Neck pain treatment is conducted by a combination of DNS (dynamic neuromuscular stabilization) physical therapy and variety of myofascial and neuromuscular methods which concurrently address all interrelated tissues as well as motor control of the upper quarter of the human body. Home exercise program based on movement impairment examination is also very effective component of successful and long lasting relief.
Shoulder pain is one of the most common musculoskeletal complaints. Most frequently the shoulder pain results from trauma and overuse of the shoulder joint and surrounding tissues. Because of the unique anatomy, versatility and overall importance of the shoulder complex treatments needs to be multilateral. These physical therapy treatments should span across various medical disciplines is essential in order to achieve long-lasting positive effects. Our physical therapists use Platelet-rich Plasma injections for moderate rotator cuff tears and frozen shoulders. Prolotherapy is used for unstable and hyper mobile shoulders, shoulder dislocations and A-C joint suluxation. ESWT is used for subacromial bursitis, shoulder tendinitis or calcific tendonitis.
In the past 10 years there has been a dramatic increase in different wrist and elbow pain conditions needing physical therapy. Largely, this is due to increased demands imposed on the upper extremities by the use of computers and smart phones. We are always on our mobile devices blogging, tweeting, posting and emailing. How often do we ever stretch and warm up our hands or elbow muscles?
Once the diagnosis of carpal tunnel syndrome is made we will determine the best possible treatment for the patient trying to prevent further nerve damage and trying to reverse the process. The different treatment options include bracing, injections, special physical therapy release and exercise methods, extracorporeal shockwave therapy. The treatment of carpal tunnel syndrome that is chosen depends on the severity of nerve damage shown on the nerve conduction study and diagnostic ultrasound, making this test very crucial. The earlier treated the better the chances of recovery.
C.A.R.E.N with it’s multi-sensory processing, balance, proprioception, symmetrical loading and motor control could all be addressed. The multi sensory nature of C.A.R.E.N also allows faster results due to subcortical automatization effect in which more optimal movement can be achieved faster. Therefore, unloading the spine due to more optimal distribution of forces. We are are proud to offer C.A.R.E.N to our physical therapy patients of New York.
At Dynamic Neuromuscular Rehabilitation we offer physical therapy treatment in New York. Being participants of four World congresses of Low Back and Pelvic Pain we are quite familiar in recognizing which category and subgroup this particular patient belongs to. Our treatment protocols are not based on one modality or one method.We have professed clinical and technological diagnosis which allows us to select most appropriate integrative intervention for successful treatment. When back pain is not initially addressed with the right intervention it could become chronic and lead to serious consequences.
Physical therapy treatment is conducted by reeducating symmetrical loading using realtime feedback from motion capture and force plates. This data is transferred into the large screen inside this immersive environment, where an avatar of the patient or other cues such as joint angles, segmental body position, force distribution are being used to correct movement.
With advancements in radiological, arthroscopic and functional clinical examination methodology of the hip, a new model of the joint disease has been established. This model enables doctors and practitioners to diagnose hip joint pain and dysfunction at a very early stage. The early diagnosis allows commencing the treatment at the stage when hip joint degeneration has not yet set in and is therefore reversible. For those patients who already have developed some early signs of degeneration, further progression can be arrested or significantly slowed down. Based on Gait analysis data and clinical examination for physical therapy for pain treatment focuses on elimination of the faulty movements and rebuilding strength and coordination of the hip, lumbo-pelvic area. We use combination of DNS method, Shirley Saharmann method, Chris Power’s hip strategy method as well as video and force plates feed-back training.
Our physical therapy treatment of knee joint pain begins with complete ultrasonographic and dynamic evaluation of the kinetic chain of the lower extremity by technological Gait analysis which includes the hip and the foot. The hip and foot misbalance directly affects the knee since foot placement and hip alignment determines movement at the knee. In such cases, repairing movement dysfunctions of hip and foot will reduce stress overload to the knee and encourage its tissue healing. This strategy is combined with direct treatment of the injured knee tendons and other affected tissues.
At Dynamic Neuromuscular Rehabilitation we have been fortunate to use Gait Lab equipment for physical therapy treatment and diagnosis to the advantage of our patients. We successfully integrate conventional clinical examination of the foot and ankle complex, such as Diagnostic Ultrasound, X-rays and Nerve Conduction studies, with the newest technology to reach the most precise diagnosis and implement the optimal intervention for people suffering from foot and ankle pain. We are also proud to be among the first to use the AlterG gravity reduced treadmill for treatment of foot and ankle conditions. We have one of the longest experiences with ESWT (Extracorporea Shockwave Therapy) for treatment of foot and ankle tendon-bone disorders.
With the proper treatment, a person diagnosed with any type of heel pain condition often has a very positive prognosis. Plantar fasciitis can sometimes be tricky to treat in some individuals, however, the treatments offered at our clinic have a higher likelihood of being successful. Our cutting edge treatments have been thoroughly tested and researched and have been proven to provide effective ongoing relief to numerous patients. Once the exact cause has been identified, we will then customize the best plantar fasciitis treatment plan that will quickly improve the patient’s condition. Not only will they have to deal with less pain, but their ability to participate in more activities and enjoy an increased quality of life will make the patients feel proud to have undergone physical therapy treatment at our state-of-the-art clinic.
From sports and shoulder injuries to their injuries and performance enhancement goals.
What makes Dynamic Neuromuscular Rehabilitation different in the area of orthopedic condition treatment? Our head doctop, non-invasive sports injury and orthopedic rehabilitation facility.
Dr. Kalika’s proficiency in diagnostic ultrasound imaging, in addition to implement the most comprehensive treatment program, Dynamic Neuromuscular Rehabilitation has become synonymous with “the best orthopedic in New York.”
“Locomotor 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.
Failure to accurately diagnose a condition in its early stages can lead to chronic
problems and sometimes devastating results
Diagnostic musculoskeletal sonography (MSUS) provides the perfect tool for the rehab practitioner. Yet many doctors and physical therapists have no experience with MSUS, are unaware of its advantages, and have no idea how to use it as a diagnostic tool.
A bad physical therapy experience is one of the primary causes of unnecessary surgery
We have equipped our clinic with the latest research-grade technology to arrive at objective and accurate diagnoses, and to objectively measure our patients’ progress.
Most importantly,
we are the only facility in the USwhere structural medical diagnosis is reflected in functional treatment, and vice versa.
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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