Back and Neck Pain Treatment in NYC

Back Pain and Neck Pain

Low Back Pain (LBP) has long reached epidemic proportions in the Western world. Acute LBP is one of the leading sympto health care and society.

It has been traditionally, although incorrectly, believed that acute LBP episodes resolve themselves within a relatively short period of time. This mistaken belief has led tor system conditions are in fact the ones called idiopathic (without an apparent cause) because no structural pathologies can be found.

An alternative had been suggested advising encouraging LBP patients with reassurance that there is no serious life-threatening disease involved and that the only sure road toring function. Implementation of this approach resulted in significant decrease in LBP chronicity and consequent disability in part by eliminating the psychological impact of pain on the nervous system.

Restor control of the Central Nervous System and not the biomechanics that should be addressed when formulating the treatment of LBP.

It must be also realized that by no means can people complaining of pain with non-identifiable origin be labeled malingerers, nor should their condition be identified as psychogenic. The somatic origin of their sympto poor treatment outcomes.

When treating the function it is important tor control programs react in a coordinated fashion. Even when mechanical changes are obvious and structural pathology is objectified, it is the disturbed function that should be the primary target of the treatment.

At Dynamic Neuromuscular Rehabilitation we engage a team of specialists covering wide spectrum of medical disciplines. They examine patients from various view points and arrive to our patients rapid recovery and lasting relief.


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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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