Pain

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

About Achilles Tendinopathy or Tendinitis

The Achilles tendon is the largest tendon in the human body and runs from a person’s heelbone to all manner of injuries, including chronic Achilles tendinopathy and Achilles insertional tendinopathy. Classical Achilles tendinopathy is the swelling and inflammation of the Achilles tendon. Achilles insertional tendinopathy is the degeneration of the tendon right where it attaches to a complete rupture. The […]

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September 15, 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

Elbow Pain Treatment in New York

The elbow is a complex hinge joint that assists in arm flexion and wrist rotation. However, it is also especially susceptible to tendinitis, sprains, strains, and medial and lateral epicondylitis. Fortunately, physician-approved programs of exercise for elbow pain and elbow pain support can help the injured patient recover strength and range of motion in the […]

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September 18, 2014

Shockwave Therapy

Shockwave therapy or SWT delivers sound waves of high frequency exactly at the place of injury. Your body is then able heal itself stimulating circulation of blood, this supports metabolism, activates new cell generation and helps to dissolve calcium. These waves of a higher frequency activate your body’s healing reaction. This is a non-surgical procedure […]

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March 18, 2015

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

Shoulder Injury Specialist NYC

Introduction You were playing catch with your golden retriever at the park on a warm spring day. In one hand you were holding a tennis ball. As she watched you excitedly, you bent your arm to throw it and—pop! There was an audible noise, and you felt your shoulder being jolted out of place. You […]

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January 25, 2015

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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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