Dynamic Neuromuscular Stabilization

About DNS

DNS is based on developmental kinesiology, which is the science of human motor development during the first year of life, from birth to walking. During that time span, the human brain and musculoskeletal system cooperate to overcome gravity and establish posture and locomotion (walking).

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Human movement involves balancing body weight over a base of support in ways that allow for optimal dynamic stability, balancing load and force distribution both within and outside of the body.

DNS Methodology


DNS combines manually assisted exercises with reflex stimulation to address dysfunction, misalignment, loss of control and postural deviations. Based on the patient’s condition and overall movement patterns, the DNS therapist selects a position from early development where proper support though the hip, shoulders and spine can be established.


DNS manual joint centration by the therapist reinforces ideal movement strategies preprogrammed in the brain. Joint mobilization and soft tissue manipulation are also performed with the goal of preparing the body to handle each position. Therapy progresses to higher-level positions where support and stability are more demanding.

Reflex Locomotion Therapy

Reflex locomotion is used for patients who are unable to produce certain global or local movement patterns when cued during physical therapy exercises. The therapist uses manual reflex stimulation of zones in developmental positions such as creeping or rolling over to elicit a particular movement pattern.

Reflex stimulation is also an excellent method for treating acute conditions such as:
  • Sciatica.
  • Radiculopathy and herniated discs.
  • For patients with poor body awareness who cannot properly use muscles upon the therapist’s command.

Although DNS is an all-inclusive methodology, clinicians should be proficient in soft tissue manipulation and joint mobilization.

DNS Advantages

Ideal motion patterns
Ideal motion patterns

The superiority of DNS lies in its ability to invoke ideal or near-ideal movement patterns from the nervous system based on genetic coding. Dr. Kalika is one of the first practitioners of DNS in the United States, having received one-on-one training from Dr. Kolar himself.

Innovative treatment
Innovative treatment

At NYDNRehab, we explore every avenue of treatment to help you achieve the best quality of life. DNS therapy has proven effective for treating patients with chronic back pain and other orthopedic conditions that restrict movement and cause pain. DNS offers an innovative treatment approach when pain medications and conventional methods have failed.

Better brain and body communication
Better brain and body communication

DNS stimulates the movement control centers in the brain, helping the brain and body communicate more effectively. DNS restores proper function of the entire body, improving mobility, range of motion and stability. DNS enables your body to reestablish global movement patterns, retraining it to do what it once did naturally.

Benefits of DNS Therapy

During DNS treatment, the patient is placed in the appropriate movement position, and the therapist applies gentle pressure to reflex pressure points, stimulating innate global movement patterns.

Benefits of DNS include:
Increased spinal stability
Reduced muscle imbalances
Reduced muscle pain and spasms
Improved posture

After multiple sessions, optimal posture and movement are once again restored.

DNS at NYDNRehab

Although DNS is now being practiced around the globe, it is still a relatively new treatment approach with limited availability. Dr. Kalika was among the first to introduce DNS to the United States, and he was the only certified practitioner in NYC at the time. Other members of our practice have since been certified, making NYDNRehab the most experienced and professional clinic for DNS treatment in New York.

Retrain your body to move the way it should with DNS at NYDNRehab, and leave pain and restricted movement behind. Our goal is to help you restore musculoskeletal health so you can enjoy the very best quality of life.

Professional associations and memberships

Dr. Kalika is currently a certified member of:


American Institute of Ultrasound Medicine


Active member of ISMST

International Society of Extra Corporeal Shockwave Therapy


Active member of GCMAS

Gait and Clinical Movement Analysis Society


Active member of NASS

North American Spine Society


Active member of IADMS

International Association of Dance Medicine and Science


Active member of Virtual Rehabilitation Society


Active member of ASRA

American Society of Regional Anesthesia and Pain Medicine

Lev Kalika Clinical Director and DC, RMSK

Dr. Lev Kalika has been working to revolutionize physical medicine, rehabilitation, sports medicine and athletic performance since 1998. He went to Prague to work side-by-side with Dr. Pavel Kolar, creator of DNS (Dynamic Neuromuscular Stabilization). After studying with Kolar and certifying in DNS, Dr. Kalika was the first to introduce DNS therapy to his New York patients. Dr.Kalika’s modern approach to athletic injuries has put him on the radar of some of the world’s top distance runners, pro athletes and professional ballet dancers.

Our Specialists

Dr. Mikhail Bernshteyn MD (Internist)
Dr. Christina Pekar DC
Dr. Michelle Agyakwah DC
Mariam Kodsy Physical Therapist

In 1997 Dr. Kalika moved to Prague to work with world renowned rehabilitation specialists Dr. Vladimir Janda and Dr. Karel Lewitt. There he met physical therapist Dr. Pavel Kolar, creator of the dynamic neuromuscular stabilization method (DNS). Dr. Kalika worked one-on-one with Dr. Kolar to learn DNS, returning to New York in 2000 to introduce DNS through his clinical practice. In 2010, once a certification program was in place, Dr. Kalika became one of the first certified DNS practitioners in the United States.


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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