Learn About Our Approach

Learn About Our Treatment Approaches

At New York Dynamic Neuromuscular Rehab, we give our patients their lives back by relieving pain and optimizing fluid movement. We create unique treatment programs tailored to each patient’s pain and injury. Our experienced team uses sophisticated diagnostic methods and tools to find the best combination of specialists and approaches, to give our patients the best quality care. Every patient is given an individualized treatment plan based on careful testing and assessment. We are skilled in both manual and technological treatment approaches.
Most importantly, we genuinely care about our patients!

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Why Physical Therapy Alone May Not
Resolve Your Condition

Physical therapy is a valuable and effective approach to resolving musculoskeletal pain and dysfunction, but in many cases, physical therapy does not provide a stand-alone solution. Prior to beginning physical therapy, patients often need to address underlying issues that contribute to their pain and disability.

Unfortunately, mainstream physical therapy clinics are often not adequately equipped or experienced to identify and treat complications that undermine the effectiveness of physical therapy. They often rely on one-size-fits-all treatment protocols that overlook the unique characteristics of the individual condition, opting to treat the symptoms and not the patient.

Issues that should be addressed prior to beginning physical therapy include:

  • Scar tissue and fascia adhesions

  • Neurogenic inflammation

  • Joint edema

  • Inflamed soft tissues

  • Myofascial trigger points

  • Compressed or entrapped nerves

  • Tendons that have degenerated and lost their elastic properties

  • Compensation patterns developed post-injury

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Failure to identify and treat these underlying issues prior to beginning physical therapy can completely undermine your treatment protocol, and in some cases, your condition may even worsen.

At NYDNRehab, we use a broad range of advanced technologies and innovative therapeutic approaches to resolve issues that can potentially undermine the success of physical therapy.

Our talented staff is certified in a diverse array of treatment methodologies, rarely found in run-of-the-mill physical therapy clinics. Our one-on-one sessions are personalized, based on the patient’s unique diagnostic profile.

Obstacles to physical therapy success include:

  • Scar tissue and fascia adhesions
  • Neurogenic inflammation
  • Joint edema
  • Inflamed soft tissues
  • Myofascial trigger points
  • Compressed or entrapped nerves
  • Tendons that have degenerated and lost their elastic properties
  • Compensation patterns developed post-injury

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We’ve Got Your Back!

At NYDNRehab, we combine conventional orthopedic and functional neuromuscular medical tools with advanced technologies and innovative methods. Our goal is to find the best conservative, regenerative treatments for relieving pain and optimizing mobility, to promote healing and prevent future problems.

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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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