Looking for a Neck Pain Specialist in NYC?

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

The physical therapy team at NYDNRehab takes an alternative approach to neck pain, using advanced technologies and therapies to get to the source of your neck pain and eradicate it without drugs or surgery. Our comprehensive approach harnesses the benefits of restorative rehabilitative functional physical therapy, removing obstacles along the way that interfere with successful outcomes.

Our ability to precisely diagnose your condition using advanced technologies ensures that your treatment program is targeted to your specific needs, with minimal room for error or misdiagnosis.

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Dr. Lev Kalika
Dr. Lev Kalika

Clinical director & DC RMSK

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 pain conditions. Dr. Kalika has leveraged his expertise in musculoskeletal ultrasonography to contribute to the growing body of research on diagnosing and treating musculoskeletal pain syndromes.

The NYDNRehab clinic features some of the most technologically advanced equipment in the world for diagnosing and treating neck pain. Our growing inventory of technologies sets us apart from run-of-the-mill physical therapy clinics, and is available only to NYDNRehab patients.

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 from the cervical spine itself, and the nerve roots housed in your spinal canal.

Common causes of neck pain include:

  • Poor posture

  • Use of electronic devices

  • Suboptimal sleeping position

  • Repetitive overuse from sports, exercise or occupation

  • Weakened muscles from being out of shape

  • Chronic inflammation due to lifestyle

  • Myofascial trigger points

  • Nerve compression or entrapment

  • Cervical vertebrae degeneration

  • Faulty gait mechanics

  • Chronic stress

  • Trauma

Types of Neck Pain

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.

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.

Our Unique Approach to Neck Pain Treatment at NYDNRehab
Non-Surgical Options for Treating Neck Pain

Non-Surgical Options for Treating Neck Pain

Depending on the results of your diagnostic exam, your treatment protocol may include a combination of the following treatment options:

  • Ultrasound guided dry needling to release myofascial trigger points
  • Chiropractic care that may include spinal manipulation
  • Postural correction therapy to realign your spine
  • Extracorporeal magneto transduction therapy (EMTT) to relieve pain and inflammation
  • Extracorporeal shock wave therapy (ESWT) to stimulate healing
  • Dynamic neuromuscular stabilization (DNS) to restore optimal movement
  • Physical therapy to strengthen and realign the neck and spine

Our Regenerative Therapies are Game-Changers for Neck Pain

At NYDNRehab, we use regenerative technologies that promote the neogenesis of new cells, to accelerate the healing of muscles, bones, nerves and connective tissues. Depending on the nature of your neck pain, your treatment protocol may include some or all of our regenerative therapies.

Extracorporeal Shock Wave Therapy (ESWT)

ESWT stimulates the growth and repair of tissues at the cellular level, to accelerate healing for the fastest possible relief from neck pain.

Extracorporeal Magnetic Transduction Therapy (EMTT)

EMTT is making headlines as the next big thing in musculoskeletal medicine and injury rehab. When combined with ESWT, EMTT helps to reduce inflammation, eliminate pain, and speed healing.

Ultrasound Guided Dry Needling

Dry needling is a safe and effective therapy for eliminating myofascial trigger points, often located near the bone-tendon junction in areas distal from the neck. Guidance with ultrasound enhances precision, eliminating the need for repeated insertions.

Ultrasound Guided Injection Therapies

We use ultrasound guided injections to reduce pain and inflammation and promote the growth of new cells. Corticosteroids, platelet rich plasma, hyaluronic acid and other injection therapies may be included in your treatment protocol.

Our Regenerative Therapies are Game-Changers for Neck Pain

Professional associations and memberships

Dr. Kalika is currently a certified member of:

imcg1

American Institute of Ultrasound Medicine

imcg2

Active member of ISMST

International Society of Extra Corporeal Shockwave Therapy

imcg3

Active member of GCMAS

Gait and Clinical Movement Analysis Society

imcg4

Active member of NASS

North American Spine Society

imcg5

Active member of IADMS

International Association of Dance Medicine and Science

imcg6

Active member of Virtual Rehabilitation Society

imcg7

Active member of ASRA

American Society of Regional Anesthesia and Pain Medicine

imcg8

American Academy

Association of Orthopedic Medicine

imcg9

Active member of Interventional Orthobiologics Foundation

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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 neck pain and dysfunction in NYC.

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    Dr. Lev Kalika
    Dr. Lev Kalika

    Clinical director & DC RMSK

    Our Specialists

    Dr. Mikhail Bernshteyn MD (Internist)
    Dr. Michael Goynatsky DPT
    Dr. Daniela Escudero DPT
    Dr. Michelle Agyakwah DC
    Dr. Tatyana Kapustina L. Ac.

    Range of Available Unique Physical Therapy
    Treatments at Nydnrehab

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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)

    image

    Complete tear of rectus femoris
    with large hematoma (blood)

    image

    Separation of muscle ends due to tear elicited
    on dynamic sonography examination

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