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Get Your Musculoskeletal System Treated By A Physiatrist!

Get Your Musculoskeletal System Treated By A Physiatrist! Uncategorized

Did you know that not only a sports doctor or an orthopedist is not the only one that can treat problems involving your musculoskeletal system? When we have injured our joints, muscles or even bones, then we primarily prefer consulting either a sports doctor or an orthopedist. However, were you aware that a physiatrist is […]

Congratulations to Our 2017 Scholarship Winners!

Congratulations to Our 2017 Scholarship Winners! Uncategorized

NYDNRehab is pleased to announce our 2017 scholarship winners, Greg Stavinski and Daniel Kuchter. Congratulations! Scholarship applicants were required to demonstrate a strong interest in biomedical related research, and an understanding of biomechanics and movement science as applies to rehabilitation. They were also required to articulate their perspectives on technology’s role in the future of […]

Physical Therapy Myths

Physical Therapy Myths Uncategorized

Physical therapy is a critical tool in the modern healthcare arsenal, and it is often the first step to providing effective mobility treatment options that usually do not involve drugs or surgery. Here are seven of the most common myths and corresponding facts about physical therapy.

Hamstring Injuries

When it’s time for the winter games to start or winter time sports as they are often called many people start to prepare for training. Over 65% injuries of the hamstring among American football participants were while participating in high speed activities where there’s frequent amounts of throwing up the leg, sliding, twisting, turning, throwing, […]

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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)

image

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

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