logo
link review See Reviews
frontdesk@nydnrehab.com
1-212-308-9595
Request Telehealth Request in office visit Book now
Request in office visit Book now
1-212-308-9595 1-212-308-9595
frontdesk@nydnrehab.com
1-917-817-52-89
Call Us now Book now
Home Treatment Methods Ultrasound Guided Dry Needling in New York City

Ultrasound Guided Dry Needling

Exercise and physical activity are key components of a healthy lifestyle, but repetitive overuse can lead to minor injuries that cause major problems. Myofascial trigger points are tight nodules of muscle fibers that remain tightly contracted after overloading, while neighboring fibers return to their resting length.

Trigger points can cause pain and interfere with optimal muscle function, setting you up for further injury. They disrupt biotensegrity – elastic tension created by the myofascial system that guides and controls movement. Trigger points often arise around injured tissues, especially near the junction of muscle and tendon, and they can contribute to a broad range of pain syndromes, including neck and back pain, TMJ, fibromyalgia, and other musculoskeletal disorders.

Dry needling is an evidence-based procedure where filament-thin non-medicated needles are inserted through the skin into myofascial trigger points, evoking a twitch response in the contracted fibers, causing them to relax and return to their resting length. While superficial trigger points can often be palpated beneath the skin, deep tissue trigger points are impossible to identify and treat without ultrasound guidance.

Contact us »

We’re located on 25th street in Manhattan NYC.
Open Monday-Friday, 10am-8pm.

table of contents

Who conducts dry needling at NYDNRehab? What are the advantages of high-resolution ultrasound imaging? What is biotensegrity? How is the dry needling procedure performed? What is the difference between dry needling and acupuncture? What are the symptoms of myofascial trigger points? Is dry needling enough to stop myofascial pain? What treatment approaches are used in conjunction with dry needling? What are some examples of Dr. Kalika's research on dry needling? How can trigger points be avoided or prevented? Dry Needling FAQs
Dr. Lev Kalika

Clinical director & DC RMSK

Dr. Kalika Teams Up With Needling Specialists to Combat Myofascial Pain

Dr. Lev Kalika, DC clinical director of NYDNRehab, is an internationally recognized expert in diagnostic and musculoskeletal ultrasonography. He has published multiple research papers on the use of ultrasound guided dry needling. Dr. Kalika has studied with some of the world’s most prestigious experts in diagnostic, fascia, and nerve ultrasonography, and has presented his research at multiple international conferences.

Dr. Kalika learned dry needling directly from its creator, Dr. Karel Lewitt, a pioneer in myofascial dysfunction. NYDNRehab was the first rehabilitation clinic in the United States to practice trigger point dry needling. Dr. Kalika is an active member of the American Institute of Ultrasound in Medicine (AIUM), and has developed his own unique approach to Dynamic Functional and Fascial Ultrasonography.

Dr. Tatyana Kapustina

Acupuncture and Dry
Needling Specialist

Acupuncture and Dry Needling Specialist Tatyana Kapustina holds a Master’s degree in Acupuncture from the Pacific College of Oriental Medicine. Ms. Kapustina learned dry needling procedures from Dr. Jan Dommerholt, founder and CEO of Bethesda Physiocare, who was the first physical therapist in the United States to teach trigger point dry needling and injection techniques to health care providers.

Dr. Kalika and Ms. Kapustina both studied under Dr. Rostyslav Bubnov, a long-time research partner and a double board certified specialist in regional anaesthesia and pain management. Dr. Bubnov is a world-renowned pioneer in his approach to ultrasound guided dry needling

Ultrasound Guidance Makes a World of Difference

Many clinics advertise dry needling as a service, but most do not have the advantage of ultrasonography. While superficial trigger points can be identified and treated by palpation, deep tissue trigger points must be visualized in order to accurately treat them. At NYDNRehab, we leverage the highest-resolution ultrasound imaging to find and treat deep tissue trigger points.

High-resolution ultrasound has multiple advantages over regular ultrasound and other imaging modalities:

  • Dramatically improves accuracy of the needling procedure.
  • Helps us determine the exact location, depth and characteristics of the trigger point.
  • Lets us differentiate the trigger point from surrounding tissues.
  • Allows us to visually observe the twitch response in real time.
  • Enables us to use longer needles, to reach deep tissues.
  • Prevents needle penetration of joints, viscera, pleura, vascular, or neural bodies.
  • Enables perineural needling.
  • Reduces the number of needling sessions needed.
  • Assists in the hydrodissection of fascial adhesions.
  • Provides precise guidance for needling procedures and alternative therapies.

Our high-resolution Apollo unit has the highest resolution available in NYC, with capabilities for superb microvascular imaging (SMI) to detect early signs of healing, and sonoelastography to measure myofascial tissue stiffness. These tools are invaluable for tracking patient progress and confirming the effectiveness of treatment.

Biotensegrity and the Myofascial System

Biotensegrity describes an optimal state of internal tension, where muscles and fascia work together to guide and control movement, and to mediate outside forces. Biotensegrity is disrupted when myofascial tissues are damaged and lose their functional properties.

Fascia is a complex web of tough and elastic connective tissue that surrounds and connects muscles, engulfs the visceral organs, and holds the body’s structures in place during dynamic movement. Fascia plays a key role in joint stability. Fascia is made up of collagen fibers, lubricated by hyaluronic acid – a slippery gel-like substance able to attract 100X its mass in water.

Fascia promotes biotensegrity in multiple ways:

  • Forms a protective and nourishing covering for muscles, bones, nerves and blood vessels.
  • Covers the abdominal and urogenital viscera and anchors them in place.
  • Provides elastic tension that guides and controls movement.
  • Has slippery and elastic properties that enable nerves, blood vessels and other structures to glide in harmony, without friction.
  • Works together with muscles, tendons and ligaments to stabilize joints and hold them in alignment.

Damaged or dehydrated fascia can become dense and sticky, creating friction and impeding the ability of nerves and blood vessels to glide among other structures. Densified fascia undermines biotensegrity, disrupts muscle coordination patterns, reduces physical performance, and increases risk of injury.

During injury rehabilitation, it is not enough to heal muscles and connective tissues – fascial densifications and adhesions must be addressed in order to restore biotensegrity.

During injury rehabilitation, it is not enough to heal muscles and connective tissues – fascial densifications and adhesions must be addressed in order to restore biotensegrity.

At NYDNRehab, we use advanced interventions to restore biotensegrity:

1
Ultrasound-guided dry needling, to release myofascial trigger points.
2
Ultrasound-guided interfascial plane and nerve hydrodissection, an injection procedure that "unsticks" fascial layers and liberates nerves and blood vessels.
3
Stecco myofascial release, an evidence-based manual approach using deep friction to heat up fascial tissues and stimulate mechanical action that promotes fascial hydration.
4
Ultrasound guided extracorporeal shockwave therapy (ESWT), to realign fascial collagen fibers, promote fascial hydration, and restore tissue gliding.
5
Orthobiologic injection therapies to promote collagen production and fiber realignment in damaged fascia.
6
Percutaneous neuromodulation (PENS) is a therapeutic approach that involves the insertion of filament-thin needles into nerve-adjacent tissues, delivering a low frequency electrical current to calm and desensitize hyperactivated nerves.

Our fascia-first approach to injury rehab lays the groundwork for restoring biotensegrity, optimizing mobility, and enhancing physical performance.

The Dry Needling Procedure

During trigger point dry needling, a filament-thin needle is injected into an active trigger point to elicit a relaxation response. The procedure is called “dry” because no medication is injected by the needle. Trigger points are like mini muscle cramps that tend to appear where connective tissue meets nerves and muscle. The needle triggers a chemical response that releases the cramp, immediately eliminating pain and taking pressure off of surrounding tissues.

At NYDNRehab, we guide our dry needling procedure with high resolution ultrasound, enabling precise needle placement that directly penetrates the targeted trigger point. Without ultrasound guidance, dry needling can be a hit-or-miss proposition, sometimes missing the trigger point altogether.

Ultrasound-guided dry needling is performed by two clinicians working together, one operating the ultrasound transducer while the other inserts the needles. Before beginning the procedure, a manual exam is conducted to map out the area where suspected trigger points are likely to be found.

Trigger points are typically found in regions with:

  • Reduced joint mobility
  • Failed load transfer
  • Fascial adhesions
  • Joint hypermobility

We use shear wave sonoelastography to visualize changes in tissue elasticity in the potential treatment zone. Once the zone has been identified, grey-scale high resolution ultrasonography is used to locate hidden trigger points. A needle is then inserted into the trigger point by the needling specialist, under ultrasound guidance.

After the needles are withdrawn, we use sonoelastography to check the location for changes in tissue density. We often augment dry needling with other methodologies, such as myofascial release, interfascial plane hydrodissection, PENS, orthobiologic injections, and focal shockwave therapy, to restore and optimize biotensegrity.

icon

Dry Needling vs Acupuncture

Both dry needling and acupuncture penetrate the skin with thin needles to provide pain relief, but that is where the similarities end. Acupuncture is an ancient technique designed to balance and restore healing energy, or chi, to treat a variety of medical conditions. Although the underlying mechanisms of acupuncture are not fully understood, it is recognized in Western medicine as a viable pain relief treatment.

Dry needling is a fairly recent therapy developed by Dr. Karel Lewit of Prague’s famous School of Rehabilitation, along with colleagues Janet Travell and David Simons. Dry needling specifically targets myofascial pain by releasing trigger points.

Dry needling supports tissue healing in multiple scenarios:

  • Physical trauma
  • Physical and mental fatigue
  • Muscle ischemia (reduced oxygen flow to muscle tissue)
  • Psychological trauma
  • Compression or entrapment of nerve roots
  • Metabolic disorders
  • Muscle overuse
icon

Unlike acupuncture, dry needling is based on in-depth knowledge of anatomy and physiology. When the needle penetrates a trigger point, it evokes a localized twitch response in myofascial fibers that releases the knot and restores normal function.

icon

Symptoms of Myofascial Dysfunction

Trigger points are only one factor contributing to myofascial dysfunction. Fascial densifications, entrapped nerves and blood vessels, inefficient muscle firing patterns, and injury can all contribute to myofascial pain. Trigger points often appear in pain syndromes related to fibromyalgia, joint hypermobility, TMJ disorders, and inefficient biomechanics.

Symptoms of myofascial dysfunction include:

  • Deep aching pain and tightness in specific muscles.
  • Tender hypersensitive trigger points that cause pain locally or refer it to other areas when pressed.
  • Pain radiating to distal sites – for example, trigger points in the neck that cause headaches or shoulder pain.
  • Muscle stiffness and reduced flexibility.
  • Decreased joint range of motion.
  • Muscle weakness and fatigue.
  • Tension headaches caused by trigger points in the neck, shoulders, or jaw.
  • Disrupted sleep due to pain or discomfort.
  • Nerve irritation from myofascial pressure.

Dry Needling Alone is Not Enough to
Restore Myofascial Function

Dry needling is often included in the early stages of injury rehabilitation to relieve pain and stiffness, restore biotensegrity, and prepare the body’s tissues for physical therapy. But dry needling is not a stand-alone solution to myofascial pain. Beware of practitioners who only address trigger points without treating fascial densifications, nerve entrapments, and other factors that undermine biotensegrity.

Your personalized treatment plan may include a combination of therapeutic approaches, including:

  • Extracorporeal regenerative therapies
  • Manual manipulation therapies
  • Postural and mechanical restoration therapies
  • Targeted physical therapy

At NYDNRehab, we treat the whole patient, not just your symptoms. Our personalized and holistic approach to myofascial pain ensures that you get the most comprehensive treatment available, to fully restore pain-free functional mobility.

icon

Extracorporeal Regenerative Therapies Enhance Orthobiologics

Extracorporeal regenerative therapies use hydraulic, sound, radiofrequency and electromagnetic waves to activate biological agents such as stem cells and growth factors. When appropriately applied with the right depth, frequency and intensity, regenerative therapies reduce pain and inflammation, and kick off the healing process in slow-to-heal tissues. Frequency therapies help prepare tissues for dry needling, and dramatically enhance its effects.

Multimodal Shockwave Therapy

Ultrasound guided extracorporeal shockwave therapy (ESWT) delivers radial, linear, focused and defocused shockwaves to address different tissue types. The high frequency acoustic waves relieve pain, reduce inflammation, and have a regenerative effect on damaged tissues. ESWT helps to realign collagen fibers, promotes hydration of fascial tissues, and restores tissue gliding.

Extracorporeal Magnetic Transduction Therapy (EMTT)

EMTT transmits high energy magnetic pulses to targeted tissues that 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. EMTT’s strong magnetic fields help to enhance cellular processes such as osteoblast activity and collagen synthesis.

Tecar Therapy

Transfer of Energy Capacitive and Resistive (TECAR) therapy uses radiofrequency waves to deliver electromagnetic energy to damaged tissues, stimulating cellular repair, enhancing blood flow, and reducing inflammation. TECAR operates in two modes – capacitive mode targets superficial tissues like muscles that are closer to the skin, while resistive mode penetrates deeper to reach fascia, tendons, ligaments and bones.

Dr. Kalika's Research Confirms Dry
Needling Efficacy

Over the past decade, Dr. Kalika has made significant contributions to the body of scientific research on the efficacy of dry needling for treating a broad range of musculoskeletal conditions.

Recent research publications include:

1
A 2023 study published in Continence demonstrated the effect of ultrasound-guided dry needling in treating patients with myofascial pelvic pain.
2
A 2024 randomized controlled trial supported the use of ultrasound-guided dry needling to manage neck pain and vertigo.
3
Another 2024 study presented to the International Continence Society (ICC) in Madrid compared the efficacy of ultrasound-guided dry needling to exercise interventions for treating pelvic pain and urinary dysfunction.

You can gain access to more of Dr. Kalika’s research by following this link.

Tips for Avoiding Myofascial Trigger Points

Trigger points are fairly common among athletic and physically active populations due to repetitive overload of the myofascial system. For active adults, trigger points may be unavoidable, but they often self-resolve over time. Most athletic injuries involve multiple tissue types, and trigger point dry needling may be an important step in the injury rehab process.

In less active people, trigger points can develop from muscle weakness or tightness, poor posture, repetitive overuse, and excessive sitting. Obesity and metabolic disorders can increase your risk of developing myofascial trigger points. Poor nutrition and chronic dehydration can degrade the quality of muscle and fascia tissue and increase your risk of myofascial pain.

Follow these tips to avoid trigger points and myofascial pain:

  • Get regular exercise, and focus on movement quality over intensity
  • Take frequent breaks to stretch and move during extended hours of sitting
  • Support your tissues with building blocks derived from high-quality animal proteins and collagen
  • Optimize hydration to promote tissue elasticity and fascial gliding
  • Allow for ample recovery time between exercise bouts, and get plenty of qualify sleep
  • Attain a healthy body weight to reduce load on your joints and soft tissues
icon

Get the Best Ultrasound-Guided Dry Needling in NYC

With dozens of clinics to choose from in Manhattan, NYDNRehab stands apart as a leader in ultrasound guided procedures and myofascial pain treatment. Dr. Kalika’s expertise is grounded in first-tier training, extensive research, and 20+ years of hands-on clinical experience. Dr. Brosgol brings extensive experience in myofascial pain treatment, along with expertise in orthobiologic needling procedures.

For fast and effective treatment that relieves pain, eradicates dysfunction and optimizes movement quality, contact NYDNRehab today.

Our Awards

top-doctors-award
winner
expertise-award2
inc500
threebestrated
yelp2018

Clinical Case Studies
NYDNRehab

Case Study: Chronic Right-Sided Neck Pain after Dry Needling

Our Patient Our patient is a female in her 20s who came to us with severe right-sided neck pain, consequent to a dry needling session at another clinic. Her pain spanned from the upper trapezius area and down the medial scapular border. The patient has a history of chronic right-sided neck pain and previously had […]

learn more

Case Study: Ultrasound Guided Dry Needling for Vertigo Treatment in Patient with Skull Trauma

Our Patient Our patient is a 30 year-old male with head trauma, suffering from persistent vertigo and neck pain. Prior attempts to resolve his condition had been unsuccessful, primarily due to misdiagnosis and ineffective treatments. Apparently the musculoskeletal component of vertigo had been overlooked.   Our Diagnosis Immediately recognizing the potential link between the patient’s […]

learn more

Case Study: Ultrasound Guided Dry Needling for Chemotherapy-Induced Pain and Numbness

Our Patient Our patient is a 43 year-old female suffering from hand numbness and impingement of the right shoulder consequent to chemotherapy treatment for thymoma. The patient had previously sought medical attention at another clinic where her condition had been misdiagnosed, resulting in unsuccessful, costly and time-consuming treatment. Our Diagnosis Our multidisciplinary team leveraged advanced […]

learn more

Case Study: Ultrasound Guided Dry Needling for Scoliosis-Related Pain and Mobility

Our Patient Our patient is a 30 year-old male who had been diagnosed with Ehlers-Danlos syndrome – a condition characterized by joint hypermobility. The patient’s medical history included frequent fractures and chronic pain in the lower back and buttock regions. The persistent pain was significantly impacting the patient’s daily activities and overall well-being. The patient […]

learn more

Case Study: Occupational Hip and Low Back Pain

Our Patient Our patient was a 55 year-old male employee of the Metropolitan Transportation Authority (MTA). The patient’s job required heavy manual labor. He came to us complaining of hip and low back pain. The Challenge The patient’s job did not allow ample recovery time for standard physical therapy and injury rehabilitation to provide significant […]

learn more

Ultrasound-Guided Dry Needling FAQs

How does ultrasound-guided dry needling differ from conventional dry needling?
Conventional dry needling is performed “blind,” relying on manual palpation and anatomical landmarks to locate the trigger point. While this approach may be effective for superficial trigger points, it does not factor in the anatomical diversity from one patient to the next, and it does not provide evidence of success. Ultrasound guidance dramatically enhances dry needling precision and effectiveness. It ensures accurate needle placement, diminishes the risk of penetrating nerves and blood vessels, and allows for real-time visualization of successful tissue response.
What conditions can benefit from ultrasound-guided dry needling?

Dry needling supports the treatment of a broad range of musculoskeletal conditions, including:

  • Tendinopathies
  • Myofascial pain syndrome
  • Joint osteoarthritic
  • Headaches generated from nerve compression
  • Neuropathic pain
  • Piriformis syndrome
  • Pelvic floor dysfunction
  • Plantar fasciitis
  • Tennis elbow
  • Other musculoskeletal conditions
Is ultrasound guided dry needling painful?
Dry needling may cause mild discomfort at the site of needle insertion. Topical anesthetics may be used to minimize pain. Some patients experience temporary soreness at the treatment site, but this typically resolves within a few days.
What are the benefits of ultrasound guidance?

Ultrasound imaging dramatically enhances the dry needling procedure and outcomes:

  • Ultrasound ensures precise needle placement, improving treatment effectiveness.
  • Visualization reduces the risk of needles penetrating nerves, blood vessels, or organs.
  • Enhanced precision means faster pain relief and accelerated healing, and often requires fewer sessions.
  • Dry needling can be more effective than surgery for resolving conditions like tennis elbow or jumper’s knee.
  • Ultrasound helps confirm the presence of deep tissue trigger points and tissue degeneration, aiding in diagnosis.
Are there any side effects or risks involved in ultrasound guided dry needling?

Ultrasound-guided dry needling is generally low-risk when performed by a trained and experienced clinician. Side effects are rare, but may include:

  • Temporary soreness or bruising at the treatment site
  • Minor bleeding or hematoma formation
  • Rare risk of infection at the site
  • Potential for nerve or blood vessel irritation, though minimized by ultrasound guidance
  • Patients on blood thinners may require medical clearance
  • Deep muscle needling in the chest region requires careful ultrasound monitoring to avoid pleural puncture
Lev Kalika Clinical Director and DC, RMSK

Myofascial pain specialist in Manhattan Dr. Lev Kalika has been working to revolutionize physical medicine, rehabilitation, sports medicine and athletic performance since 1998. Having conducted multiple research studies in ultrasound guided dry needling, and contributing his expertise to multiple publications, Dr. Kalika is considered an international expert in integrative rehabilitation, sports medicine, injury prevention, athletic performance, and ultrasound guided dry needling. NYDNRehab is considered the most technologically advanced private clinic in the US. The clinic features a range of technologies available only in the world’s top research labs, making them available for patient care, not just research.

Our Specialists

Dr. Yuri Brosgol MD
Dr. Michael Goynatsky DPT
Dr. Daniela Escudero DPT
Dr. Michelle Agyakwah DC
Dr. Tatyana Kapustina L. Ac.

Is Dry Needling Safe and Legal?

Ultrasound guided dry needling is an extremely effective evidence-based approach for treating myofascial pain caused by trigger points that rarely requires more then three treatments! Dry needling is perfectly safe and effective when performed under ultrasound guidance. During ultrasound guided dry needling (UGDN), painful trigger points are detected in deep layers of soft tissue using non-invasive high resolution ultrasonography. Once located, the clinician inserts a thin needle into the tissue, guiding it to the exact location of the trigger point. Once the needle penetrates the trigger point, it elicits a twitch response in the tight knotted tissue, causing it to relax and relieving pain. Dry needling is nearly painless, and the needles are “dry,” meaning they do not deliver medication to the site of the trigger point. While trigger point therapy can be performed without ultrasound guidance, it is a hit-or-miss procedure when trigger points are located in deep tissues and cannot be palpated through the skin. With ultrasound guidance, the dry needling procedure is quick and effective, since ultrasound imaging allows the clinician to precisely target each trigger point. Dry needling is legal in NYC.

Professional associations and memberships

Dr. Kalika is currently a certified member of:

imcg1

American Institute of Ultrasound Medicine

imcg2

Active member of ISMST

International Society of Extra Corporeal Shockwave Therapy

imcg3

Active member of GCMAS

Gait and Clinical Movement Analysis Society

imcg4

Active member of NASS

North American Spine Society

imcg5

Active member of IADMS

International Association of Dance Medicine and Science

imcg6

Active member of Virtual Rehabilitation Society

imcg7

Active member of ASRA

American Society of Regional Anesthesia and Pain Medicine

imcg8

American Academy

Association of Orthopedic Medicine

imcg9

Active member of Interventional Orthobiologics Foundation

Certificates and Continuing Education

slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
slide
footer6
Physical therapy and rehab can be time consuming,
and a faulty diagnosis can make treatment a total waste of time.

Failure to accurately diagnose a condition in its early stages can lead to chronic
problems and sometimes devastating results

Diagnostic musculoskeletal sonography (MSUS) provides the perfect tool for the rehab practitioner. Yet many doctors and physical therapists have no experience with MSUS, are unaware of its advantages, and have no idea how to use it as a diagnostic tool.

footer4

Below is a prime example of how ultrasound can take the guesswork out of diagnosis.

Learn more »
bg-footer
Accurate Diagnosis Is the ONLY way to
Successful Treatment
icon

A bad physical therapy experience is one of the primary causes of unnecessary surgery

At NYDNR, we believe in
medical innovation

We have equipped our clinic with the latest research-grade technology to arrive at objective and accurate diagnoses, and to objectively measure our patients’ progress.

  • С.A.R.E.N.
  • Kineo
  • Proteus shoulder arm recovery
  • Zebris
  • Manuthera 242
  • ESWT
  • Vertimax
  • Ankle Stabilizing Device
  • Blood Flow Restriction
С.A.R.E.N. С.A.R.E.N. Kineo Kineo
Proteus shoulder atm recovery Proteus shoulder atm recovery Zebris Zebris
Manuthera 242 Manuthera 242 ESWT ESWT
Vertimax Vertimax Ankle Stabilizing Device Ankle Stabilizing Device Blood Flow Restriction Blood Flow Restriction Training
  • Aplio i800
  • Vibration Platform
  • Sensa mat
  • Force Plate
  • Fascial Gun
  • ShooTools Slider
  • Redcord
  • Cryo Therapy
  • Skier's Edge
Aplio i800 Aplio i800 Vibration Platform Vibration Platform Sensa mat Sensa mat
Force Plate Force Plate Fascial Gun Fascial Gun ShooTools Slider ShooTools Slider
Redcord Redcord Cryo Therapy Cryo Therapy Skier's Edge Skier's Edge

Most importantly,

we are the only facility in the US

where structural medical diagnosis is reflected in functional treatment, and vice versa.

bg

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)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

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

bg
Buy now 3D Gait
Payment Success
Request Telehealth Request Telehealth Request in office visit Book now

You can call

1-212-308-9595
Contact Us