Knee pain

Knee Pain 101: Is Your Back the Culprit?

Knee Pain 101: Is Your Back the Culprit?

Research shows that a shockingly high number of patients still experience chronic knee pain, even after a full replacement. This can be discouraging to understand the root of your pain before you seek out treatment or relief. After all, you can’t fix what you don’t know is broken. Most people have the wrong information about […]

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April 22, 2016

Patients with chronic knee pain

Is surgery the only option for those suffering from chronic knee pain? Chronic knee pain is a common problem that plagues much of the population. This long-term swelling or sensitivity in the joints can inhibit people, particularly older patients, from even the most everyday forms of physical activity. Climbing stairs, or even walking, can be […]

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August 30, 2016

Dry Needling for Knee Pain to Reduce Knee Osteoarthritis Pain

Knee pain is one of the most common causes of disability and mobility issues in individuals over the age of 30. Often caused by knee osteoarthritis, this pain can be so severe that it is the leading cause for knee replacement surgery worldwide. However, invasive surgery comes with its own set of risks and side […]

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December 24, 2015

Physical Therapy in Treatment Torn Meniscus

Physical Therapy to Treat Torn Meniscus Comparable to Surgery for Many Patients

Physical therapy is a viable option to surgery in many cases. This is especially true for those suffering from osteoarthritis. According to an article posted in the New England Journal of Medicine, a recent study shows promising results for those who want to avoid going under the knife. Meniscal tears are quite common in knees […]

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October 17, 2016

What You Need to Know About a Meniscus Tear

What Is a Meniscus Tear? A meniscus tear is one of the more common knee injuries that can negatively affect a person. These injuries tend to bring about a lot of pain and result due to a forceful twisting of certain tissue found in the knee. People that play sports have a much higher risk […]

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March 31, 2016

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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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