Treatment Methods

ESWT VS RSW

When compared, Extracorporeal shockwave therapy (ESWT) and radial shockwave therapy (RSWT) have many differences. How they are used is the main difference, the type of energy along with it’s density as well as the depths into the muscle tissue. The end result of the stimulation and the mechanism of these two therapies are similar. ESWT […]

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May 24, 2015

Physiotherapy Core Stability

Core stability greatly improves performance and function as well as reduces the risk of injury for a performer. Physiotherapy exercises for core stability are a great way to gain strength in your core. Whether you require static or dynamic exercises, these core exercises will improve balance, speed, and timing during your performance and make the […]

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June 1, 2015

The Truth About Sprained Ankles

It’s easy for someone who has never suffered from a sprained ankle to heal correctly. While ankles might appear to stabilize your joints, any tear in them, whether it’s partial or complete, causes instability and is classified as an ankle sprain. If a person is in good physical condition then the ankles are often strong […]

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October 29, 2015

Elbow Pain Treatment

Elbow pain refers to provide comprehensive pain-in-elbow treatment. Bursitis elbow (olecranon bursitis) is a condition afflicting the olecranon bursa, one of many thin, slippery sacs located throughout the body that lubricate the joint regions and prevent friction. Bursitis elbow is typically characterized by swelling around the elbow that can the arm an odd, lumpy appearance. […]

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October 13, 2014

Stroke Recovery and Treatment in New York

A stroke, much like a heart attack, is a condition involving obstruction of blood vessels. However, while a heart attack typically results from the prevention of blood circulation in the arteries, strokes are the prevention of blood circulation in the brain. Stroke is the third-leading cause of death in the United States and the second-leading […]

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September 11, 2014

Stroke Treatment in NYC

A stroke, or cerebrovascular accident, or “brain attack,” is the most common disease of the nervous system. It occurs when a blood vessel bringing oxygen to living without impairment. Anatomy of the Brain The cerebrum is the largest portion of the brain, consisting of about 80 percent of the brain’s mass. It is divided into […]

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August 14, 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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