Our Method

Dynamic Neuromuscular Rehabilitation is a revolutionary multidisciplinary rehab facility with the emphasis on physical therapy and rehabilitation of patients suffering from back pain, neuromuscular, orthopedic and sports-related disorders.

Our approach is based on the functional model and the dynamic fusion of manual medicine into physical therapy and rehabilitation.
Our experience with the DNS – a breakthrough scientific method we were the first clinic in NYC to embrace allows us to integrate this reflex neuromotor CNS-based physical therapy into the treatment of back pain, sports injuries and orthopedic disorders.
Dr. Karel Lewit (our mentor and the godfather of European school of manual medicine and rehabilitation) once said: Rehabilitation is time consuming and the time can not be wasted.” With that in mind we have created a thoughtful and rational approach combining the most unique rehabilitation methods with modern physical therapy. Our therapeutic method is based on integration of most scientifically proven, innovative approaches and techniques such as Dr. Shirley Sahrmanns MSI and the DNS by Dr. Pavel Kolar among others.

Diagnostic Capabilities

Dr.Kalika’s truly multifaceted education and medical background allows us to be a one-stop clinic. Dr.Kalika’s proficiency in diagnostic ultrasonography, gait analysis evaluation as well as conventional and surface electromyography allows us a diagnostic precision unavailable at conventional physical therapy clinics.

Our Physical Therapy Treatment

Our physical therapy treatment is based on meticulous clinical evaluation of movement dysfunction using most advanced and scientifically proven examination techniques.

Dr Kalika’s experience goes back to working under one of the worlds leading physicians in the field of physical therapy and rehabilitation Prof. Vladimir Janda of the renowned Czech School of Rehabilitation, which was heralded by the Spine magazine as the worlds leader in the field of physical therapy and rehabilitation of the 20th century.

Dr. Kalika’s proficiency in imaging with diagnostic ultrasound, his many years of experience working with leading European sports medicine and back care specialists, his knowledge in orthopedics and sports medicine allow him deeper understanding of medical diagnosis and its implications for the rehabilitation. This type of cross discipline knowledge integration is indeed a rare occurrence among the practitioners in the fields of musculoskeletal medicine. Knowledge of medical diagnostics is rare among physical therapists and chiropractors, while the knowledge of functional medicine an understanding of movement is uncommon among medical doctors.
Our physical therapy facility uses the most technologically advanced rehabilitation equipment such as Alter-G (gravity reduced) treadmill, Spine force, and Wave Vibration therapy, force plate, visual and surface electromyography feedback training. Our individualized approach and broad expertise in musculoskeletal dysfunctions has helped patients with variety of neuromuscular and orthopedic disorders. Among our patients are star Olympians, elite professional athletes and NYC ballet dancers.

We are proudly the first NYC outpatient Gait and Motion analysis labs!

We use variety of advanced technology to diagnose, treat and monitor treatment of neuromuscular, orthopedic, sports medicine, myofascial and functional movement disorders.

Please use the links to your left to learn more about more about our Dynamic Neuromuscular Stabilization Therapy, Physical Therapy, Chiropractic Care, Vojta Therapy, and our other therapy programs.

Our Method Dynamic Neuromuscular Stabilization

130 West 42 Street Suite 1055, New York NY 10036
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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)

image

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

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