Sports Physical Therapy

Sports physical therapy helps athletes and physically active people to rehabilitate sports injuries, recover from overuse, optimize performance, and reduce injury risk, so they can stay in the game longer, at a higher level of performance. Many athletes rely on sports physical therapy to keep them in peak physical condition, all year round.

Today, advanced technologies, new regenerative therapies, and cutting-edge tools for 3D motion analysis are making sports physical therapy an indispensable secret weapon for elite athletes who want to stay at the top of their game.

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

About Sports Medicine Doctors Kalika and Brosgol

Dr. Lev Kalika
Dr. Lev Kalika

Dr. Lev Kalika

Dr. Lev Kalika, DC is one of NYC’s most authoritative sports medicine doctors. He trained directly under some of the world’s most eminent names in rehabilitative medicine, including Dr. Pavel Kolar of the Czech School of Rehabilitation, and Dr. Christopher Powers, an expert in the treatment and prevention of running and jumping injuries.

Dr. Kalika is an expert in diagnostic ultrasonography with multiple research publications to his credit. He has over 20 years of experience in sports rehabilitation and performance enhancement. The performance lab at NYDNRehab features some of the most advanced technologies available for quantitative analysis and injury rehab.

Dr. Yuri Brosgol

Orthobiologic specialist

Dr. Yuri Brosgol, MD is a neurologist with 20+ years of experience in treating pediatric and adult myofascial pain. When emerging research on the critical role of fascia in human mobility captured Dr. Brosgol’s interest, he pursued training in orthobiologics and fascial release techniques. Dr. Brosgol has become a pioneer in the use of orthobiologic solutions, paving the way for transformative advancements in the treatment of sports injuries and myofascial disorders.

Together, Dr. Kalika and Dr. Brosgol are on a mission to revolutionize the way athletes and physically active patients rehabilitate injuries and optimize performance. Dr. Kalika’s successful track record of rehabilitating musculoskeletal injuries combined with Dr. Brosgol’s expertise in treating myofascial pain make NYDNRehab the clinic of choice for physically active New Yorkers who want to avoid and rehabilitate injuries, restore optimal function, and reach new levels of performance.

Advanced Technologies and Cutting Edge Therapies Set NYDNRehab Apart from Conventional Sports Rehab Clinics

Athletic injuries are an accepted risk of participating in intense and competitive physical activities. But athletic training alone is not enough to gain a competitive edge. At NYDNRehab, we treat the whole athlete, not just your injuries. Our state-of-the-art performance lab features some of the most advanced technologies available for diagnosis, analysis, and treatment.

In an age of remarkable innovations in rehabilitative medicine, many conventional clinics lag behind, relying on outdated one-size-fits-all treatment approaches and generalized return-to-play timelines that set the athlete up for reinjury and premature retirement.

Our holistic and personalized approach to sports rehab goes beyond tissue healing. We work with our athletes one-on-one, with customized treatment protocols based on your specific diagnostic profile. Your rehab journey begins with a comprehensive in-house exam using high resolution ultrasound imaging.

With diagnostic ultrasound, we can:

  • Observe dynamic images of damaged tissues in real time
  • Scan the length of long bodies like nerves, muscles and bones, to identify injured tissues and dysfunctional movement patterns
  • Visualize the actions of individual muscles
  • Replay images in slow motion, to calculate specific properties, like muscle pennation angles
  • Visualize fascia gliding to detect densifications and adhesions that inhibit muscle action
  • Visualize tendons and their synovial membranes
  • Observe muscles and fascia during complex multi-joint actions
  • Observe nerves and blood vessels as they glide among other structures
  • Visualize contralateral limbs and joints, to compare injured tissues to their normal counterparts
  • Test connective tissues using sonoelastography to look for functional deficits
  • Monitor the healing process using superb microvascular imaging (SMI)
  • Accurately guide injection and orthobiologic procedures
  • Precisely guide regenerative therapies to treat different tissue

For dynamic imaging of sport-specific actions, we use advanced technologies like the UNOSO ProbeFix device, synced with motion capture cameras to zero in on motor deficits. Our 3D gait and motion analysis lab pairs cutting-edge technologies with proprietary software, providing us with objective insights that take your injury rehab to the next level.

Our treatment protocols are custom-designed for high-performance athletes who want to optimize dynamic mobility and fine-tune sport-specific skills, based on biomechanical efficiency. We use advanced feedback training to eliminate compensation patterns and restore the neuromuscular pathways that govern muscle coordination.

We don’t send our athletes back to play until they have regained or exceeded their pre-injury performance levels, so they return to sport with confidence.

Common Causes of Athletic
Injuries

Sports injuries often arise from acute trauma, happening in a split second in the heat of competition. They can be caused by a collision with another player, rapid changes in direction that overload the joints, pivoting on a loaded limb, or unsuccessful landing from a jump. But many injuries have a gradual onset, with symptoms that are easy to ignore in the early stages. If left untreated, damaged tissues can begin to degenerate, leading to a steady decline in athletic performance.

Common causes of chronic sports injuries include:

  • Repetitive overuse
  • Inadequate training recovery
  • Sudden increases in training load or volume
  • Persistent biomechanical errors that cause damage over time
  • Inadequate warmup before intense activities
  • Sport-specific asymmetrical loading patterns that cause muscle imbalances
  • Old injuries that were never properly rehabilitated, creating inefficient compensation patterns
  • Damaged fascia and myofascial trigger points that interfere with muscle action

Tensegrity is Foundational to Peak
Performance

Your body is a mechanical wonder made up of countless systems, structures, and tissues that are both interconnected and interdependent. Our uncanny ability to generate energy, exert force, and move with precision all rely on the harmonious interaction of muscles, nerves, and the circulatory system that supplies oxygen and nutrients and removes metabolic waste.

The skeleton provides a rigid structural framework for the entire organism, but in order for human movement to take place, we rely on tensegrity – tensile integrity created by the muscles and fascia to guide movement, mediate internal and external forces, and hold the body’s structures and organs in place. Without tension exerted by the myofascial system pulling against rigid bones, your body would collapse in a motionless heap.

Fascia is a thin fibrous web of connective tissue that separates, connects and encases muscles, joints, organs, nerves and blood vessels throughout the body. Fascia is primarily made up of collagen, elastin, and a gel-like substance composed of hyaluronic acid and water. Fascial tissue is tough, elastic and slippery, allowing it to stretch and glide among the body’s structures without friction.

Fascia is richly embedded with proprioceptors – specialized sensory receptors that provide the nervous system with information about the position, movement, and tension of joints – serving as a communication pathway between different parts of the body. Thanks to proprioception, you can perceive your body’s position, motion, and equilibrium without visual input.

When injury reduces the capacity of muscles and fascia to stretch, contract and glide, it can undermine neuromuscular communication and interfere with coordinated muscle recruitment patterns. Fascia can become dense and sticky, adhering to other structures and entrapping nerves and blood vessels, preventing them from gliding.

Only recently has the myofascial system gotten the attention of the scientific community and its crucial function recognized as a critical component of rehabilitation. Failure to address fascia has been the missing link in sports injury diagnosis and treatment.

Myofascial tensegrity cannot be accurately assessed via a clinical exam or MRI. Only diagnostic ultrasonography can give us real-time imaging of the myofascia in motion, to help us detect and fascia densifications and nerve entrapments.

Healthy myofascial tissues depend on a number of factors, including:

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Full-spectrum nutrition that provides building blocks for healthy tissues
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Adequate hydration – the myofascia requires water for optimal function
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Hormonal balance — hormones are chemical messengers that play a crucial role in governing myofascial integrity
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Restorative sleep – your body heals and your systems reset while you sleep
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Spiritual wellbeing — all life is connected, and all living entities strive to achieve balance within their respective ecosystems, and in harmony with other beings. When you are angry, tense, anxious or stressed, you internalize pressure that manifests as physical pain and dysfunction. Internalized stress affects the cells’ capacity for intracellular and extracellular ion exchange that fosters tissue healing.

Pre-Treatment is Crucial to Physical Therapy
Success

Starting physical therapy prematurely can actually impede the recovery process and even do more harm than good. Before beginning physical therapy we pretreat damaged muscles, joints and connective tissues with regenerative therapies and orthobiologics that ensure proper tissue healing.

We address fascial densifications and adhesions, liberate entrapped nerves and blood vessels, eliminate inflammation, and restore neuromuscular pathways and muscle coordination patterns.

Obstacles to physical therapy success include:

  • Scar tissue and fascial adhesions
  • Neurogenic inflammation
  • Joint edema
  • Inflamed soft tissues
  • Myofascial trigger points
  • Compressed or entrapped nerves
  • Tendons that have degenerated and lost their elastic properties
  • Compensation patterns developed post-injury

We use high-resolution ultrasound to confirm and track your progress. Capabilities for sonoelastography to test tissue stiffness, and superb microvascular imaging to confirm early signs of tissue healing, are invaluable tools for monitoring the healing process.

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Technology-Driven Diagnosis Ensures
Successful Injury Rehab

A vast number of athletic injuries are misdiagnosed or underdiagnosed, leading to ineffective treatment and disappointing outcomes. Oftentimes, the athlete suffers from more than one injury, but doctors zero in on the predominant symptoms without looking for additional problems.

Most injuries involve multiple tissue types, requiring a multifaceted approach to treatment. Without the tools or expertise to identify the full spectrum of injury and mechanical dysfunction, therapists may release athletes back to sport with insufficient rehab that sets them up for further injury.

At NYDNRehab, we believe that what cannot be measured cannot be effectively treated. Our NYC clinic features some of the most technologically advanced diagnostic tools available for athletic performance analysis.

Highest Resolution Diagnostic Ultrasonography

We use ultra high-resolution research-grade ultrasonography to visualize injured tissues. Ultrasound imaging exceeds the capabilities of MRI by providing dynamic images in real time, with the athlete in motion. Our state-of-the-art equipment provides capabilities for sonoelastography, to assess soft tissue damage and monitor the healing process, and superb microvascular imaging (SMI) to detect microscopic blood vessel activity that signals cell neogenesis Your ultrasound exam takes place in-house, on your first visit, with no wait time for lab results.

3D Gait and Motion Analysis Lab

Our 3D Gait and motion analysis lab is equipped with advanced technologies and proprietary software, designed to objectively identify mechanical errors. The system collects data on key performance parameters with the use of dual force plate technology, surface electromyography (SEMG), 3D infrared cameras, and more to analyze mass distribution, muscle coordination patterns, joint kinematics, and more. Data is analyzed and compressed into a 17-page report that highlights issues of concern and informs treatment decision-making.

ForceFrame Max

ForceFrame is a comprehensive system for isometrically testing individual muscle groups on both sides of the body for strength and symmetry. Isometric testing eliminates the potential for compensation strategies that may be masked during compound exercise testing. For example, during a squat, the athlete may compensate for weak gluteal muscles by shifting loads to the quadriceps. ForceFrame eliminates false results by isolating muscle activation, helping us to identify and correct muscle imbalances, asymmetrical muscle strength, inefficient muscle coordination patterns, and compensation strategies

ShowMotion

ShowMotion is an objective tool for joint movement analysis that uses motion tracking sensors, placed on the patient’s skin to collect data as the patient performs a series of joint-specific movements. The data is analyzed by ShowMotion’s proprietary software, providing valuable insights about inefficient movement patterns, compensation patterns, and improvements in response to therapy.

Neuralign Shoulder Pacemaker

Neuralign provides a cutting-edge shoulder rehabilitation device with a kinematic sensor for enhancing athletic performance in shoulder-intensive sports like swimming, baseball, tennis and lacrosse. The patient dynamically interacts with the device to stimulate efficient muscle recruitment patterns, enhance movement quality, and restore optimal muscle balance. The sensor provides objective data that practitioners can use to support decision-making and personalize shoulder rehabilitation.

SM Neuromuscular Electrical Stimulation (SMNMES)

SM neuromuscular electrical stimulation (NMES) dynamically interacts with the patient during therapeutic exercises, providing real-time sensory, auditory and visual biofeedback. This breakthrough technology helps patients to recalibrate muscle actions and optimize joint function. SMNMES has helped numerous patients to avoid unnecessary shoulder, knee and ankle surgeries, even in complex scenarios.

Gold-Standard Performance Testing Supports Comprehensive Rehab

We test for performance parameters before, during and at the end of your rehab program, to make sure our athletes return to sport in peak condition. Our assessment tools include:
  • Kineo Intelligent Load AI-assisted muscle testing and retraining
  • 3D gait and motion analysis and retraining
  • 3D biofeedback analysis with C.A.R.E.N, our computer-assisted rehab environment
  • Force plate jump and rate of force development analysis and retraining
  • SEBT (star excursion banner testing) for state-of-the-art motion and kinematic analysis of postural stability and retraining
  • Myolux ankle stability and proprioception testing and retraining
  • 3D motion capture video analysis
  • Sonoelastography (muscle and tendon stiffness/elasticity analysis)
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Our Regenerative Therapies Prepare Your Tissues for
Back-to-Sports Training

Attempting to begin physical therapy before your tissues and structures are ready to bear loads can backfire, delaying your recovery and increasing your risk of injury. Regenerative therapies dramatically accelerate tissue healing while reducing pain and inflammation.

Multimodal Shockwave Therapy

We use radial, linear, focused and defocused shockwaves to treat damaged tissues. Our state-of-the art equipment lets us adjust the waves by frequency, intensity, depth and breadth, to meet the demands of different tissue types.

SoftWave Electro-Hydraulic Shockwave Therapy

SoftWave is a regenerative mechanotransduction technology whose electro-hydraulic applicator delivers high-speed soundwaves that can penetrate up to six inches in depth. SoftWave’s defocused and linear focused shockwaves recruit maximum stem cells to the treatment site to promote tissue healing.

Myofascial Acoustic Compression Therapy (MyACT)

MyACT is a new type of focused shockwave technology that allows for deeper compression of the focused waves. Its higher frequency allows for precise neuro modulation under ultrasound guidance, with a special linear head for treating myofascial pain.

Focused Extracorporeal Shock Wave Therapy (ESWT)

Focused ESWT produces high frequency sound waves that stimulate the body’s own reparative mechanisms. It is especially effective for chronic degenerative tendon disorders and myofascial pain syndrome.

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.
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Ultrasound Guided Needling and Orthobiologic Procedures

Injection therapies use orthobiologic or neutral solutions that stimulate cellular repair by either nourishing or irritating the targeted cells. Dr. Kalika and Dr. Brosgol team up to ensure that the procedures precisely reach the targeted tissues.

Platelet Rich Plasma (PRP)

PRP therapy uses a high concentration of platelets, extracted from a sample of the patient’s own whole blood. When injected into damaged tissues, PRP stimulates the synthesis of new connective tissues and blood vessels by releasing biologically active growth factors and proteins. PRP can help to jump-start healing in chronic injuries and accelerate repair in acute injuries.

Alpha-2-Macroglobulin (A2M)

Alpha 2 macroglobulin (A2M) is a naturally occurring blood plasma protein that acts as a carrier for numerous proteins and growth factors. As a protease inhibitor, A2M reduces inflammation in arthritic joints and helps to deactivate a variety of proteinases that contribute to cartilage degradation.

Prolotherapy and Prolozone

Prolotherapy uses a biologically neutral solution to irritate stubborn tissues like ligaments and tendons, triggering the body’s innate healing mechanisms to grow new normal tendon, ligament and muscle fibers. Prolozone takes prolotherpy to the next level by injectiing a chaser of ozone gas (O3), along with vitamins and minerals, enhances the healing process through oxygenation and cellular repair.

Interfascial Plane and Nerve Hydrodissection

Athletic injuries usually involve fascial tissues that have become densified and/or formed adhesions, entrapping nerves and blood vessels, and inhibiting muscle action. During the hydrodissection procedure, a saline solution is injected into densified fascial layers under ultrasound guidance. The solution works by separating the fascial layers and freeing up entrapped nerves and blood vessels.

Ultrasound Guided Dry Needling

Myofascial trigger points are common in athletes, contributing to pain and dysfunction. The dry needling procedure inserts filament-thin non-medicated needles into trigger points to evoke a twitch response, relaxing contracted fibers and immediately relieving pain.

Evidence-Based Training Leads to Better Performance

At NYDNRehab, we use the latest evidence-based approaches and advanced technologies for athletic rehabilitation. Full-spectrum rehabilitation not only ensures better performance, but provides a safeguard against future injuries. Athletic injuries often cause compensation strategies that become habitual over time. This can lead to inefficient muscle recruitment patterns, asymmetrical muscle tension, and loss of confidence in the injured limb. In effect, the brain “forgets” how to recruit, coordinate and fire muscles in the most efficient way. We use real-time feedback retraining to restore optimal neuromotor pathways between the brain and body. Our advanced technologies equip us to build strength, agility and confidence, reducing your risk of injury upon return to play. Our rehabilitative protocols are progressive, offering greater challenges as your injury rehab moves toward its end goal of returning you to your sport.

Our innovative retraining methodologies include:

  • Blood flow restriction training, enabling
  • DNS (dynamic neuromuscular stabilization)
  • AIM (anatomy in motion)
  • FMS (functional movement systems)
  • ISM (integrated system model)
  • Functional Patterns Training
  • Cognitive load rehabilitation
  • Intrinsic and extrinsic feedback training with VR and AI
  • Sport-specific physical therapy

Our C.A.R.E.N system (Computer Assisted Rehab Environment) immerses patients in a virtual reality environment while their motion is captured by 12 infrared cameras that provide 360º real-time feedback. Used for both diagnosis and treatment, C.A.R.E.N provides precise therapeutic strategies based on objectively derived data, eliminating human error.

State-of-the-Art Return to Sport and Injury Prevention Testing

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Return to Play Quickly and Safely with the Best
Sports Injury Physical Therapy in NYC

Human anatomy varies widely from one athlete to the next, and motor strategies vary from one sport to another. At NYDNRehab, we never take a one-size-fits-all approach to sports injury rehab. We thoroughly examine and test each athlete and base our therapeutic solutions on your unique diagnosis and performance requirements. Our personalized rehab programs and one-on-one therapy sessions are custom-designed to get you back to play in record time, with minimal risk of re-injury. Contact NYDNRehab today, and set the rehab process in motion so you can get back out there!

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    Dr. Lev Kalika
    Dr. Lev Kalika

    Clinical director & DC RMSK

    Sports Physical Therapy FAQs

    How is sports physical therapy different from conventional physical therapy?
    Sports physical therapy emphasizes injury recovery, sport-specific rehabilitation and performance enhancement. In addition to injury rehab, sports therapists work to enhance sports skills, agility, speed, and strength tailored to the athlete’s sport, with the objective of returning them safely to play. By contrast, general physical therapy often deals with average individuals recovering from injury or surgery, or suffering from pain syndromes and movement disorders, with the goal of restoring pain-free functional mobility.
    Do I need a doctor's referral to see a sports physical therapist?
    You generally do not need a medical referral for sports physical therapy, although some insurance providers may require it for reimbursement. Physical therapy typically does not involve drugs or surgery, and sports therapists fill an important gap in providing critical services that medical doctors are not trained to deliver.
    How long will it take to completely recover from my sports injury?
    Recovery time varies depending on the severity of your injury, your overall health, and compliance with your therapy plan. Steer clear of therapists who use one-size-fits-all recovery protocols and antiquated timelines. Look for a holistic therapist who provides customized rehab.
    What types of injuries do sports physical therapists treat?

    A good sports therapist can take on almost any musculoskeletal injury that does not require surgery, and they can help rehab your injury, post-op. Common athletic injuries include:

    • Sprains and strains
    • Tendinopathies
    • Fractures and dislocations
    • Ligament ruptures
    • Muscle imbalances
    • Overuse injuries
    • Myofascial issues
    • Post-surgical rehab
    Who can benefit from sports physical therapy?
    You don’t need to be an athlete to benefit from sports physical therapy. Runners and fitness enthusiasts will get more benefit from a sports therapist than a general therapist because they typically want to return to their pre-injury activity level, or improve their performance in their favorite physical activity.

    Our Specialists

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

    Our Awards

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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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