Repetitive Strain Injury
Physical Therapy

About Repetitive Strain Injuries

Whether you type on a computer, dig ditches, play a violin or throw a football for a living, certain movement patterns are repeated again and again, to the point where they become almost automatic. But unless you take measures to offset recurring movements, they can lead to repetitive muscle strain that causes pain and dysfunction. Repetitive strain injury physical therapy helps to heal damaged tissues, eliminate pain and restore functional movement.

Contact us »


Dr. Lev Kalika
Dr. Lev Kalika

Clinical director & DC RMSK

About Injury Rehab Specialist
Dr. Lev Kalika

Dr. Kalika has devoted his life’s work to finding better ways to treat pain syndromes and movement disorders. His holistic and integrative approach is geared to treating the whole patient, not just the symptoms.

As an expert in high-resolution diagnostic ultrasonography, Dr. Kalika has made significant contributions to the body of rehabilitative scientific research. He puts his expertise to work at his Manhattan clinic, providing real-time diagnostic ultrasound imaging to his patients to uncover the underlying causes of pain and dysfunction.

The clinic at NYDNRehab features some of the most sophisticated technology available for diagnosis and treatment, making NYDNRehab a premier clinic for rehabilitative medicine in NYC.

Why Choose NYDNRehab for Repetitive Strain Injury Physical Therapy?

In the absence of a fracture or traumatic injury, conventional medicine focuses on treating pain symptoms without attempting to eliminate their underlying cause. Even physical therapy clinics take a one-size-fits all approach to pain treatment, prescribing generic exercises and therapies that don’t take into account the patient’s unique characteristics.

At NYDNRehab, we treat the patient, not just the symptoms. Our personalized one-on-one approach ensures that your treatment protocol is geared to your individual needs. By personalizing your treatment plan, we are able to get fast and effective results, so you can get back to your normal daily activities.

Our state-of-the-art diagnostic tools help us to accurately identify your underlying condition, to avoid misdiagnosis that costs you time and money. Our advanced technologies enable us to quantify and measure your progress, so your treatment is never hit-or-miss.

Our patient-first approach makes NYDNRehab the clinic of choice for repetitive strain injury physical therapy in NYC.

Why Choose NYDNRehab for Repetitive Strain Injury Physical Therapy?

Repetitive Strain Injury Symptoms
and Common Types


  • Burning, aching or throbbing pain

  • Weakness and stiffness in the affected structures

  • Numbness and tingling

  • Muscle cramping

  • Redness and inflammation

Common Types

  • Carpal tunnel syndrome

  • Tennis elbow (lateral epicondylitis)

  • Tendonitis in the wrist, hand and fingers

  • Rotator cuff tendonitis

  • Peripheral nerve entrapment

Accurate Diagnosis is Essential to Effective Treatment

Repetitive strain injuries often involve muscles, nerves and connective tissues, creating a complex condition that needs a multi-faceted treatment approach. At NYDNRehab, we use high-resolution diagnostic ultrasound imaging to visualize the structures in the affected area in real time. But we don’t stop there.

Repetitive strain injuries often affect, and are affected by, structures in other areas of the body. We look beyond the locus of pain to detect habitual posture issues or suboptimal movement patterns that contribute to your pain and disability.

Our advanced equipment gives us capabilities for sonoelastography and superb microvascular imaging, technologies used to identify and measure your response to treatment. Our human movement lab is equipped with cameras, force plates and advanced computer technology, to evaluate and measure movement quality.

Accurate Diagnosis is Essential to Effective Treatment
Repetitive Strain Injury Physical Therapy Pre-Treatment

Repetitive Strain Injury Physical Therapy Pre-Treatment

Physical therapy is not always a stand-alone solution for repetitive strain injuries. For physical therapy to be most effective, we need to address possible structural damage that interferes with movement.

Structural issues that require pre-treatment include:

  • Neurogenic inflammation (where sensitized nerves activate an inflammatory immune response)
  • Thickening and fibrosis of fascial tissue
  • Reduced muscle elasticity
  • Myofascial trigger points
  • Neuromuscular instability
  • Nerve compression or impingement
  • Hyper-excitability of nervous fibers
  • Impaired joint mobility and/or stability

Neglecting to identify and treat structural issues before beginning repetitive strain injury physical therapy can make the condition worse instead of better, costing you time and money, and prolonging your pain and dysfunction. Pre-treatment can dramatically shorten your repetitive strain injury recovery time.


Treatment for Repetitive Strain Injuries

Recent advances in rehabilitative medicine have equipped us with tools to accelerate your recovery process and make it more effective. Repetitive strain injuries often arise in connective tissues with limited vascularity, making them slow or resistant to healing.

Regenerative technologies help to jump-start the healing process in slow-to-heal tissues. They work at the cellular level by stimulating the body’s innate reparative mechanisms. We often use them in the pre-treatment stage, to prepare the body for repetitive strain injury physical therapy.

Our regenerative technology toolbox includes:

Focused Extracorporeal Shock Wave Therapy (ESWT)

ESWT produces high frequency sound waves to stimulate the body’s reparative mechanisms. It is especially effective for degenerative tendon disorders and myofascial pain.

Extracorporeal Magnetic Transduction Therapy (EMTT)

EMTT transmits high energy magnetic pulses that synchronize with the body’s own magnetic fields, triggering a regenerative response.

Extracorporeal Pulse Activation Technology (EPAT)

Extracorporeal Pulse Activation Technology (EPAT)

Extracorporeal Pulse Activation Technology (EPAT)

Also known as defocused shock wave therapy, EPAT uses acoustic pressure waves to enhance blood circulation to targeted tissues.

High Energy Inductive Therapy (HEIT)

HEIT uses electromagnetic fields to penetrate cells, tissues, organs and bones, to reactivate the electrochemical function of cells and cell membranes.

NESA Neuromodulation Therapy

NESA Neuromodulation Therapy

NESA Neuromodulation Therapy

NESA uses a biphasic low-frequency electrical current to emit a series of intermittent and cyclical stimuli, to calm hyper-excited nerves and restore optimal neural signaling to the brain.

INDIBA Radiofrequency Therapy

Indiba is a form of TECAR therapy that uses electrical current to increase the exchange of ions in damaged cells.

INDIBA Radiofrequency Therapy

INDIBA Radiofrequency Therapy

Stecco Method Facial Manipulation Therapy

Stecco Method Facial Manipulation Therapy

The Stecco technique uses deep manual friction to reduce the density of damaged tissues, freeing up tissue layers to become more fluid and glide freely.

Dynamic Neuromuscular Stabilization (DNS)

DNS taps into your body’s inherent developmental movement patterns, to restore functional movement and promote mobility and stability.

Dynamic Neuromuscular Stabilization (DNS)

Ultrasound Guided Dry Needling Procedures



injects a biologically neutral solution to irritate affected tissues, stimulating the body to grow new normal ligament or tendon fibers.

Prolozone Therapy

injects a combination of procaine, anti-inflammatory medications, vitamins, minerals, and a mixture of ozone/oxygen gas into injured or degenerated joints or tissues to jump-start the healing process.

Prolozone Therapy

Dry needling

targets myofascial trigger points that often contribute to repetitive strain injuries.

Preventing Repetitive Strain Injuries

Your body is a biological machine, and repeating the same movements over and over can cause wear and tear on your structures. There are many things you can do on a daily basis to avoid the onset of repetitive strain injuries.

  • Give your muscles periodic rest breaks throughout the day, and apply gentle massage and stretching
  • Ice and elevate sore limbs at the end of the day
  • Use compression gloves or bandages to support achy muscles and joints
  • Do alternative activities that use muscles in different ways
  • Do not ignore early symptoms
  • Request an ergonomic evaluation of your work station
  • Get a biomechanical analysis to identify and correct inefficient movement patterns

In addition, adopting positive lifestyle behaviors can dramatically reduce your risk of repetitive strain injuries. Eating fresh whole foods and high-quality protein, staying hydrated, getting enough sleep, and regular exercise all work together to make you injury-resistant.

Preventing Repetitive Strain Injuries

Get Repetitive Strain Injury Physical Therapy
that Really Works!

They call it a daily grind for a reason — repetitive movements day after day can wear you down, creating pain and dysfunction that keep you from doing your best. Don’t wait until pain becomes unbearable before seeking treatment, or you could make matters worse.

Most people cannot wait for weeks to return to their daily activities. At NYDNRehab, we zero in on the unique needs of every patient, to get you back up to speed in the least time possible. Our advanced technologies combined with the experience and expertise of our staff provide a winning combo for fast and effective recovery from repetitive strain injuries.

Range of Available Unique Physical Therapy
Treatments at Nydnrehab

    Get free-pain treatment

    Provide your contact details and we will contact you during our operating hours

    Our Awards

    Repetitive Strain Injury FAQs

    Is there a difference between a repetitive strain injury and an overuse injury?
    Repetitive strain injuries are caused by performing the exact same movement pattern over and over again. Overuse injuries are caused by overloading the body’s structures, but not necessarily with the same identical movement patterns.
    Won’t my injury flare up again, as soon as I go back to work?
    Before giving you the green light to go back to work, we make sure your tissues are fully healed. We also strengthen the affected structures, correct inefficient movement patterns, and equip you with strategies to prevent future injuries.
    How does dry needling help a repetitive strain injury?
    Repetitive muscle strain can lead to the formation of trigger points — tiny knots of contractile fibers that cause pain and interfere with movement. Dry needling causes a twitch response in the trigger point that relaxes excited fibers and immediately relieves pain, to restore unrestricted movement.
    What is the average repetitive strain injury recovery time?
    The recovery process varies greatly, depending on the type and location of the injury, and the individual patient. We do everything we can to accelerate the healing process and get you back on your feet. Compliant patients who adhere to their treatment plan are most likely to see the fastest results.
    Can I just treat my repetitive strain injury with medication?
    While you can use over-the-counter analgesics to mitigate pain, you will only be masking the symptoms without getting to the underlying cause. Repetitive strain injury physical therapy is a conservative approach to treatment that does not rely on drugs or surgery. Our goal is to eliminate the underlying cause of pain, not just treat the symptoms.

    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

    Buy now 3D Gait
    Payment Success
    Request Telehealth Request Telehealth Request in office visit Book now