Running

After a Marathon

Since there isn’t much published about proper recovery after running following these basic steps and suggestion will help you understand how important proper recovery after a race truly is. As soon as you cross the finish line and slow down your body will naturally go into feel clammy and chilly even if it is hot outside. […]

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October 23, 2013

Treatment of Running Injuries Symposium

I just got back from the first symposium on the world of running medicine and running injury treatment. It was an unusual symposium. Most tors and researchers presenting the studies with every detail of how the study was conducted and etc.. Sometimes you notice some listeners fall asleep. This one was quite different. There were […]

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November 22, 2013

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

C.A.R.E.N is the best for training both proprioception and balance

Many runners are extremely unathletic. Sure, they can keep plugging along, but they are clumsy, fall easily and can’t manage to stay upright on a difficult cross-country trail. Many cannot sprint at full speed without flailing about and/or spraining something. Others are incapable of playing any kind of sport other than running. While many runners […]

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December 10, 2014

Treadmill vs. Running Outside

As a runner, you may be wondering whether it’s more beneficial to learn more about the pros and cons of running on a treadmill or running outside. From a workout standpoint, running on a treadmill is slightly easier than running outside because you’re not encountering any wind resistance. However, because you can adjust the grade […]

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May 24, 2015

Treadmill vs Road Running

There are many differences when it comes too depending on the route you choose or the incline settings you set on your treadmill. Besides these basic differences, your muscles and tissue are worked differently because of the different surfaces. A road is a lot tougher and less forgiving than a treadmill. While running on a […]

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June 4, 2015

Tips on how you can maximize your running performance

by Dr. Lev Kalika Introduction: Running in ways that maximize your performance lay out how you can do this pretty much on your own. Running with and not against your body’s design Running in a healthy way is not built into violating its limitations and winding up injured or worse. Think for a minute about […]

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October 23, 2015

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

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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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