Post Cancer, Post Chemo, Post Radiation Rehabilitation

Nervous system side effects are common from cancer and cancer treatments. The nervous system is made up of the central nervous system (CNS) and the peripheral nervous system (PNS). The CNS is made up of the brain and spinal cord. The PNS is made up of the nerves outside of the CNS that carry information back and forth between the body and the brain. The PNS is involved in movement, sensing (tomach, lungs, and heart).

Here is a real life story on how C.A.R.E.N can boost post cancer, post chemo, and post radiation rehabilitation:

On most days, a tumor on Zvulun Muola’s spinal cord keeps him confined today he is standing on a small, wooden dinghy gliding downstream, navigating between the islands of a tropical paradise.

Shalev Malki during physiotherapy session in Tel Aviv

Israeli Shalev Malki, who is partially paralyzed in his arms and legs goes through physiotherapy treatment at the Chaim Sheba Rehabilitation Hospital near Tel Aviv.

Muola, whose legs are partially paralyzed, is among a handful of disabled patients in Israel using the Computer Assisted Rehabilitation Environment.

The virtual-reality system puts patients at the helm of a life-size video game, forces them to recover from severe injuries and disorders.

“It gives more confidence,” said Muola, standing shakily on a moving platform, sandwiched between a walker and a physical therapist. “It’s hard at the beginning but once you get the hang of it … it improves stability and helps the patient trust himself.”

At DNR we use the most advance technology as well as clinical expertise to the nervous system after tumor removal.

The Following Side Effects Are What EE Deal Best With:

  • Problems with balance, dizziness, vertigo (feeling like the room is spinning), and nausea;
  • Ataxia (problems with coordination) and movement, including problems with posture, walking, or holding objects;
  • Asthenia, a general weakness that causes an overall lack of strength; hemiparesis (weakness on one side of the body); drowsiness;
  • Paralysis of different parts of the body, ranging from hemiplegia (paralysis of one side of the body) to paralysis of a smaller area, such as the muscles in the face;
  • Lymphedema.

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)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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