Why Physical Therapist?

In New York City people leave very fast and stressful life. The ability to walk and sit is very important for a New Yorker. At Dynamic Neuromuscular Rehabilitation our physical therapist NYC specialists understand that and make treatment efficient and targeted. Here is our take on the practicing physiotherapy in New York City.

The Facts of Life

If you read this, you are sitting down. Not surprising! In our era of prevailing sedentary life style we spend much more time seated down than we ever have in the past. Grassy playgrounds of the childhood are largely replaced by synthetic-green screens of computer games. In the virtual world the batter hits the ball with the flick of the wrist and dribbles the basketball with rapid movements of his thumbs. Players don’t need toss the bowling ball for a strike, or serve an ace, or putt an eagle.
People have become entangled in the web of on-line social groups where they do not need to-face video-aided conversations from the comfort of your room, all at the same time.
Major museums offer virtual to take a walk in the botanic garden or enjoy a gondola ride in the canals of Venice without moving a single major muscle.
In fact it is possible to answer the door when the food is brought in.
It gets worse. The advancements in lapto perform all of the above without even as much as getting out of their beds.
The truth is we are gradually and irrevocably digressing from Homo erectus to embrace our bent out of shape frames. Indeed sitting has become the smoking of our generation.
In contrast to develop.
In fact, people in their daily routines have been substituting the natural movement patterns with those that suffice tops? How many people have the slightest idea of what the proper ergonomic position at the desk might be?

The Pain is Here

Postural alignment is a foundation of the healthy human movement. Healthy movement patterns are disrupted if postural alignment is continuously kept off line. Proliferation of the neck, middle back, shoulder, elbow and wrist painful syndrome complaints have reached endemic proportions throughout the civilized world. Dramatic increase in the number of prolonged seating-induced low back and the pelvic painful syndromes sends thousands of sufferers to seek professional help. Orthopedic surgeons are overwhelmed by the numbers and are presently fighting the losing battle in a war with musculoskeletal diseases.
This war can only be won if medical professionals realize that conventional surgical treatment methods can no longer help to be gained.
The solution must come from both ends of the patient-doctor correct well-established thoracic scoliosis.

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The patients on the other hand must be educated of the importance to identification and elimination of the faulty, repetitive movements, misalignments, poor posture and structural overuse before structural pathology reveals itself in a surge of debilitating pain. Only then the epidemic could be brought under control.

Fighting back

The secrets of posture and movement disorders are being scientifically explored and are understood on a much greater level than before. As a result new much more effective rational conservative therapies are developed.
The latest scientific consensus is that great majority of musculoskeletal complains can and must be treated conservatively. On the recent multidisciplinary world congress on back and pelvic pain only 10 percent of lecture time were allocated to surgical and other invasive interventions. Unique and innovative concepts with excellent research backup were presented.
Physical therapy based on passive therapeutic modalities is being phased out and can only be employed in a supportive role at best. Modern physical therapist bases his treatment on active dynamic model. If patients’ dysfunctions are timely addressed and patients are disciplined about their home exercises there would be rare need for the invasive procedures.

Dynamic Neuromuscular Rehabilitation

Dynamic Neuromuscular Rehabilitation is a multidisciplinary facility with the emphasis on physical therapy and rehabilitation of patients suffering from back pain, neuromuscular, orthopedic and sports-related disorders.

Our Method

Our approach is based on the functional model and the dynamic fusion of manual medicine into physical therapy and rehabilitation.
Our experience with the DNS – a breakthrough scientific method we were the first clinic in NYC to the treatment of back pain, sports injuries and orthopedic disorders.
Dr. Karel Lewit (our mentor and the godfather of European school of manual medicine and rehabilitation) once said: Rehabilitation is time consuming and the time cannot be wasted.” With that in mind we have created a thoughtful and rational approach combining the most unique rehabilitation methods with modern physical therapy. Our therapeutic method is based on integration of most scientifically proven, innovative approaches and techniques such as Dr. Shirley Sahrmanns MSI and the DNS by Dr. Pavel Kolar among others.

Our Physical Therapy Treatment

Our physiotherapy treatment is based on meticulous clinical evaluation of movement dysfunction using most advanced and scientifically proven examination techniques.
Dr Kalika’s experience goes back to working under one of the world’s leading physicians in the field of physiatry and rehabilitation Prof. Vladimir Janda of the renowned Czech School of Rehabilitation, which was heralded by the Spine magazine as the world’s leader in the field of physical therapy and rehabilitation of the 20th century.
Dr. Kalika’s proficiency in imaging with diagnostic ultrasound, his many years of experience working with leading European sports medicine and back care specialists, his knowledge in orthopedics and sports physical therapy allow him deeper understanding of medical diagnosis and its implications for the rehabilitation. This indeed is a rare occurrence among the practitioners in the fields of musculoskeletal medicine. Knowledge of medical diagnostics is rare among physical therapists and chiropractors.
Our physical therapist NYC uses the most technologically advanced rehabilitation equipment such as Alter-G (gravity reduced) treadmill, C.A.R.E.N ( Computer assisted rehabilitation environment) and force plate video feed back training.Our individualized approach and broad expertise in musculoskeletal dysfunctions has helped patients with variety of neuromuscular and orthopedic disorders. Among our patients are star Olympians, elite professional athletes and NYC ballet dancers.


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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