Other Physical Therapy Approaches

Dr.Kalika utilizes variety of different Manual Medicine, Physical Therapy, Osteopathic approaches which he learns directly from world renowned experts or has taken extensive formal training and certifications:

  • 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 electromyography retraining for TMJ and headache disorders)

 

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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)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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