About Dr. Kalika

Dr. Lev Kalika revolutionized how back pain and other motor disorders are treated by introducing Dynamic Neuromuscular Stabilization (DNS) at his Midtown Manhattan practice. The results of this new method are quicker, deeper and longer lasting when compared with traditional methods.

Lev Kalika developed a strong passion for movement and body mechanics in the late 1980s, when his brother opened the first body building gym in their home city of Odessa (Ukraine). Kalika was a medical student at the University of Odessa just when bodybuilding was beginning to surface in the post Soviet era Ukraine. The translated literature on the subject was scarce in Odessa at that time, and Lev Kalika taught himself English in order to read imported English language body building magazines and study everything he could find on the culture of body motion. He was especially interested in the role of the CNS (Central Nervous System) and how different muscle groups interacted with each other and the rest of the body.

In 1993 Lev Kalika left Odessa and moved to the U.S. to continue his medical studies here. At one point, Lev developed mysterious chest pains that baffled several doctors until a friend recommended that he see a chiropractor (D.C.). He took this advice and after several sessions his condition began to improve. It was then that he realized that chiropractic methods appealed to him more than conventional allopathic medicine because it addressed the cause of the pain rather than its symptoms.

 Dr. Kalika then moved to Chicago where he enrolled in the National College of Chiropractic. While exploring various programs geared to help advance his studies, he discovered precious little published on the subject of the CNS (Central Nervous System) in most American chiropractic postgraduate programs. There were courses on conventional medical neurology and orthopedics, but none on the functional type of medicine that he wanted to learn.

1997-1998: Dr. Kalika received a fellowship in Manual Medicine in Motol Hospital in Prague, Czech Republic under world-renowned Professor Karel Lewit, MD. Later on Dr. Kalika studied in Charles University (also in Prague) with another world-famous neurologist professor, Vladimir Janda, a man who was widely hailed as the world’s leader in ‘rational therapy’ in musculoskeletal medicine and rehabilitation. Thereafter he met Prof. Pavel Kolar, a European sports celebrity doctor and developer of the DNS (Dynamic Neuromuscular Stabilization) method of treating musculoskeletal disorders. Observing Kolar’s treatment techniques and procedures and seeing how instantaneous the results were, Lev had little doubt what his next step would be: Become a master of doing DNS.

Following years of studying in Prague and learning the Czech language, Dr. Kalika was certified in both Vojta therapy and DNS according to the Kolar approach.

Dr. Kalika is very proud to be the first practitioner on the East Coast of the US to have the privilege of introducing the DNS method It has made a world of difference in how back pain and other locomotor issues are approached and treated.


This background combined with his active membership in numerous scientific societies and his continuing education (100+ different courses) in the field of locomotor disorders, back pain, sports medicine and rehabilitation, naturally got Dr. Kalika keenly interested in technological advances in the field of back pain and sports injury rehabilitation as well as unique ultrasound use for diagnostic purposes. This led Dr. Kalika to spent several years being mentored by Christopher Powers, P.T, Ph.D. of USC, a world renown leader in biomechanical research and the treatment of runners and professional athletes. 

Dr. Kalika is an active member of the British Royal Society of Medicine. While diagnosing and treating tarsal tunnel syndrome, a nerve compression in the medial ankle that mimics plantar fasciitis, Dr. Kalika discovered a common variation of this pathology that has yet to be described in the literature. While recently attending a conference of the British Royal Society of Medicine, Lev shared his discovery with a panel of leading world experts in the field. They agreed that his findings were probably correct, and he was encouraged to publish them so the scientific community could further research this particular common pathology, which has not yet been explained. Dr. Kalika plans to publish his work on this variation of tarsal tunnel syndrome in the near future.

Dr. Kalika also studied Musculoskeletal Diagnostic Ultrasound under acclaimed European experts in orthopedic radiology such as professor Alexander Kinzersky, MD (Chelyabinsk, Russia) and Anna Vovchenko, MD.

Dr. Kalika gained registration by the ARDMS (The American Registry for Diagnostic Medical Sonography) after passing the first MSK (Musculoskeletal Diagnostic Ultrasound) examination ever given in the US. 

After moving into his Upper East side clinic in 2011 and acquiring new groundbreaking technology (the first such privately owned devices in the US) including C.A.R.E.N (Computer Assisted Rehabilitation Environment), as well as establishing a gait and running analysis, sports injury prevention and sports performance lab, Dr. Kalika had indisputably established himself as an expert in the conservative treatment of back, hip, knee and shoulder pain as well as sports injury disorders.


Dr. Kalika is currently certified and is a member of:

In addition, he has taken over hundred postgraduate courses in the field of back pain, sports medicine, gait and neuromuscular, neurological and orthopedic rehabilitation.

Dr. Kalika utilizes a variety of Manual Medicine, Physical Therapy and Osteopathic approaches, which he has either learned directly from world-renowned experts or from extensive formal training and certifications. Among these are:

  • DNS (Dynamic Neuromuscular Stabilization according to Kolar)

  • • Vladimir Janda (Muscle Imbalance Syndromes Approach)
• Manual Therapy Approach by Karel Lewit

  • • ISM (Integrated System Approach by Diane Lee and L.J Lee)
  • • MSI (Movement System Impairment Approach by Shirley Saharmann)
• Mojisova approach

• BPP by Jarmila Capova

  • • KLAP Crawling

  • • Muscle Energy Technique

  • Vojta Therapy (Treatment of neurological disorders in adults and children)

  • • CranioSacral therapy

  • • Feldenkrais Approach

  • • Christopher Powers Approach of return to sports and rehabilitation of PFPS (patella femoral pain syndromes) and sports related knee injuries

  • Gait analysis and gait rehabilitation for runners and patients with orthopedic problems in lower extremities

  • • Dynamic Alignment Through Imagery (Erick Franklyn) – ballet dance medicine
• Extracorporeal Shock Wave Therapy

  • • ART (Active Release Technique)

  • • RUSI (Rehabilitative Ultrasound Imaging) for diagnosis and training of deep stabilizing system

  • • Myofascial release

  • • Positional Release

  • • SEMG (surface)

Dr.Kalika just coauthored in a new medical textbook, 
which is going to be published later this year in one of
the worlds leading medical publication Springer-Verlag.


Сurrently Dr.Kalika is enrolled in Post Graduate University Degree of Expert in MusculoSkeletal Ultrasound By Barcelona University

Research at NYDNRehab

Spine Conferences 2018

With prof. Pavel Kolar – the founder
of DNS therapy


With prof . Karel Lewit M.D the legend
of Manual Medicine and my most first mentor


Barcelona football medicine conference, Camp Nou.


DNS graduation with Karel Lewit and Pavel Kolar. Proud to be one of the first DNS practitioners in the US.


It’s great to breath the same air as the legend of musculoskeletal ultrasonography, Prof. Carlo Martinoli” – Dr. Lev Kalika at MUSoc 2017 – The 27th Annual Meeting of the Musculoskeletal Ultrasound Society.

4 5

I have been a fan of this guy for years and he finally gave his first lecture in English, in London. Dr.Carles Pedret is a world-class medical consultant for muscle injuries in soccer players, tennis players and Olympic sprinters. He is called upon by EPl, Ligue One and LaLiga teams to asses when elite athletes like Messi , Ronaldo or Bale can safely return to the playing field after injury. Dr. Pedret reminds us that the most brilliant people are often the humblest. It was a great experience learning to combine MRI , ultrasonography and advanced functional technology to estimate and provide optimal treatment.

Dr.Carles Pedret and Lev Kalika

I constantly upgrade my knowledge by listening to 3 of the world’s best running medicine clinicians: Chris Powers PT PHD, Irene Davis PT PHD and Brian Hiderschide PT PHD.This was my third congress over last 10 years for treating running injuries and performing gait/running analysis


Musculoskeletal Ultrasound Conference – Tel Aviv 2017


I have been using nerve ultrasonography to diagnose peripheral neuropathy for the past three years. This is a relatively new skill that requires an expert-class ultrasound machine with superior imaging. My interest in nerve ultrasonography was sparked by work I was already doing with NCV/EMG testing and manual nerve work, using physiotherapeutic techniques such as neurodynamics and nerve manipulation therapy introduced by Jean-Pierre Barral. My 20 years of experience have shown that a lot of musculoskeletal orthopedic pain complaints are actually caused by underlying nerve pathology. To improve my diagnostic skills, I have been studying with professor Carlo Martinoli, MD, PHD, a world leader in nerve diagnostic ultrasonography.

Ankle sprains and their aftermath are often underrated by health care providers and the general public, yet ankle injuries are second only to ACL ruptures in severity, and are the most common musculoskeletal injury. Even the most minor ankle injury can alter your gait, changing the way you walk, run and move. At NYDNRehab, we use specialized technology to determine the severity of ankle sprains, and how they affect the entire body along the kinetic chain. We use objective data to measure the patient’s progress and determine when they can safely return to sports and other activities.


My greatest passion and one of the things that defines and differentiates my practice is superior diagnostic skills. I am proud to be the first DC to pass a six-hour exam in diagnostic musculoskeletal sonography in 2010. Since then, I have traveled all over the world to learn diagnostic musculoskeletal ultrasonography from the world’s best, including: Carlo Martinoli MD, PHD, Anna Vovchenko MD, Aleksander Kinzersky MD PHD, GULF COAST, MUSOC and many other courses and conventions.

My journey with biomechanics, gait analysis and running medicine began when i met Chris Powers PT PHD, who is the world’s most renowned researcher and therapist in the fields of running medicine, gait and running analysis, ACL rehabilitation, return to sports and injury prevention.


Proud to be the second American to represent EPMA in the field of sports medicine, injury prevention and rehabilitation. My speech addressed different approaches needed by patients in ultra-urban environments.

In Paris finally certified with Bernard Bricot -“ the king of Posture” . The missing link of eyes and jaw influence to posture is filled”


Proud to be the talk of professional athletes. Quincy Williams was referred by his brother, who plays for the NY Jets: “best place to go for professional athletes in NY.”

Despite 10 years of experience with instrumented gait analysis, attending multiple running medicine conferences, certification in clinical biomechanics, and personal experience with Chris Powers, I decided to undertake this additional certification to ensure that no single detail concerning the assessment and treatment of running injuries escapes me.


Diane is one of the world leaders in physical therapy research. She is well published (books, chapters and journal articles). Her combined clinical and education experience culminated in the co-development of The Integrated Systems Model for Disability & Pain (ISM).

It feels great to help athletes compete and recover. This time it’s Mohamed Elshorbagy, one of the world’s best squash players. Number 1 in 2014 and 2018.


Another Olympian, Dagmara Wozniak is a US Olympian fencer.

(ISPRM ( International Society of Physical and Rehabilitation Medicine) , Orlando 2020 )


Pirates starting pitcher Neil Kozikowski

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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)


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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