Sports Medicine Archives - NYDNRehab.com

Sports Medicine

Barefoot Running

We can help runners analyze both walking and running gait patterns by focusing on the proper footwear, orthotics and the various types of running shoes available. Supportive footwear, can cause weakness and fragile feet and ankles. This is why the transition to change your footwear. The number of elite long-distance runners who have originated in […]

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July 2, 2014

Runners Rehab

When a runner is faced with an injury, one of the most devastating things is an inability touch with the training process without having a long unmotivated break. Water Running Running in the pool can be useful for those who cannot run because of injury but still want to train. It is probably the safest […]

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July 2, 2014

Runners Corner

Our dynamic evaluation begins with the question, “What is the underlying cause?” Not all situations are perfectly clear right way so we need to handle loading cycles before their joints experience overload. All of these abnormalities are caught during evaluation of the patients’ movements such as off sets or dorsiflexion. There are many different aspects […]

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June 2, 2014

Tips for Post-Marathon Recovery

“Pain is inevitable. Suffering is optional.” ― Haruki Murakami, What I Talk About When I Talk About Running Every year, Marathon races attract thousands of runners, from amateurs to get back on the road. keep your feet from swelling. depleted nutrients. soft tissues. kidney failure and death. cryotherapy chamber. When you return to reduce impact […]

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July 2, 2014

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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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