Chronic Overuse / Regenerative Medicine

Effective regenerative treatment for runners is one of the key directions in modern medicine science. Physical therapists today are developing new and modernizing the known ones ways of regenerative medicine. Among others, Extracorporeal Shockwave Therapy (ESWT) and Extracorporeal Pulse Activation Technology (EPAT) are the most approved and effective non-invasive methods for runners regenerative therapy.

ESWT/EPAT provides different voltage waves, which creates pressure in the stimulated area and accelerates the metabolism. ESWT and EPAT enhances blood supply, which regenerates and recovers the area of injury. These methods have received FDA approval and are successfully practicing at Dynamic Neuromuscular Rehabilitation clinic in NYC since 2007.

Chronic inflammations in professional runners occur previously inflamed areas and can make an influence to the uninflamed areas right near, which will cause painful sensations during the run or make it impossible to maintain the running in a normal way. In case of inflammation, ESWT therapy accelerates the activity of mast cells that are important in healing process. The activation of mast cells relates to the chemokine and cytokines synthesis. For those runners who are suffering from chronic inflammation the release of pro-inflammatory compounds could be a treatment of choice in healing the inflamed area.

A doctor performs ESWT/EPAT on a patientAt DNR we have experience in using ESWT and EPAT for treating the following runners’ conditions:

  • Achilles tendonitis
  • Achillodynia
  • Bone non-unions
  • Bursitis (inflammation of a bursa)
  • Hallux limitus
  • Heel spurs
  • Painful trigger points
  • Patellar tendonitis
  • Plantar fasciitis
  • Rotator cuff tendonitis
  • Stress fractures
  • Stress reactions
  • Tibialis anterior syndrome
  • Various chronic enthesiopathies
  • Various sports injuries

Planks and Crunches for Abdominal Diastasis: Totally Tabu, or OK for You?

Abdominal diastasis, known clinically as diastasis recti abdominis, or DRA, is the separation that occurs along the midline of the rectus abdominis, or RA (the six-pack muscle) during and after pregnancy. As the fetus grows, the linea alba, the connective fascial tissue that binds the right and left halves of the RA, thins and stretches […]

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January 10, 2018


Myoreflex Therapy for Muscle Pain

Muscle pain is a highly common affliction, especially if you are physically active. In fact, muscle pain may become such an integral part of your active lifestyle that you simply ignore it, brushing it off as a natural consequence of staying in shape. However, chronic and debilitating muscle pain is not normal, nor should it […]

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October 13, 2017

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