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Our running diagnosis includes:
  • Approx. 45 minutes of Gait Analysis.
  • 20 – 45 minutes of Clinical Evaluation.
  • Suggestions & Recommendations for Performance Enhancement, Treatment and Prevention.

Running Diagnosis

Gait Laboratory

We’re the only outpatient clinic in NYC to have a complete gait analysis lab. Gait Analysis Technology allows therapists to see biomechanical and neuromuscular faults that are invisible to the naked eye. Armed with this data, clinicians can discern compensation from the root cause of injury—so we can treat the cause, not the symptoms.

Why does a runner
need running analysis?

Identify bio-mechanical faults.

Allow accurate asymmetry of strike patterns as studies show that 50% of runners who believe they have a mid-foot strike are rear-foot strikers.

Have a point of reference of their form of running.

Identify whether structural make up of body will allow transition to mid-foot or fore-foot running.

Identify running style.

Acquire information of how to improve running style and whether new style training is beneficial or if replacing the old pattern will create new dysfunctional patterns

Assessment of running efficiency and economy.

Injury prevention.

Who Needs
Gait Analysis?

Runners with foot/ankle, knee, hip and lower back pain or discomfort are considered primary candidates for the running evaluation. Pain in all of these places has one thing in common. It affects running efficiency and form, therefore it decreases performance. The impairment of running frequently involves more than just one joint.

Runners who wish to improve performance and prevent overuse injuries.

Benefits

Gait analysis is the only tool, which can quantify and measure the degree of functional limitation, movement impairment and disability.

The data obtained with our computerized gait analysis enables Dr. Kalika to see movement deviations, which are not visible during clinical examinations.

Usually, patients develop pain at the site of the compensation for a particular biomechanical or neuromuscular deficiency.

Gait analysis data allows clinicians to discern compensation from the real cause, making treatment intervention targeted to the cause and not the symptoms.

NYDN Rehab has the most advanced running and motion analysis technology in NYC, while integrating top of the line technology for additional testing, gait and running motor control retraining. These technologies include Diagnostic Muskuloskeletal Ultrasound, AlterG, and Computer Assisted Rehabilitation Environment System (C.A.R.E.N).

Additional
Services

Follow-up appointment: meet with an exercise physiologist to fine-tune the runner’s program of exercises and real-time running cues

Reevaluation: repeat the video analysis with an exercise physiologist to gauge progress and receive recommendations for further improvement

Dr. Kalika’s experience comes from working with Prof. Pavel Kolar the renowned Czech School of Rehabilitation as well as Prof. Christopher Powers who is one of the worlds leader in treatment and prevention of running injuries. Another unique approach that Dr.Kalika is certified in is ISM (integrated system model) therapy.This approach is now used by most elite EPL soccer teams (Manchester city and Chelsea) to keep their players away from injuries as well as for in season rehabilitation. Dr. Kalika has knowledge not only in several different types of therapy he also has expertise with diagnostic ultrasound, gait and running analysis, orthopedics, and sports medicine. The combination of all these different experiences helps him correctly diagnose and rehabilitate athletes better than most clinics in NYC. Dr. Kalika has also studied under top leading running authorities like Brian Hidershide and Irene Davis. These experiences and extra training has given Dr. Kalika the unique expertise in running performance.

NYDNRehab has the most technologically advanced motion analysis lab in NYC.
Runners Magazine has marked NYDNRehab as a leader in the field on East Coast.
Running diagnosis

The only running clinic in NY with computerized running/gait retraining

View more on our YouTube Channel

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)

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

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