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Fibromyalgia

About Fibromyalgia

Fibromyalgia is a pain syndrome that affects the muscles and nerves throughout the entire body. While fibromyalgia symptoms may occur at any age in both males and females, it is most prevalent in women, beginning in middle age. The underlying cause of fibromyalgia is not fully understood, but there is growing evidence to suggest that symptoms are caused by a hypersensitized autonomic nervous system that sends amplified pain signals to the brain, in the absence of structural damage or injury. Chronic systemic inflammation is suspected to be a contributing factor.

New research sheds significant light on how the body becomes hypersensitized, and new technology offers hope for patients suffering from fibromyalgia symptoms.

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What are the credentials of NYDNRehab's medical team? What is neuromodulation and how does it help relieve fibromyalgia symptoms? What therapies are used to treat fibromyalgia at NYDNRehab? What sets NYDNRehab apart from other physical rehabilitation clinics in NYC? Fibromyalgia FAQs

Dr. Lev Kalika

Clinical director & DC RMSK

About Fibromyalgia Specialist Dr. Lev Kalika

Dr. Kalika has devoted his career to finding the most advanced and effective ways to treat physical pain, dysfunction and injuries. He has embraced new technologies and sought out innovative therapeutic treatment methods to provide his patients with the best and fastest treatment solutions.

Patients suffering from fibromyalgia pain and fatigue often wander from doctor to doctor, spending untold time and money seeking medical solutions, or exploring alternative treatments like acupuncture, without resolving their pain. When they run out of options, they often give up hope, resigning themselves to a life of pain and fatigue that infringes on their quality of life.

The human body is an extremely complex organism, and chronic pain requires an integrative approach. Early in his career, Dr. Kalika studied under world renowned professors Karel Lewit and Vladimir Janda, both pioneers in integrative medicine. It soon became clear that allopathic medicine had tunnel vision, and that more effective diagnostic tools and treatment options were available to treat pain syndromes.

Dr. Kalika is an innovator when it comes to applying technology to fibromyalgia treatment. He has published multiple scientific papers on myofascial trigger points, ultrasound guided dry needling, and the application of shockwave therapy to treat fibromyalgia. He is a skilled and seasoned expert in diagnostic ultrasonography.

For injection and regenerative therapies, Dr. Kalika teams up with Dr. Uri Brozgol, a neurologist with 20+ years of experience in treating pediatric and adult myofascial pain. Dr. Brozgol is an expert in orthobiologic injection procedures and fascial release techniques. Dr. Kalika is an active member of the International Myopain Society. You can find more information about Dr. Kalika’s research here.

Dr. Yuri Brosgol

Orthobiologic specialist

About Orthobiologic and Injection Specialist Dr. Yuri Brosgol

Our orthobiologic specialist, Dr. Yuri Brosgol, is a neurologist with 20+ years of experience in treating pediatric and adult myofascial pain. He teams up with Dr. Kalika to provide precision orthobiologic and injection procedures guided by ultrasound imaging. Their combined expertise ensures that patients receive the most precise and effective treatment for a broad range of musculoskeletal conditions.

Holistic Non-Invasive Diagnosis and Regenerative Therapy

Identifying and treating underlying issues prior to beginning physical therapy is key to getting fast and effective results. Failure to do so can completely undermine your treatment protocol, and in some cases, your condition may even worsen. At NYDNRehab, we use a broad range of advanced technologies and innovative therapeutic approaches to resolve issues that can potentially undermine the success of physical therapy. Our talented staff is certified in a diverse array of treatment methodologies, rarely found in run-of-the-mill physical therapy clinics. Our one-on-one sessions are personalized, based on the patient’s unique diagnostic profile.

Obstacles to physical therapy success include:

Scar tissue and fascia adhesions
Neurogenic inflammation
Joint edema
Inflamed soft tissues
Myofascial trigger points
Compressed or entrapped nerves
Tendons that have degenerated and lost their elastic properties
Compensation patterns developed post-injury

Holistic Non-Invasive Diagnosis and Regenerative Therapy

At NYDNRehab, we use a broad range of advanced technologies and innovative therapeutic approaches to resolve issues that can potentially undermine the success of physical therapy. Our talented staff is certified in a diverse array of treatment methodologies, rarely found in run-of-the-mill physical therapy clinics. Our one-on-one sessions are personalized, based on the patient’s unique diagnostic profile.

NESA Neuromodulation: Cutting-Edge Technology to Soothe Hypersensitized Nerves

NESA neuromodulation is a new type of therapy that uses the body’s own electrical pathways to manipulate the autonomic nervous system. Neuromodulation works by actively stimulating nerves to produce a natural biological response in nervous tissue. NESA is a non-invasive neuromodulation therapy that helps to calm overstimulated nerves, to restore the autonomic nervous system to a balanced state where it can function at its best.

Dr. Kalika recently traveled to Spain to learn about NESA neuromodulation therapy, and to receive first-hand training from the technology’s source. NYDNRehab is one of the few clinics in NYC to offer NESA neuromodulation therapy to our patients. Dr. Kalika is one of a handful of practitioners with advanced training and experience in Zimmer and NESA neuromodulation therapy.

Fibromyalgia Symptoms
and Causes

Symptoms

Aches and pains in muscles throughout the body
Chronic fatigue
Difficulty sleeping
Stiff achy joints
Brain fog
Increased sensitivity to touch, noise, light, odors and temperature

Causes

The underlying causes of fibromyalgia are as yet unclear. Suspected contributing factors include:

Genetics — fibromyalgia runs in some families, but also occurs in patients with no family history
Chronic systemic inflammation may increase pressure on nerves
Stress and emotions may contribute to central sensitization
Anxiety and depression may play a role

Advanced Technology Meets Experience and Expertise in Successful Treatment of Fibromyalgia Symptoms

People suffering from fibromyalgia symptoms are often willing to try anything to ease their pain. Many try to modify their diets or take nutritional supplements in hopes of reducing symptoms. But while improving a poor diet is bound to have a positive impact on overall health, there is very little scientific evidence to support a dietary approach to fibromyalgia treatment.

At its core, fibromyalgia is a central sensitization disorder, with systemic inflammation as a contributing factor. As such, we believe the primary course of treatment should be geared to restoring optimal function of the nerves and muscles, which may help to alleviate symptoms.

The clinic at NYDNRehab features some of the most advanced technologies available, to calm hypersensitized nerves and elicit a prolonged anti-inflammatory effect.

Your fibromyalgia treatment protocol may include some or all of the following therapies:

Focused Shockwave Therapy

Focused Extracorporeal Shock Wave Therapy (ESWT)

Focused ESWT technology produces high frequency sound waves to reduce pain and inflammation and stimulate the body’s own reparative mechanisms.

Myofascial Acoustic Compression Therapy (MyACT)

Our new PiezoWave shockwave machine features MyACT, a new type of focused shockwave technology that allows for deeper compression of the focused waves. Its higher frequency allows for precise neuro modulation under ultrasound guidance, with a special linear head for treating myofascial pain.

This innovative shockwave technology transforms the mechanical energy of shockwaves into biochemical signals that precisely target damaged tissues. Its versatile system of controls lets us fine-tune its output levels for precise and personalized patient care. With MyACT, we are able to repair and regenerate damaged tissues by stimulating the body’s own reparative mechanisms.

Myofascial Acoustic Compression Therapy (MyACT)

Extracorporeal Pulse Activation Technology (EPAT)

EPAT, also called radial shock wave therapy, is not a true shockwave, but uses mechanical pressure waves that are much weaker than focused shockwaves. EPAT is most useful in regenerating fascia fibroblasts and eliminating fascia densifications.

Extracorporeal Magnetic Transduction Therapy (EMTT)

EMTT transmits high energy magnetic pulses that synchronize with your body’s own magnetic fields, triggering a regenerative response in tendons, muscles, bones and nerves.

Extracorporeal Pulse Activation Technology (EPAT)

INDIBA Radiofrequency Therapy

INDIBA therapy helps to restore the ionic charge of damaged cells, for faster injury healing.

NESA Neuromodulation Therapy

The NESA device generates a biphasic low-frequency electrical current that travels through autonomic neural pathways, to restore optimal neural signaling to the brain.

NESA Neuromodulation Therapy

HIGH ENERGY INDUCTIVE THERAPY (HEIT)

High Energy Inductive Therapy (HEIT)

High Energy Inductive Therapy (HEIT) is a new technology that uses electromagnetic fields to penetrate cells, tissues, organs and bones, to reactivate the electrochemical function of cells and cell membranes. HEIT relieves pain by restoring peripheral nerve function.

Laser Therapy

Laser therapy is a non-invasive approach to treating chronic pain that reduces inflammation, eliminates pain and speeds up tissue healing. The treatment uses light energy to penetrate your skin, muscle, nerve, and connective tissues, stimulating a photochemical reaction that changes the chemical and physical properties of the affected area at the molecular level

Phoenix Theralase Laser Therapy

Ultrasound Guided Injection Therapies

Injection therapies use natural/neutral solutions that stimulate cellular repair by either nourishing or irritating the targeted cells. Guidance by ultrasound ensures that the injected substances hit their mark, for maximum effectiveness.

Ultrasound Guided Dry Needling

Myofascial trigger points often contribute to lower back pain. Dry needling is an outpatient procedure that inserts non-medicated needles into the trigger point to evoke a twitch response, releasing the trigger point and immediately relieving pain. Ultrasound guidance eliminates the need for multiple insertions, reducing pain and discomfort for the patient.

Ultrasound Guided Hydrodissection

Hydrodissection is a technique for treating peripheral nerve entrapment. It uses a saline solution to separate entrapped nerves from surrounding fascia adhesions or adjacent structures.

Our Awards

Get the Best Fibromyalgia Treatment in
NYC that Really Works!

Many patients struggle with fibromyalgia for years, going from doctor to doctor, and trying any and all potential remedies to alleviate symptoms. After exhausting all avenues of treatment, many patients resign themselves to living with fibromyalgia and the limits it imposes on their overall quality of life.

At NYDNRehab, we never give up on our patients, and we are always on the lookout for new treatment approaches to resolve pain syndromes. Don’t let fibromyalgia keep you from enjoying the activities and people you love. To get an effective and personalized fibromyalgia treatment plan, designed just for you, contact NYDNRehab today.

Range of Available Unique Physical Therapy
Treatments at Nydnrehab

Certificates and Continuing Education

What causes fibromyalgia?

The exact cause of fibromyalgia isn’t fully understood, although it seems to run in families. It may be triggered by but it’s likely a mix of factors: genetics (it can run in families), physical or emotional trauma, infections, or stress. It’s not an autoimmune disease, though it’s sometimes confused with them.

Who gets fibromyalgia?

Fibromyalgia can affect anyone, but it’s most common in women, and typically diagnosed between ages 20-50. Estimated incidence of fibromyalgia is about 2-4% of people worldwide.

How is fibromyalgia diagnosed?

There is no special test for fibromyalgia, so doctors rely heavily on the patient history and reported symptoms. The main symptom is widespread pain lasting more than 3 months. Other pain conditions must be ruled out, such as arthritis or lupus. At NYDNRehab, we use high-resolution diagnostic ultrasound to examine the myofascial system in real time, to ensure that other potential causes of pain are not overlooked.

Is there a cure for fibromyalgia?

There is no cure for fibromyalgia, but symptoms can be managed with physical therapy, therapies like electroacupuncture. regenerative therapies, and lifestyle changes like diet and exercise.

Physical therapy and rehab can be time consuming,

and a faulty diagnosis can make treatment a total waste of time.

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.

Below is a prime example of how ultrasound can take the guesswork out of diagnosis.

Learn more »

Accurate Diagnosis Is the ONLY way to

Successful Treatment

A bad physical therapy experience is one of the primary causes of unnecessary surgery

At NYDNR, we believe in

medical innovation

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.