Many people have some experience with physical therapy, primarily as a form of rehabilitation after an accident or sports injury. But what most people do not know is that physical therapy can be an effective and permanent way of treating pains and discomfort that arise from daily living.

People who suffer from back pain, joint pain and declining mobility often seek traditional medical treatment in the form of pharmaceuticals or surgery. However, drugs often only mask pain without getting to its source, and surgery is rife with inherent risks, with no promise of resolving the underlying issues.


Why Your Body Hurts

Advancing age is often blamed for the onset of bodily aches and pains. However, pain, discomfort and impaired mobility are not inevitable as we age. Those things often arise due to lifestyle behaviors and inefficient movement and postural habits.

Some common non-traumatic causes of pain and immobility include:
  • Old injuries that did not heal correctly
  • Too much sitting
  • Sedentary lifestyle and physical inactivity
  • Overweight or obesity
  • Systemic inflammation
  • Repetitive movements leading to muscle imbalances
  • Poor flexibility
  • Poor postural habits
  • Faulty movement mechanics during work or exercise
  • Faulty gait mechanics when walking or running
  • Inadequate recovery from sports or exercise
  • Excessive use of computers and mobile devices

Many of the most common causes of pain and discomfort can be remedied with dynamic physical therapy geared to restoring optimal physical function.

Conditions Treated with Physical Therapy

Athletes, dancers and runners often turn to physical therapy to tune up their bodies for improved performance, because they understand that imbalances and mechanical deficits can gradually appear over time. Physical therapy addresses faulty biomechanics that can lead to injury and reduce an athlete’s competitive edge. However, you don’t need to be an athlete to benefit from physical therapy.

There are a number of common conditions that can be successfully treated with physical therapy, including:

Failure to address these conditions can lead to a serious decline in mobility, increased risk of injury from falling, structural changes, and reduced long-term quality of life.

How Physical Therapy Rehabilitation Can Help

In traditional allopathic medical practice, treatment normally zeros in on the locus of pain, with the goal of alleviating the patient’s complaint. However, your body’s structures are interconnected, with fascia, muscles, tendons, ligaments, joints and neural bodies working interactively to provide stability and produce movement. Treating the locus of pain without addressing other associated structures is likely to fall short of restoring pain-free function.

Many times, pain in one area of the body can have its roots in a totally different location. For example, back pain can arise from muscle tightness in the legs, or headaches may have their origins in the neck. Physical therapy specialists understand how the body’s structures work interdependently, and are able to identify and correct the underlying causes of pain through dynamic exercise and other therapeutic methods.

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


American Academy

Association of Orthopedic Medicine


Active member of Interventional Orthobiologics Foundation

Physical Therapy specialist in NYC

At NYDNR, we use the most scientifically proven and innovative technologies and evidence-based treatment methods to diagnose and treat pain and discomfort. Also, our advanced sports physical therapy helps athletes to improve their performance and prevent traumas. No two human bodies are alike, and we treat every patient as a unique individual with unique treatment requirements. Our end goal is to provide holistic treatment that restores function and eliminates pain.


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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