Physical therapy

Physical Therapy to Rebuild and Maintain Urinary Control

A common condition that crops up in the field of women’s health is urinary incontinence. This condition is often thought to be related to aging, though injury and childbirth stress can lead to urinary incontinence in women of any age. Physical therapy can help women feel the location of muscles that have been damaged or […]

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August 19, 2016

How to Benefit from Collecting Physical Therapy Metrics

The increasing ubiquity of electronic medical records (EMR) has opened new avenues into monitoring, assessing, and analyzing data. As more and more patient records become digitized, healthcare providers have increasingly been facing new challenges that arise from storing, sorting, and making good use of this abundance of patient metrics. In this article, we will discuss […]

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August 22, 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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