain often involves fascial tissue that has become densified and/or formed adhesions, entrapping nerves and blood vessels, causing pain and restricting movement. Hydrodissection is a procedure where a saline solution is injected into densified fascia under ultrasound guidance. The solution works by separating fascial layers and freeing up entrapped nerves and blood vessels. We often use hydrodissection in conjunction with manual fascial manipulation.

Ultrasound Guided Dry Needling

Myofascial trigger points often contribute to musculoskeletal pain and dysfunction. The dry needling procedure inserts filament-thin non-medicated needles into trigger points to evoke a twitch response, relaxing contracted fibers and immediately relieving pain. Ultrasound guidance eliminates the need for multiple insertions, reducing discomfort for the patient.

More Advanced Therapies at
NYDNRehab

Our Therapies Icon

SM Neuromuscular Electrical Stimulation (SMNMES)

SM neuromuscular electrical stimulation (NMES) dynamically interacts with the patient during therapeutic exercises, providing real-time sensory, auditory and visual biofeedback to the patient. This breakthrough technology helps patients to recalibrate muscle actions, to optimize joint function. SMNMES has helped numerous patients to avoid unnecessary shoulder, knee and ankle surgeries, even in complex scenarios.

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Ultrasound Guided Percutaneous Neuromodulation (PENS)

During PENS treatment, filament-thin needles are inserted through the skin into muscle tissue adjacent to the targeted nerve. A low frequency electrical current is then delivered via the inserted needles to stimulate the dysfunctional nerve. PENS normalizes nerve activity, improves brain plasticity and optimizes muscle recruitment patterns. This therapy is so effective that patients typically need only 4-6 treatment sessions.

ShowMotion

ShowMotion is an objective tool for joint movement analysis that uses motion tracking sensors, placed on the patient’s skin to collect data about movement quality. The patient performs a series of joint-specific movements, and the data is analyzed by ShowMotion’s proprietary software and displayed on a computer screen. The collected information provides valuable insights about inefficient movement patterns, compensation patterns, and improvements in movement in response to therapy, enabling practitioners to personalize rehabilitation.

ShowMotion is similar to gait /running analysis, but for the neck, shoulder and scapular region. This cutting-edge technology can play a key role in postural restoration. ShowMotion can also contribute to athletic performance enhancement by measuring baseline joint kinematics and tracking the athlete’s progress in response to training.

Symptoms, Causes and Risk Factors of
Neck Pain

Symptoms
  • Inability to bend or rotate the neck
  • Difficulty looking up or over the shoulder
  • Weakness in arm and shoulder muscles
  • Muscle spasms, numbness or tingling in the neck, shoulders, arms, or hands
  • Chronic or recurring headaches
Causes
  • Nerve compression or entrapment
  • Myofascial trigger points
  • Fascial densification
  • Trauma or repetitive overuse
  • Head-forward posture from use of electronic devices
Risk Factors
  • Sedentary lifestyle
  • Habitually poor posture
  • Chronic stress
  • Poor sleep habits
  • Generally out of shape

Get Personalized Neck Pain Therapy, Designed Just for You

At NYDNRehab, we treat the whole patient, not just your symptoms. We never use one-size-fits-all rehab protocols or antiquated recovery timelines. We believe that every injury is unique, and treatment should be based on a holistic approach that factors in the patient’s unique profile.

Once we have successfully pre-treated damaged tissues, we can begin one-on-one physical therapy to restore strength and stability, optimize mobility, and re-establish optimal neuromuscular pathways and muscle coordination patterns.

Your physical therapy protocol may include a combination of the following approaches:

  • Stecco fascial manipulation, to eliminate densifications and adhesions and restore fascia’s gliding properties
  • Postural restoration therapy to optimize total-body joint alignment
  • Dynamic neuromuscular stabilization (DNS) to restore developmental motor strategies
  • Integrated systems model (ISM) to optimize function and performance
  • Anatomy in motion (AIM) to enhance movement quality
  • Neurodynamics, to restore communication pathways between the brain and body
  • Conventional eccentric loading and strengthening exercises
Your back-to-sports physical therapy protocol may include sport-specific training to optimize motor skills and restore peak athletic performance. We carefully monitor patient progress with ultrasound imaging to confirm complete recovery.

Preventing Neck Pain

On average the human head weighs about 5 kg – around 11 pounds. To get a feel for that amount of weight, just pick up a gallon jug of liquid or a 10-pound weight. Your head is balanced on just 7 cervical vertebrae, with the help of 20 muscles to support and move it. Gel-like discs provide cushioning between your vertebrae and provide a space for nerve roots to exit your spinal canal. In addition, a complex network of nerves and blood vessels glide between and among the bones and muscles in your neck, with fascia providing tension and a slippery surface to guide movement and reduce friction. Remember, pain is a signal generated by nerves to tell your brain that something is wrong. For your neck to move without pain, you need balanced muscle tension, good spinal alignment and healthy fascia tissue. When one or more of those factors is out of whack, nerves become compressed or entrapped, registering as neck pain. Follow these tips to avoid and prevent neck pain:
  • Be mindful of your posture, especially when using computers or electronic devices. A head-forward posture with shoulders rounded is a major cause of neck pain.
  • Get regular exercise to promote and maintain balanced muscle tension.
  • Drink plenty of plain water. Fascia and muscles need lots of water to function properly.
  • Avoid sugar, a major cause of fascia densification and dysfunction.
  • Eat ample amounts of animal protein to support your tissues. Muscles, nerves and fascia all need protein to maintain cellular integrity and support mitochondrial function. Opt for grass-fed, pasture-raised and wild caught protein sources, and avoid factory farmed options.
  • Manage stress. The tendency to tense up neck muscles when edgy or anxious can place pressure on nerves and cause pain.
  • Take time to stretch daily. The tissues that support your head and neck need to be both strong and mobile.
  • Invest in a supportive pillow that holds your cervical spine in alignment while you sleep.
  • Seeking early treatment at the first signs of persistent neck pain can prevent it from getting worse and affecting other tissues and structures.
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Why Patients with Neck Pain in NYC Trust NYDNRehab

At NYDNRehab, we genuinely care about our patients, and we are dedicated to getting to the root of your neck pain and resolving it for good. Our personalized one-on-one approach to diagnosing and treating neck pain sets us apart from conventional medical practitioners and run-of-the-mill physical therapy clinics. Our use of advanced technologies and innovative treatment methods dramatically increases our success rate in treating and eliminating neck pain in NYC.

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    Neck Pain Treatment at NYDNRehab

    Clinical Case Studies
    NYDNRehab


    Case Study: Chronic Right-Sided Neck Pain after Dry Needling

    Our Patient Our patient is a female in her 20s who came to us with severe right-sided neck pain, consequent to a dry needling session at another clinic. Her pain spanned from the upper trapezius area and down the medial scapular border. The patient has a history of chronic right-sided neck pain and previously had […]

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    Case Study: Neck and Scapular Pain with Disc Bulges

    Our Patient Our patient presented with persistent neck and interscapular pain lasting more than five years, with a history of overhead sports and a prior car accident. The patient had been unsuccessfully treated elsewhere. The Challenge Pain had begun prior to the patient’s car accident. The patient had received a brachial plexus hydrodissection, which failed […]

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    Case Study: Ultrasound Guided Dry Needling for Vertigo Treatment in Patient with Skull Trauma

    Our Patient Our patient is a 30 year-old male with head trauma, suffering from persistent vertigo and neck pain. Prior attempts to resolve his condition had been unsuccessful, primarily due to misdiagnosis and ineffective treatments. Apparently the musculoskeletal component of vertigo had been overlooked.   Our Diagnosis Immediately recognizing the potential link between the patient’s […]

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    Case Study: Neck and Shoulder Pain Diagnosis and Treatment with Ultrasound-Guided Dry Needling

    Our Patient Our patient was a 46 year-old male complaining of pain in his left shoulder and neck. During the clinical exam, it was revealed that two days prior, he had received an allergy injection in his left arm for asthma. Initial Diagnosis The initial diagnosis identified myofascial trigger points in the left rotator cuff […]

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    Case Study: Patient with Facial Pain and Complex Neurological Dysfunction Successfully Treated with Alternative Therapies

    Our Patient Our patient, a 28 year-old male, had been suffering for over two years with unexplained facial and upper body pain. He had seen two separate neurologists and undergone MRIs of his brain and cervical spine, with no concrete diagnosis. The patient’s symptoms included: Pains in the face, anterior neck, chest and rib cage […]

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    Neck Pain FAQs

    When should I seek neck pain treatment?
    Neck pain is sometimes transitory and resolves itself in a day or two. But if you have severe persistent neck pain, early treatment can prevent your condition from degenerating and causing other problems.
    What is “text neck” and is it serious?
    “Text neck” is a condition caused by looking down at mobile devices, resulting in a head-forward posture that can strain muscles and put pressure on nerves. Text neck can contribute to headaches, neck pain, shoulder pain, and neck and shoulder instability that worsens over time. Posture correction therapy can help relieve text neck symptoms and restore optimal cervical alignment.
    What is the connection between neck pain and whiplash?
    Whiplash is a neck injury caused by forceful back-and-forth neck movement, often caused by rear-end car crashes, sports accidents, physical abuse and other types of trauma. Whiplash symptoms include muscle stiffness, insomnia, blurred vision, irritability and limited range of motion. Physical therapy and chiropractic care can expedite recovery from whiplash and restore normal neck function.
    How does chiropractic care help to relieve neck pain?
    Chiropractors specialize in the spine and nervous system. A chiropractor may adjust your spine to restore optimal alignment and take pressure off nerves. A chiropractor may also use regenerative technologies, myofascial massage and other therapeutic techniques, and they may recommend exercises and stretches you can do at home.
    How does being out of shape cause neck pain?
    Your muscles and fascia work together to create tensegrity – a state of balanced tension that controls and guides movement, and keeps the body’s structures in their optimal position. When muscles and fascia become weak and dysfunctional from disuse, the structures in your neck and shoulder region can become misaligned, placing pressure on nerves, joints and bony structures, and causing pain. Physical activity, diet, and other lifestyle factors play a key role in musculoskeletal health.
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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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