Our Game-Changing Technologies

Technology has found its way into almost every aspect of our lives, and physical rehabilitation is no exception. Thanks to cutting-edge innovations, we are able to make more accurate diagnoses, provide more treatment options, and give our patients the ultimate level of care, to accelerate healing and restore pain-free functional movement.

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Dr. Lev Kalika
Dr. Lev Kalika

Clinical director & DC RMSK

NYDNRehab Clinical Director
Dr. Lev Kalika

Dr. Kalika has dedicated his career to revolutionizing the way pain syndromes, movement disorders and injuries are approached and treated. He gained his early knowledge from some of Europe’s most renowned pioneers in musculoskeletal medicine, and he continues to enhance his scope of practice while making ongoing contributions to the scientific literature in his field.

Over the past 15 years, Dr. Kalika has expanded his clinic to include some of the most advanced technologies available for diagnosing and treating musculoskeletal injuries and disorders. His devotion to providing patients with the most effective and up-to-date treatment options sets NYDNRehab apart as the best physical therapy and chiropractic clinic in NYC.

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Technologies for Diagnostics
and Assessment

Accurate diagnosis and assessment are foundational to effective and lasting treatment. Our advanced technologies take the guesswork out of diagnosis, giving us clear images and precise measurements that form a baseline for your recovery plan.

Misdiagnosis based on symptoms alone can lead to inappropriate treatment that prolongs your pain and dysfunction, costing you time and money without yielding results. The cutting-edge diagnostic tools at NYDNRehab are rarely found in run-of-the-mill clinics. We offer our patients one-of-a-kind personalized care that you won’t find elsewhere.

High Resolution Diagnostic Ultrasonography

High Resolution Diagnostic Ultrasonography

A broad range of musculoskeletal conditions often share similar or even identical symptoms. Without the ability to visualize the affected structures, diagnosis becomes a guessing game. Imaging via Xray and MRI can help, but they only provide localized images of the affected area, with a limited field of vision.

The clinic at NYDNRehab features the highest resolution research-grade ultrasound equipment currently available. Using this advanced technology, our skilled clinicians are able to view the affected tissues and structures in real time, with the patient in motion and providing valuable feedback.

Using a hand-held transducer, we are able to visualize nerves along their entire path, detect deep tissue trigger points, and zero in on structural issues that may be the root cause of pain and dysfunction. In addition, this technology enables us to test soft tissue elasticity, and to image microscopic blood vessels to confirm that healing is taking place.

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3D Gait Analysis Technologies

Our cutting-edge gait analysis lab equips us with the tools to evaluate walking and running gait in all three planes of motion, using precise measurements for joint kinematics, ground reaction forces, muscle firing patterns, weight distribution and more.

Unlike run-of-the-mill gait analysis that relies on subjective observational assessment, our technology-backed approach gives us quantitative data that we then use to coach and retrain your gait for maximal efficiency with minimal injury risk.

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3D Gait Analysis Technologies
3D Motion Analysis

3D Motion Analysis

Athletes, ballet dancers, fitness instructors and anyone whose daily activities include skills-specific motion can benefit from a biomechanical analysis that measures performance efficiency. Regularly performing repetitive movements with suboptimal execution can lead to acute and chronic injuries that can be career-ending and debilitating.

Our 3D motion analysis technologies enable us to precisely measure force loads, joint angles, center of mass, muscle firing patterns and more. We use your collected data to establish a baseline, then provide feedback retraining to fine-tune your movement patterns and perfect your skills. 3D motion analysis helps you optimize your performance and prolong your career while dramatically reducing your risk of injury.

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C.A.R.E.N Computer Assisted Rehabilitation Environment

Originally developed to rehabilitate injured soldiers, this multifaceted system gives us a broad range of tools for assessment, feedback and performance enhancement. Dr. Kalka has integrated his own unique selection of technologies to optimize the ways in which C.A.R.E.N helps patients to achieve their goals.

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C.A.R.E.N Computer Assisted Rehabilitation Environment

AI-Driven Assessment Tools

Artificial intelligence is gaining traction as an invaluable tool for evaluating patient strength, power and performance, and providing feedback to help restore the brain-body connection, post-injury. AI holds amazing promise for rehabilitative medicine, and NYDNRehab is among the first clinics in the USA to embrace it.

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Regenerative Technologies

The human body is capable of healing itself, but it sometimes needs a nudge to accelerate the healing process. Regenerative technologies tap into your body’s own innate healing mechanisms to stimulate and speed up healing. Our non-invasive outpatient therapies expedite recovery with minimal discomfort for the patient.

Focused Extracorporeal Shock Wave Therapy (ESWT)

Focused ESWT is used as a regenerative treatment for damaged tendon, muscle and bone tissue. This technology produces high frequency sound waves to stimulate the body’s own reparative mechanisms. It is especially effective for chronic degenerative tendon disorders and myofascial pain syndrome.


Extracorporeal Magnetic Transduction Therapy (EMTT)

EMTT is a fairly new technology that transmits high energy magnetic pulses to targeted tissues. The magnetic waves synchronize with the body’s own magnetic fields, causing a disturbance that triggers 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, bones and nerves.

Extracorporeal Pulse Activation Technology (EPAT)

Extracorporeal Pulse Activation Technology (EPAT)

EPAT

Extracorporeal Pulse Activation Technology (EPAT), also known as defocused shock wave therapy, uses acoustic pressure waves to enhance blood circulation to targeted tissues. This speeds up the delivery of oxygen and nutrients to damaged tissues and stimulates cellular metabolism, to accelerate the healing process.


HEIT

High energy inductive therapy uses electromagnetic fields to penetrate cells, tissues, organs and bones, to reactivate the electrochemical function of cells and cell membranes. HEIT generates a magnetic field 600 times stronger than the field of a normal magnet, to stimulate healing of nerves, muscles and blood vessels.

INDIBA CT9 Radiofrequency Device

INDIBA CT9 Radiofrequency Device

Our INDIBA Tecar therapy machine converts electrical current into a stable radio frequency current of 448 kHz, designed to increase and stabilize the exchange of ions in damaged cells, evoking a regenerative response that accelerates healing. INDIBA can be used to successfully treat joint and muscle disorders, low-back pain, sports injuries, surgical incisions and various pain syndromes. Another therapeutic effect of INDIBA is extreme and prolonged cellular hyperthermia. Due to this effect, INDIBA therapy combined with manual therapy and soft tissue tissue manipulation enables instantaneous release to occur, significantly shortening the number and duration of physical therapy sessions. What is normally accomplished in two months of physical therapy can be accomplished in 3-4 sessions with INDIBA.


Ultrasound Guided Dry Needling

When you push your body to its limits, your soft tissues often develop trigger points, tiny knots of muscle fibers that fail to relax, causing pain and dysfunction. When guided by ultrasound, dry needling is a quick and effective way to target deep tissue trigger points, evoking a twitch response that causes micro muscle spasms to immediate release.

Regenerative Ultrasound Guided Injection Therapies
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Technologies for Rehabilitation
and Retraining

Getting back on track after an injury can be grueling, especially if you are an athlete who needs to return to your team or event in the shortest time possible. NYDNRehab is equipped with the most advanced technologies available to speed healing, restore strength and range of motion, rehabilitate neuropathways, and optimize skills execution, so you can return to play with confidence.

Blood Flow Restriction Training (BFRT)

Blood Flow Restriction Training (BFRT)

Rebuilding muscle strength while joints and connective tissues are still healing is a challenge for athletes who need to return to sport in the shortest time possible. BFRT enables you to increase muscle size and strength at much lower training volumes, to reduce stress on still-healing structures while rapidly restoring muscle performance.

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Kineo Intelligent Load System

Kineo Intelligent Load System

We use the Kineo intelligent loading system to create customized training and rehabilitation programs for our patients. With Kineo, we can customize variable load protocols for functional training, core training, agility drills and more. The Kineo variable resistance system lets us design a personalized variable load curve based on the needs of the individual patient.

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Proteus Motion System

Proteus features a patented 3D multi-planar resistance system that provides consistent resistance through the entire range of motion. Users are prompted by external cueing to perform movements that distribute loads evenly throughout the body, enabling the user to “feel” the movement. Proteus motion enhances force production and fine-tunes motor sequencing, for optimal skills execution training.

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Proteus Motion System
Recovery and Performance Enhancement

Recovery and Performance Enhancement

Elite athletes don’t have time to waste when it comes to recovering from intense play or training, and they are always looking for ways to gain a competitive edge. The performance lab at NYDNRehab features all the high-tech tools you need to perform at your peak, in season and during training.

Pneumatic Cupping Therapy

Dry cupping is a popular recovery tool used by athletes to relieve pain, increase circulation, reduce muscle spasm and promote muscle relaxation. Its main mechanism of action is decompression of subcutaneous myofascial tissues that have undergone intense overuse during training and competition.

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Pneumatic Cupping Therapy
Real-Time Feedback Skills Training

Real-Time Feedback Skills Training

Whether you’re on the road to recovery or just want to perfect your skills, our high-tech performance lab has you covered with AI and VR assisted technologies that fine-tune your every move.

Kineo Intelligent Load

Safely rebuild strength and restore joint range of motion with intelligent loading that protects damaged tissues while optimizing performance.

Proteus Motion

Replicate real-world skills execution on this versatile equipment that prepares you to return to play with reduced risk of injury.

C.A.R.E.N

Leverage real-time VR feedback to fine-tune movement patterns, optimize balance and increase dynamic stability on this state-of-the-art computer-assisted system.

Features of C.A.R.E.N include:

  • 6 DoF (six degrees of freedom) Instrumented Platform with Dual Belt Treadmill

  • Enriched Multi-Sensory Intrinsic Feedback

  • Immersive Virtual Environment

  • Brain Neuroplasticity Potential

  • Postural Balance and Stability Training

  • Real Time Muscle and Brain Activity

Leverage Our Cutting Edge
Technologies in NYC

Whether your goal is to restore pain-free movement after surgery or an injury, or to crush your competition by optimizing your performance, NYDNRehab has the latest technological tools and expertise to help you reach your goals.

We know that rehabilitation takes time, and we believe time should not be wasted on misdiagnosis or ineffective treatment methods. Contact NYDNRehab today, and see what a difference technology can make in helping you to move and perform at your all-time best.

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    Range of Available Unique Physical Therapy
    Treatments at Nydnrehab

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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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