Integrative Medicine Approach

Ankle Instability Treatment in New York

Ankle stability is arguably the most important aspect of musculoskeletal health because the feet and ankles provide the foundation for human movement. Ankle instability translates all the way up the kinetic chain, even affecting the head and neck. Chronic ankle instability is particularly a problem among young athletes and physically active adults, undermining performance and […]

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October 15, 2014

Shockwave Therapy for Elbow Pain Treatment

Shockwave treatment for tennis elbow is a relatively new form of therapy in which gentle pressure waves are released into the skin around the lateral epicondyle, a bony protrusion of the outer elbow. When used in combination with conventional treatments such as elbow supports and pain relief exercises, shockwave treatment for tennis elbow has proven […]

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September 21, 2014

ESWT VS RSW

When compared, Extracorporeal shockwave therapy (ESWT) and radial shockwave therapy (RSWT) have many differences. How they are used is the main difference, the type of energy along with it’s density as well as the depths into the muscle tissue. The end result of the stimulation and the mechanism of these two therapies are similar. ESWT […]

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May 24, 2015

10 Things you might not know about Physical Therapy

We are all somewhat familiar with how physical therapy can help people with various developmental and physical problems. However, with so much information available top 10 things you might not be aware about physical therapy. Physical therapists do much more than just treating injuries they can help you avoid repetitive injuries like joint and muscle […]

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May 25, 2015

Sports Physical Therapy in New York

Introduction High-intensity sports like soccer, running, baseball, and American football render the body vulnerable to the playing field. Sports and Orthopedic Physical Therapy Orthopedic physical therapy is the treatment and rehabilitation of injuries to relieve pain and increase strength and stability. Sports physical therapy is a method of treating people who are actively involved in […]

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August 8, 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)

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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