Running is a great form of exercise, with numerous advantages for physical and mental health. For many, running provides an inexpensive and easily accessible way to manage weight, boost cardiovascular fitness and neutralize stress. But running subjects the body to powerful ground reaction forces that can potentially cause injury.
The high-tech runner’s lab at NYDNRehab uses a data-driven approach to analyze running gait in 3 dimensions, to identify mechanical deficits that can increase your risk of injury. Our state-of-the-art clinic features advanced technologies for accurate and effective gait retraining, to help you prevent injuries and improve performance. Our regenerative therapies speed up post-injury recovery, to get you back on the road ASAP.or
NYDNRehab clinical director Dr. Lev Kalika is an internationally recognized expert in diagnostic ultrasound imaging, with multiple research papers to his credit. Dr. Kalika has studied with some of the world’s most prestigious experts in diagnostic ultrasonography, and has attended multiple international conferences on the topic.
Ultrasound imaging has multiple advantages over other imaging tools like MRI, Xray and CT scan. The musculoskeletal ultrasound equipment at NYDNRehab has the highest resolution available in NYC, for clarity in diagnosing injuries to muscles, tendons, nerves, bones and joints.
In 70% of cases, diagnostic ultrasonography gives us insight into whether structural damage is the cause of pain and dysfunction, or if it reflects compensation patterns developed due to other issues. To make our interpretation of running gait analysis data fully diagnostic, ultrasound helps us visualize both recent structural damage and older injuries that may no longer cause pain, but still contribute to inefficient movement patterns. Only by visualizing both old and new injuries can we create a truly effective treatment plan.
Dr. Kalika is an active member of the American Institute of Ultrasound in Medicine (AIUM), and is currently developing his own unique approach to Dynamic Functional Ultrasonography.
The Runner’s Clinic at NYDNRehab features research-grade technologies for measuring and quantifying running performance data. Our advanced motion ultrasonography capabilities let us view the body’s structures in real time, while the patient is running.
Real-time ultrasound imaging paired with objective data gives us an accurate baseline overview of running gait mechanics, allowing us to customize an effective and measurable protocol for personalized gait retraining. The specific configuration of our 3D running lab is based on the latest evidence-based motion analysis research.Conventional 2D gait analysis is generally subjective, based on observations of running gait via amateur video. Even if you add objective factors like joint angles, and spatiotemporal parameters like speed, stride length, and phases of the gait cycle, you only get a superficial overview of the subject’s gait mechanics. And unless you have a treadmill with the capacity to measure force and pressure, you cannot accurately assess foot mechanics.
While conventional analysis may be useful for suggesting basic improvements in running gait, it does not reveal critical mechanical deficits that can undermine performance and lead to injury. In many cases, runners are given generic explanations for their pain, such as weak glutes, tight hip flexors, weak or tight calves, etc. However, exercises prescribed to target those muscles often fail to eliminate pain or render satisfactory improvements in running gait.
In 95% of runners who do not experience pain while running, simply looking at gait mechanics, even with the most sophisticated equipment, is not enough to get a full and accurate picture. It is only when we visualize how the body’s structures interact during running that we get a clear idea of how to make improvements. The running lab at NYDNRehab features diagnostic motion ultrasonography, a new technology that allows us to look at muscle and joint action in real time. With motion ultrasonography, we are able to sync 3D data with high-resolution imaging, to detect issues with muscles, tendons, fascia, ligaments and joints.
This unique combination of technologies helps us to confirm our findings from 3D running analysis data, to better understand gait anomalies and how to correct them. It also alerts us to old injuries that were never properly rehabilitated, that contribute to gait anomalies. With this knowledge in hand, we are able to provide you with a comprehensive treatment plan that addresses all factors that influence your gait mechanics.
According to Yale Health, upwards of 50% of runners sustain injuries each year. And one study projected that up to 85% of novice runners experience a running injury while training for an event in any given year.
Many runners ignore seemingly minor injuries, continuing to run with bandaged knees and ankles, treating residual pain with OTC solutions and basic first aid. But failing to address minor injuries can lead to major problems down the road.
Most running injuries occur in the lower extremities and involve bones and connective tissues in the foot, ankle, knee and hip. Most are due to repetitive overuse and inefficient gait mechanics.
Ignoring running pain and injuries can lead to gradual degeneration of tissues and create compensation patterns that set you up for more serious injuries down the road. While pain and dysfunction in runners is not uncommon, it is neither normal nor necessary. Early holistic treatment is essential to prevent life-long problems that cause disability as you age.
Data gathered from 3D gait analysis quantifies and measures functional limitations, faulty mechanics, imbalances and compensation patterns that are invisible to the naked eye.
Our 3D system allows us to customize running retraining programs in ways that could not be achieved with 2D analysis. 2D vs 3D Walking and Running Gait Analysis
Pain often surfaces at the site of compensation, where force loads are redistributed to make up for injuries or imbalances.
Gait analysis data helps us distinguish compensation patterns from their underlying cause, so we can correct the deficit at its source.
NYDN Rehab features the most advanced running and motion analysis technology in NYC. Our sports medicine specialists combine experience and expertise with sophisticated technology and software, to test, analyze and retrain running gait.
Our 3D motion analysis system gives us a broad range of quantitative data
about your running gait:
analyzes pressure and force related to foot mechanics.
measures joint angles during specific phases of the gait cycle, along with the timing of movement in bilateral joints.
measures ground reaction forces and weight distribution.
is a new technology that lets us visualize muscle and joint action in real time. This helps us confirm our findings from gait analysis data.
collects and interprets gait analysis data and produces a personalized report.
Repetitive overuse injuries are common among runners, and early treatment is key to preventing more serious problems. NYDNRehab features a variety of advanced regenerative technologies that reduce pain and inflammation and speed up the healing process. Early intervention can prevent new and minor overuse injuries from becoming more serious conditions that keep you from running long-term.
Focused Shockwave Therapy
Focused ESWT is a regenerative treatment for damaged tendon, muscle and bone tissue. This technology produces high frequency sound waves to stimulate the body’s own reparative mechanisms. It is especially effective for tendon injuries.
EMTT transmits high energy magnetic pulses to targeted tissues. The magnetic waves synchronize with the body’s own magnetic fields, triggering a regenerative response. EMTT waves can penetrate deep tissues to target difficult-to-reach tendons, muscles, bones and nerves.
Electromagnetic Transduction Therapy (EMTT)
HIGH ENERGY INDUCTIVE THERAPY (HEIT)
HEIT uses electromagnetic fields to penetrate cells, tissues, organs and bones, to reactivate the electrochemical function of cells and cell membranes. HEIT stimulates the healing of nerves, muscles and blood vessels.
INDIBA therapy is a type of TECAR therapy that helps to restore the ionic charge of damaged cells, for faster injury healing and rehabilitation.
INDIBA Radiofrequency Therapy
NESA Neuromodulation Therapy
The NESA device generates a low-frequency electrical current to restore optimal neural signaling between the muscles and the brain.
Myofascial trigger points are tight muscle knots that are common in runners. Dry needling inserts non-medicated filament-thin needles into trigger points to evoke a twitch response, releasing the trigger point and immediately relieving pain. Ultrasound guidance ensures accuracy.
Whether you’re a novice runner or a seasoned competitor, you can dramatically reduce your risk of injuries and enhance your performance with a high-tech 3D gait analysis and gait retraining. The entire process is fun, affordable and educational, equipping you with the knowledge you need to enjoy pain-free running, now and in the years to come. Contact NYDNRehab today to schedule your 3D running gait analysis, so you can safely hit the road with confidence.