Pain Syndromes – Diseases

Osteoarthritis and Bursitis Pain Treatment

Osteoarthritis and bursitis are two musculoskeletal conditions that can afflict the hips. Hip osteoarthritis is a degenerative condition affecting the joints of the hips, while hip bursitis is an inflammation of the bursa at the lateral point of the greater trochanter (the bony point on the side of the body that we normally associate with […]

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September 12, 2014

IT Band Syndrome Treatment

Iliotibial Band Syndrome (ITBS) is a common injury that plagues runners, cyclists or weight-lifters (especially during squats). ITB syndrome is one of the main causes of knee pain in runners. The IT band is a thick band of fibrous tissue that runs along the outside (lateral) part of the knee, extending from outside the pelvis, […]

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October 8, 2013

Knee osteoarthritis treatment

What Is Knee Osteoarthritis or Osteoarthritis of the Knee? Every bone is surrounded by cartilage, or a flexible, thick tissue, in a sense. This tissue is meant to the body as a whole. In relation to break down, the joint then begins rubbing against the connecting bone and results in the painful condition known as […]

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July 8, 2014

Medial Epicondylitis

Medial epicondylitis is a condition characterized by inflammation of the medial epicondyle, a bony bump on the inside of the elbow where several muscles merge offers treatment for medial epicondylitis and for a number of other elbow-related conditions. Although medial epicondylitis is commonly known as “golfer’s elbow,” it is a condition that affects not only […]

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October 10, 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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