What is Sports Physical therapy?

A man runs across the bridge in NYC
Physical therapy is a form of treatment for physical disease or injury to the musculoskeletal and neuromuscular systems of the human body without the use of drugs or surgery.
Physical Therapists play an important role in to prevent movement disorders if preventative measures are taken from early childhood and regularly throughout human life.
We hope that in the future PT’s will become life to sport.
A patient of Lev Kalika says him thanks

Dr. Kalika, I just want to thank you and your incredible team for helping me recover and run the NYC marathon for the 30th time this coming Nov. 7th.


Is Physical Therapy a Science?

Yes, in fact over the past 15 years due to advances in technology there have been varieties of scientific evidence validating efficacy of therapy treatment over surgery and invasive pain management interventions.
I.P. Pavlov said “Movement is life.” Our treatment is an intervention targeting variety of different structures and systems within a human body as well as their interactions within the human body and their interactions with the environment.

Is Physical Therapy a Synonym for Rehabilitation?

Yes, it is a synonym for physical rehabilitation. PT treatment falls under the physical medicine umbrella.
Some of the methods still practiced to treat orthopedic disorders.

What Type of Treatments Constitutes the Cornerstone of the Profession?

The cornerstone of physical therapy is therapeutic exercise. With the advancement of neuroscience and deeper understanding of the brain’s neuroplasticity more advanced methods are being developed. Some new methods are a fusion of the best parts of the older methods which have been clinically validated by therapeutic success over the years. Some of these methods are being improved and revised based on new scientific evidence. Our methods are strictly evidence based or based on new scientific discoveries. The skillful modern NYC physical therapist uses a combination of different approaches.

What Kind of Therapy Do We Provide at DNR?

Our approach is based on the functional model and the dynamic fusion of manual medicine into specific individual problem. This is only possible because of our experience and unique expertise in variety of different approaches.
Our experience with the DNS (Dynamic Neuromuscular Stabilization) – a breakthrough scientific method, allows us to the treatment of back pain, sports injuries and orthopedic disorders.
Dr. Karel Lewit (our mentor and the godfather of European school of manual medicine and rehabilitation) once said “Rehabilitation is time consuming and the time cannot be wasted.” With that in mind we have created a thoughtful and rational approach combining the most unique rehabilitation methods with modern therapy. Our therapeutic method is based on integration of the most scientifically proven, innovative approaches and techniques such as, Dr. Shirley Sahrmanns MSI and the DNS (Dynamic Neuromuscular Rehabilitation) by Dr. Pavel Kolar. This is in combination with our cutting edge technology such as C.A.R.E.N (Computer Assisted Rehabilitation Environment), force plate biofeedback training, cold laser, and ESWT ( Extracorporeal Shock Wave Therapy).

Services of DNR clinic in NYC shoiwcased

Our Physical Therapy Location on Manhattan

Our approach is based on meticulous clinical evaluation of movement function using the most advanced and scientifically proven examination techniques and motion analysis technology.
Dr. Kalika’s experience goes back to working under one of the world’s leading physicians in the field of rehabilitation medicine Prof. Vladimir Janda of the renowned Czech School of Rehabilitation, who was also named by the Spine magazine as “the world’s leader in the field of physiotherapy and rehabilitation of the 20th century.”
Dr. Kalika’s proficiency in imaging with diagnostic ultrasound, his many years of experience working with leading European sports medicine and back care specialists, his knowledge in orthopedics and sports medicine allow him deeper understanding of medical diagnosis and its implications for the rehabilitation. This is a rare occurrence among the practitioners in the fields of musculoskeletal medicine. Knowledge of medical diagnostics is also rare among physical therapists and chiropractors.

Our individualized approach and broad expertise in musculoskeletal dysfunctions has helped patients with variety of neuromuscular and orthopedic disorders. Among our Manhattan physical therapy patients are star Olympians, elite professional athletes, triathletes and NYC ballet dancers.

What Kind of Treatment Approaches Are Used at Our Manhattan Physical Therapy Facility?
We provide all types of sports physical therapy in NYC with emphasis on functional restoration.
We are very advanced in rehabilitation of sports specific repetitive trauma disorders as well back pain and rehabilitation of walking and lower kinetic chain disorders.
We provide technologically advanced treatment for patients with headaches and dizziness.
We use most advanced and effective modalities like Extra-corporeal Shock Wave Therapy (ESWT).
At our Manhattan physical therapy location we specialize in many unique, cutting-edge manual and neurological approaches:

  • Dynamic Neuromuscular Stabilization according to Kolar
  • Movement Impairment System by Shirley Saharmann
  • Vladimir Jandas Sensory Motor Training
  • ISM (Integrated System Model) approach by Diane Lee and L.J Lee
  • Karel Lewit’s Manual Therapy Approach
  • Vojta Therapy
  • Ergonomic Therapy
  • Gait and Running Analysis and Gait Training
  • Variety of different soft tissue techniques
  • Virtual Reality Therapy
  • C.A.R.E.N (Computer Assisted Rehabilitation Environment) Treatment

At DNR we make sure that every PT is trained in at least two approaches in the different fields of therapy such as: comprehensive manual therapy, sports injury, orthopedic and neurological rehabilitation.

We feel that establishing proper functional and structural diagnosis is a priority because it dictates the choice of technique or method, which should be, used in particular case, however; even then, not a single technique is either preferable or superbly efficient in itself. Over the years of practice we have learned A winner of the NYC marathon; Lev Kalika helped

Dr. Kalika, I just want to thank you and your incredible team for helping me recover and run the NYC marathon for the 30th time this coming Nov. 7th.


Jonas Hoegh-Christensen About NYDNRehab clinic

ENGLAND, Weymouth. 4th August 2012. Olympic Games.

Jonas Hoegh-Christensen is a famous Danish sailor who has taken part in the Summer Olympics in 2004, 2008 and 2012. He became a men’s sailing champion Finn class in London. Now, Jonas, a holder of an Olympics Silver, is getting ready for the upcoming 2016 Summer Olympics in Brazil. He is thankful to resolve all Jonas’s issues quickly and easily. We will cheer for Jonas and hope that this time we will not miss out on the gold.


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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