Gait (walking) pain

Treatment for knee pain

The knee is a synovial hinge joint connecting the bones of the femur (thigh bone) and the tibia (shin bone). It is composed of two other joints: the tibiofemoral joint, which joins the tibia and femur, and the patellafemoral joint, which joins the femur to the patella (knee cap). Together these two joints form a […]

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September 11, 2014

Hamstring Strain Treatment

Hamstring tendon strain is one of the most common running injuries, affecting a set of muscles located in the back of the thigh. While mild hamstring strain may cause only a light feeling of discomfort, chronic hamstring strain can be severely crippling. What makes proper hamstring strain rehabilitation so crucial is that patients suffering from […]

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October 11, 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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