Physical Therapy for Meniscus Tears

About Meniscus Tears

Each knee has two menisci, horseshoe-shaped spongy disks that work like shock absorbers between the femur and tibia. The menisci can become ruptured, either from trauma or from wear and tear over time. Traumatic meniscus tears are common in high intensity sports, especially contact sports like rugby and football. Degenerative tears are common among middle aged and older adults.

The vast majority of meniscus tears do not require surgical intervention. Meniscus tear physical therapy at NYDNRehab can speed healing and help to prevent recurring meniscus injuries.

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New Cutting Edge Technology for Meniscus Tears

EMTT for Meniscus Tears

For the first time ever, our new technology reduces pain and inflammation, and stimulates the healing of damaged meniscus tissue, thanks to the effects of intracellular neuromodulation.

Electromagnetic transduction therapy (EMTT) uses pulsed electromagnetic fields to promote the regeneration of new meniscus cells. EMTT is extracorporeal, meaning it is non-invasive therapy that delivers electromagnetic waves to the targeted tissues from a device located outside the body. Mounting research shows EMTT to be an effective treatment for healing torn menisci. When combined with extracorporeal shock wave therapy (ESWT), EMTT can help patients to quickly recover from meniscus tears and improve knee joint function, for enhanced performance and improved quality of life.

New Cutting Edge Technology for Meniscus Tears
Dr. Lev Kalika
Dr. Lev Kalika

Clinical director & DC RMSK

About Knee Pain Specialist Dr. Lev Kalika

Dr. Kalika revolutionized knee pain treatment by introducing high resolution diagnostic ultrasonography for structural diagnosis, combined with gait and motion analysis technology to visualize and objectify the functional movement of the knees and lower extremities.

The motion and gait analysis lab at NYDNRehab is the only private lab in the US to feature research-grade technology, normally found only at top research universities. We have made this cutting edge technology available to our patients in our private clinic. We are quick to embrace new evidence-backed technologies that are proven to provide therapeutic benefits to our patients.

Dr.Kalika’s expertise is sought by runners, dancers and professional athletes across the United States.

Why Meniscal Tear Physical Therapy at NYDNRehab is Better than Conventional Physical Therapy

At NYDNRehab, we use the most advanced technologies for torn meniscus rehab, including regenerative technologies to eliminate pain and accelerate healing. Whether your goal is to return to sports, or simply to improve your quality of life, meniscus tear physical therapy at NYDNRehab is superior to therapy at run-of-the mill PT clinics that use a one-size fits all approach to treatment.

We believe that every patient is unique, and that every injury has distinct characteristics that demand personalized attention. We never use cookie cutter approaches to treat knee pain. Our one-on-one personalized approach ensures that every patient gets the care they need and deserve, so they can enjoy fluid pain-free movement and avoid future injury.

Why Meniscal Tear Physical Therapy at NYDNRehab is Better than Conventional Physical Therapy

Symptoms, Causes and Risk Factors for Meniscus Tears

Symptoms

  • Mild to severe knee pain

  • A stiff and swollen knee joint

  • A knee that locks out or hitches

  • Snapping or popping sounds or sensations

  • Reduced knee range of motion

Causes

  • Trauma during sports or exercise

  • Sedentary lifestyle

  • Knee osteoarthritis

  • Certain medications

  • Overweight and obesity

Risk Factors

  • Participation in high intensity contact sports

  • Occupations that require kneeling or climbing

  • Poor nutrition/hydration

  • Taking medications that promote inflammation

  • Muscle weakness and limited range of motion

We Pride Ourselves on Accurate Diagnosis

Knee pain can have many causes, and getting an accurate diagnosis is key to setting the healing process in motion. At NYDNRehab, we use high-resolution diagnostic ultrasonography to view the knee joint in motion, in real time. Ultrasound imaging enables us to identify the location, type and severity of meniscus tears, so we can begin meniscus tear rehab using the best treatment options for the individual patient.

We Pride Ourselves on Accurate Diagnosis

We Embrace the Latest Technologies for Optimal Results

Meniscus tears can range from mild to severe, and many people turn to surgery as a first line of treatment. However, most meniscus tears can be treated and healed without surgery. We use the latest non-invasive technologies and innovative therapies to rehabilitate meniscus tears and restore functional pain-free movement.

3D Gait Analysis and Retraining
3D Gait Analysis and Retraining

Mechanical deficiencies in walking or running gait can cause the knee to become misaligned, placing undue stress on the structures surrounding the knee and producing pain. We use our state-of-the art gait lab to analyze joint angles and force loads associated with gait, to identify and quantify mechanical deficits and retrain the way you walk and run, to eliminate wear and tear on the menisci.

Alter-G Antigravity Treadmill
Alter-G Antigravity Treadmill

Our gravity-reducing treadmill unloads the knee joint, to enable retraining of gait patterns without placing undue stress on injured structures. This approach speeds recovery by allowing gradual reloading of the knee and gradual improvement of gait patterns.

C.A.R.E.N.(Computer Assisted Rehabilitation Environment)
C.A.R.E.N.
(Computer Assisted Rehabilitation Environment)

C.A.R.E.N’s advanced technology uses a virtual reality environment to train healthy movement patterns and enhance sports performance. Real-time feedback is provided to optimize motor patterns, retraining the brain-body connection for efficient pain-free movement.

Blood Flow Restriction Training
Blood Flow Restriction Training

BFR makes it possible to rehabilitate injured tissues using much lighter loads, by occluding the blood vessels to elicit a regenerative response in damaged cells. BFR helps prevent tissue atrophy after an injury while protecting damaged structures from overload. It speeds the recovery process for faster return to pain-free activity.

DD Robotech
DD Robotech

DD Robotech (DDR) is AI-powered robotic training equipment that provides neuromuscular and neurocognitive training for patients and athletes with pain and/or reduced mobility in the lower kinetic chain (hips, knees, ankles and feet). DDR is based on linear force impedance robotic technology.

Physical Therapy for Meniscus Tears
Physical Therapy for Meniscus Tears

Physical therapy exercises work to strengthen and rebalance the muscles that support the knee joint, taking pressure off of nerves and connective tissue, and realigning the joint for optimal function. At NYDNRehab, meniscus tear physical therapy is integrative and holistic, looking beyond the locus of pain and dysfunction to take into account the various factors that affect the alignment and function of the knee joint.

Regenerative Therapies for Meniscus Tears

Regenerative Therapies for Meniscus Tears

Regenerative therapies are used to stimulate cellular neogenesis in damaged tissues. At NYDNRehab, we use the most cutting-edge technologies available to promote new cell growth, to help the body heal itself. Our regenerative treatment options include:

Extracorporeal Shock Wave Therapy (ESWT)

This non-invasive therapy uses supersonic waves to stimulate the body’s cells, especially in tissues like tendons and menisci that have low vascularity. The waves are able to increase the transport of oxygen and nutrients to the damaged cells, to trigger repair and regrowth.

Electromagnetic Transduction Therapy (EMTT)

This promising new technology uses pulsed electromagnetic fields (PEMF) to reduce inflammation and stimulate new cell growth. When used in conjunction with ESWT, the two technologies become a dynamic duo for healing all types of meniscal tears, including root lesions and meniscal flap tears.

Ultrasound Guided Needling Procedures

Regenerative injection therapies like platelet rich plasma (PRP), hyaluronic acid and Prolotherapy use substances naturally found in the human body to stimulate healing. Ultrasound guidance ensures precision, so that injections accurately reach the targeted tissue.

Preventing Meniscus Tears

Athletes can avoid meniscus tears by training for both strength and flexibility, staying hydrated, and regularly analyzing mechanical skills execution and correcting errors. Older adults can avoid knee problems in general by remaining physically active, maintaining a healthy weight, staying strong and flexible, and avoiding medications.

Certain medications like statins, estrogen drugs, antidepressants, osteoporosis medicines and blood pressure drugs can contribute to knee pain and associated joint issues. Making healthy lifestyle choices on a daily basis can steer you away from harmful prescription medications that can damage your joints and increase your risk of injury.

A nutrient-dense, protein-rich diet that promotes collagen production and muscle growth can help to maintain the integrity of the knee joints. Steer clear of sugar and refined carbohydrates and oils, all of which are prime contributors to joint inflammation that can set you up for knee injuries.

Preventing Meniscus Tears

Get Personalized Torn Meniscus Rehab Designed Just for You

If you are experiencing knee pain and suspect you have a torn meniscus, you should not delay seeking help. Early treatment can prevent your meniscus tear from getting worse and reduce your risk of needing surgery.

The knee pain specialists at NYDNRehab have extensive experience in meniscus tear diagnosis and treatment. We will design a personalized treatment plan that keeps you moving toward your goal, and measure your progress every step of the way to ensure that our treatment is effective.

Don’t settle for mediocre treatment for knee pain. Contact NYDNRehab today, and get the best physical therapy for meniscus tears in NYC.

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    Dr. Lev Kalika
    Dr. Lev Kalika

    Clinical director & DC RMSK

    Our Specialists

    HyunJu YOO, PT, MPT, DPT, CPI (Licensed Physical Therapist)
    Dr. Christina Pekar DC
    Dr. Michelle Agyakwah DC
    Mariam Kodsy Physical Therapist
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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)

    image

    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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