Orthopedic conditions and sports medicine

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  • Neck
  • Shoulder
  • Arm elbow
  • Wrist
  • Mid-back
  • Low back
  • Pelvis
  • Hip
  • Knee
  • Foot and ankle
  • Heel
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Orthopedic

From sports and shoulder injuries to hip and groin pain, Dynamic Neuromuscular Rehabilitation has quickly become the best orthopedic in NYC go-to facility for orthopedic conditions and sports medicine treatment. Our specialists practice proven definitive methods to combat a variety of acute and chronic orthopedic conditions, many of which are the result of repetitive strain and/or sports traumas. At the heart of our efforts is the DNS method – Dynamic Neuromuscular Stabilization – a breakthrough scientific approach that has become the preferred pathway for many professional athletes with regard to their injuries and performance enhancement goals.

Diagnostic Abilities Far Beyond Typical Rehab Facilities

What makes Dynamic Neuromuscular Rehabilitation different in the area of orthopedic condition treatment? Our head doctor, Lev Kalika, boasts a multifaceted education and unwavering passion for innovation that has dynamically catapulted this clinic into a new realm of therapeutic mastery. We remain proud to be the first outpatient gait and motion analysis lab in the New York City area, and continue to market ourselves as a one-stop, non-invasive sports injury and orthopedic rehabilitation facility.

Dr. Kalika’s proficiency in diagnostic ultrasound imaging, in addition to our RUSI (Rehabilitative Ultrasound Imaging) applications and gait/motion analysis laboratory, fuse to make our services not only unique…but unprecedented. Our patients rest assured knowing they are receiving the very best treatment outcome assessment by way of highly advanced skill and monitoring technology. With a multi-specialty team of passionately dedicated and motivation-driven practitioners always there to implement the most comprehensive treatment program, Dynamic Neuromuscular Rehabilitation has become synonymous with “the best orthopedic in New York.”

Muscular and skeletal-related issues we treat:

Our Functional Approach to Orthopedic Conditions

“Locomotor Dysfunction” refers to an abnormal condition of tissues contributing to the body’s mobility, posture and balance and can include muscles, joints, discs and – most importantly – neural wiring in the central motor regulation centers of the central nervous system. Dynamic Neuromuscular Rehab’s therapeutic program is based on evoking the ideal movement patterns through exercise, the goal being to activate these patterns automatically without conscious effort on the patient’s behalf. Manual techniques used to treat locomotor function consist of joint and soft tissue manipulation, reflex stimulation and a myriad of neuromuscular techniques designed to release trigger points while strengthening and improving coordination by influencing the motor control of the central nervous system. Further, our exercise program encompasses stability and posture training, body awareness exercises, breathing retraining and neuromuscular exercises.

Our functional approach has resulted in not only alleviating orthopedic condition suffering but also prevents relapses and recurrences common with such afflictions as back pain – for patients that find themselves with increased and hectic work schedules or professional or recreational athletes, we transform stability training into functional training. This is a goal-oriented approach, involving various movements such as lunges, squats, pulling and twisting, all of which are performed in challenging positions and enhanced by different labile surfaces.

Discover for yourself why Dynamic Neuromuscular Rehabilitation is a highly respected orthopedic in Manhattan facility.

130 West 42 Street Suite 1055, New York NY 10036
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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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