Recovery from
Sports and Exercise

About Post-Exercise Recovery

Exercise-induced muscle damage is a normal consequence of intense training, and full recovery can take up to several days. In response to intense training, your body activates inflammatory processes and oxidative stress that are essential to recovery and adaptation. Meanwhile, delayed-onset muscle soreness (DOMS) can slow you down and interfere with everyday activities. For athletes at the peak of their season, the capacity for quick recovery is essential to competitive performance.

For decades, athletes and fitness enthusiasts have relied on ice baths, saunas, massage and other therapies to soothe sore muscles and promote recovery. But today, new technology has upped the game on post-exercise recovery, tapping into the body’s own healing mechanisms to accelerate healing and promote adaptive responses at the cellular level. A sports rehabilitation therapist at NYDNRehab can customize a tech-driven recovery program that gets you safely back in the game in record time.

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Dr. Lev Kalika
Dr. Lev Kalika

Clinical director & DC RMSK

About Sports Rehabilitation Specialist
Dr. Lev Kalika

Dr. Kalika has dedicated his life’s work to finding innovative and effective ways to optimize human movement. He has trained under some of Europe’s most eminent pioneers in rehabilitative medicine, and has developed his own unique approach to helping athletes and physically active people enhance performance and prevent injuries.

As an expert in musculoskeletal ultrasonography, Dr. Kalika uses high resolution ultrasound imaging to detect anomalies that cause pain and undermine performance. In addition to ultrasound, NYDNRehab features some of the most advanced technologies available for sports rehabilitation and recovery.

Why Choose NYDNRehab for Recovery and Wellness?

Until recently, recovery was considered more or less a waiting game, with sleep, nutrition and hydration playing key roles. Those elements will always be at the center of recovery, but new technologies have given us tools to speed up, monitor and measure the recovery process. We are now able to quantify and analyze your results, to ensure you don’t return to sports and exercise before your body is ready. Our growing array of regenerative technologies and advanced therapies makes NYDNRehab one of the top-rated wellness centers in NYC.

Why Choose NYDNRehab for Recovery and Wellness

Benefits of Post-Exercise

Allowing time for adequate recovery after intense exercise is essential if your goals are to increase fitness parameters – strength, endurance, speed, power, agility – and enhance overall performance. Inadequate recovery time can inhibit desirable adaptations and cause further damage, while increasing your risk of injury.

Benefits of adequate post-exercise
recovery include:

 Benefits of Post-Exercise Recovery
  • Increased size and number of cellular mitochondria

  • Enhanced delivery of oxygen and nutrients to cells

  • Muscle fiber hypertrophy

  • Enhanced muscle strength and power

  • Increased VO2 Max and greater endurance

  • Enhanced speed and agility

  • Reduced risk of injury

  • Restored metabolic homeostasis – your biological state of balance

Diagnostic Ultrasonography for Sports Rehabilitation

It can sometimes be hard to distinguish between acute traumatic injuries, overuse injuries, and simple DOMS and muscle fatigue. Returning to an intense training schedule when your muscles are still sore and fatigued can be a recipe for further injury.

At NYDNRehab, we use high-resolution diagnostic ultrasonography to view the body’s tissues in real time, with your body in motion. Ultrasound imaging allows us to detect trigger points, scar tissue, adhesions and ruptures that cause pain and stiffness, and undermine your physical performance.

Ultrasound imaging is also a useful tool for feedback training, to restore optimal muscle firing patterns, and to correct mechanical deficits and compensation patterns. After an injury, your sports rehabilitation therapist can leverage ultrasound’s capacity for sonoelastography to measure muscle and tendon elasticity and stiffness, and superb microvascular imaging (SMI) to detect microvascular blood flow, important markers that indicate healing.

Diagnostic Ultrasonography for Sports Rehabilitation

Advanced Technologies
Accelerate Recovery

Regenerative technologies help to jump-start the recovery process by tapping into your body’s own innate healing mechanisms, to stimulate tissue repair at the cellular level. Following are just some of our high-tech tools for recovery and wellness:

TECAR Radiofrequency Therapy with INDIBA

TECAR Radiofrequency Therapy with INDIBA

INDIBA therapy is a type of transfer of energy capacitive and resistive (TECAR) therapy that helps to restore the ionic charge of damaged cells, for faster recovery and sports rehabilitation. We often use INDIBA in conjunction with fascia manipulation, cupping therapy and/or GRASTON therapy to eliminate trigger points and adhesions, and promote healthy fascia.

How to use fascia tools for the prevention and rehabilitation of myofascial disorders? – INDIBA S.A.

Graston Technique®: How Does It WorkYouTube · Graston Technique®3 minutes, 30 secondsJul 22, 2015

NESA Neuromodulation Therapy

NESA Neuromodulation Therapy

The NESA device delivers a biphasic low-frequency electrical current, emitting a series of intermittent and cyclical stimuli that travel through autonomic neural pathways, to restore optimal neural signaling to the brain. NESA calms irritated nerves and restores balance between the peripheral and central nervous system.

Localized Cryotherapy

Cryotherapy is one of our latest technologies at NYDNRehab. Our mobile cryotherapy machine delivers an icy-cold blast of nitrogen gas directly to the site of pain or injury, to quickly reduce swelling, soothe irritated nerves and numb pain. Cryotherapy is a great tool for rehabilitating injuries and promoting recovery from sports and exercise.

Localized Cryotherapy

Focused Extracorporeal Shock Wave Therapy (ESWT)

Focused ESWT is used as a regenerative treatment for damaged tendon, muscle and bone tissues. This technology produces high frequency sound waves to stimulate the body’s own reparative mechanisms. It is especially effective for 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. EMTT waves can penetrate deep tissues up to 18 cm beneath the skin’s surface, to target difficult-to-reach tendons, muscles and nerves.


In addition to our high-tech tools, we use
advanced therapies to restore optimal
functional movement, including:

  • Acoustic wave therapy

  • Normatec pressure

  • Acupuncture

  • Ultrasound guided dry needling

  • Fascial manipulation therapy

  • Assisted stretching

  • Therapeutic massage

Access the Best Tools for Sports Recovery in NYC

If your goals are peak fitness and ultimate athletic performance, you need to make time for recovery. But you can speed things up and get top results by leveraging the latest technologies and therapies for sports recovery in NYC, at NYDNRehab in Midtown Manhattan. Contact us today, and see what a difference a sports rehabilitation therapist can make to your overall recovery and wellness.

Access the Best Tools for Sports Recovery in NYC

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    Exercise and Sports Rehabilitation FAQs

    How many days should I allow for recovery between training sessions?
    The length of recovery time depends on a number of factors, including type and intensity of training, your unique physiology, and lifestyle factors like sleep, hydration and nutrition. That’s why we customize our recovery protocols, to meet your individual needs.
    Do all physical rehab centers offer these types of technologies?
    The types and scope of regenerative and advanced technologies for recovery at NYDNRehab are rarely found in private clinics. Dr. Kalika has developed his own unique approach to rehabilitation, combining his experience and expertise with the most advanced equipment in rehabilitative sports medicine.
    Can I pre-schedule recovery sessions to coincide with my training agenda?
    Yes, our customer service team will be happy to work with you to pre-schedule your recovery sessions.
    Do you offer personalized sports recovery sessions, or just group sessions?
    We offer personalized one-on-one sessions, designed just for you. Our holistic approach ensures that you return safely to physical activity, at the top of your game and at low risk of injury.
    What other services do you offer to enhance performance?
    We provide a vast array of services for athletes, runners and exercise enthusiasts. Get a 3D running gait analysis in our high-tech running lab, do VR feedback training on C.A.R.E.N, our computer-assisted rehab environment, or get a biomechanical and skills analysis to detect motor deficits that are invisible to the naked eye. At NYDNRehab, we have everything you need to reach your peak physical potential and stay at the top of your game.

    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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