About Dr. Kalika

Dr. Lev Kalika has been working to revolutionize physical medicine, rehabilitation, sports medicine and athletic performance since 1998. Sports medicine and injury rehabilitation became a calling when playing sports in his teenage years. While qualifying to play for a professional soccer team in his hometown of Odessa, Dr.Kalika sustained a devastating injury to his ankle which ended his soccer career. He then moved on to bodybuilding, a passion of his brother who opened the first bodybuilding gym in Odessa.

Pain from the ankle injury persisted later in the US while Dr. Kalika was in medical school. When he was unable to get help from the medical community to resolve his ankle pain, he decided to switch career paths, from allopathic medicine to chiropractic. Dr. Kalika’s experience with his ankle injury became a key driver for his dedication to improving patient care.

Dr. Kalika graduated from chiropractic school, but at the time the discipline had a limited mindset, and Kalika intuitively knew that there was more to alternative medicine than what chiropractic had to offer. He consulted his uncle, a famous Soviet neurologist, who introduced him to the work of Lewit and Janda, and secured him a preceptorship at the Motol hospital with Dr. Karl Lewit.

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Dr. Kalika learned the Czech language and moved to Prague to learn the European model of manual medicine while working at Motol hospital, side by side with world-renowned experts Dr. Vladimir Janda and Dr. Karl Lewit, who revolutionized the field of functional medicine. After two years, professor Lewit introduced Dr. Kalika to then rising star of the Prague school of Rehabilitation Dr. Pavel Kolar, the creator of DNS (Dynamic Neuromuscular Stabilization), a method widely used today, all over the world. Dr. Kolar served as physician to several of the world’s most elite athletes, including Roger Federer Jaromir Jagr, Novak Jokovic and many others. After studying with Kolar and certifying in DNS and Vojta therapy, Dr. Kalika returned to New York.

After 8 years of practice and learning multiple other manual and rehab methods, Dr.Kalika moved on to the field of sports medicine and biomechanics by studying with one of worlds leading experts in running medicine, gait analysis and sports rehabilitation, Dr. Christopher Powers of USC. Biomechanics, gait analysis and sports injury rehab became new passions because they allow for movement to be quantified and reassessed whenever needed. To Dr. Kalika, objectivity was the missing link in physical therapy and chiropractic.

Pursuing his passion, Dr. Kalika was able to secure a grant that helped pay for C.A.R.E.N (computer assisted rehabilitation environment), the most advanced biomechanical technology in the world. This technology is mostly found in research university labs and military rehab hospitals, and not available to the general public. C.A.R.E.N is a multi-sensory immersive environment consisting of a network of hardware and software. It is used for real-time motion analysis, testing and rehabilitation.

Around the same time, Dr. Kalika began performing ESWT (extracorporeal shock wave therapy), for which he was an early pioneer in the US. He went to study in Luxembourg with world-renowned orthopedist Marcu Gleitz, MD, who stressed the importance of understanding diagnostic musculoskeletal sonography to get the best results from ESWT. At that time, diagnostic musculoskeletal sonography was just emerging in the US , so Dr. Kalika went to study in Europe with renowned Russian radiologist Dr. Alexander Kinzersky, and the world’s best musculoskeletal ultrasound radiologist, Dr. Carlo Martinoli.

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In the recent years, after conducting multiple research studies in the field of functional musculoskeletal ultrasonography and ultrasound guided dry needling, and contributing his expertise to multiple publications, Dr. Kalika is considered an international expert in integrative rehabilitation, sports medicine, injury prevention, athletic performance, and ultrasound guided dry needling. NYDNRehab is considered the most technologically advanced private clinic in the US. The clinic features a range of technologies available only in top research labs like Harvard and Mayo Clinic, making them available for patient care, not just research.

In 2019 Dr. Kalika was invited to speak at EPMA (European Society of Predictive, Preventive and Personalized Medicine) on the topic of urban rehab.

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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.

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


Research at NYDNRehab

Spine Conferences 2018
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With prof. Pavel Kolar – the founder
of DNS therapy

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

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Barcelona football medicine conference, Camp Nou.

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

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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.

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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
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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

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Musculoskeletal Ultrasound Conference – Tel Aviv 2017

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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.

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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.

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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”

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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.

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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.

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Another Olympian, Dagmara Wozniak is a US Olympian fencer.

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

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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)

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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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