Doctor of Chiropractic from National College of Chiropractic Chicago, Ill BS – Brooklyn College, New York, NY
Diagnostic musculoskeletal ultrasonography, ultrasonography of nerve compression disorders, application of diagnostic ultrasonography in rehabilitation medicine,dry needling under ultrasound, ESWT(extracorporeal shockwave) , gait analysis for runners and people with orthopedic disorders of lower extremities and lower back pain,motor development in children, byopsychosocial origin of back pain, sports medicine, postural therapy, manual medicine (chiropractic and osteopathy), rehabilitation of tendon and muscle injuries,personalized and preventive medicine, movement performance, weight bearing imbalance and post surgical rehabilitation, motion analysis, virtual reality and robotic rehabilitation, rehabilitation of concussion disorders and treatment of vestibular-balance disorders.
Medical School – Saint Petersburg Medical State Academy
Wykoff Heights Medical Center (Residency)
Wykoff Heights Medical Center (Internship)
Dr. Mikhail Bernshteyn is a Primary Care Doctor with a Medical Degree from Saint Petersburg Medical State academy. Dr. Bernsteyn completed a Residency and Internship at Wykoff Heights Medical Center. Dr. Bernshteyn is fluent in English, Spanish and Russian.
Dr. Pekar is a graduate of National University of Health Sciences Chiropractic College. Her expertise working with conditions of the pelvic floor and lower kinetic chain from the perspective of gender differences in biomechanics and motor control make Christina a welcome addition to our team. Dr. Pekar enjoys being physically active and works out on a regular basis. Christina is an avid dog lover.
Dr. Michelle Agyakwah graduated from University of Bridgeport College of Chiropractic. She has a Bachelor of Science from Pennsylvania State University. Dr. Agyakwah employs various soft tissue techniques with patients, such as cross friction massage, post isometric relaxation, myofascial release and more. Dr. Michelle also offers rehabilitation exercises and various mobilization techniques such as Red Cord, DNS and therapeutic Pilates.
Mariam graduated from the University of Toronto with a Master’s Degree in Physical Therapy, after graduating with honors from York University with a Specialized Bachelor’s Degree in Kinesiology and Health Science. She has experience working with patients with orthopedic conditions, neurological conditions, brain injuries and neurotraumas. Mariam has a passion for helping her clients achieve their rehab goals through individualized care, grounded in manual therapy, functional exercise and gait retraining. While practicing at our clinic, she continues to expand her knowledge and manual skills through advanced coursework. Mariam is a certified therapist in Anatomy in Motion for gait analysis and re-training. She has completed several courses for the assessment and management of TMJ dysfunction, and neck and orofacial pain. She is also certified in Mulligan concept techniques, neurokinetic therapy levels 1 and 2, and SFMA 1.
Apart from staying active with hiking, kayaking, playing soccer and basketball, Mariam enjoys traveling and spending time with her family and friends.
HyunJu started working as physical therapist with associate degree of physical therapy from An-san University in South Korea in 2007 and received Bachelor of physical therapy in 2011, graduated from Sahmyook University in 2014 with a Master of Science in Physical Therapy. She worked in Samsung Electronics Company and Samsung Hospital as physical therapist dealing with employees of the company applying ergonomic concepts. She has working in outpatient orthopedics treating all types of injuries including joint replacements, sports and work injuries, as well as acute and chronic pain. Those experience encouraged her to board filed becoming NYS physical therapist. She obtained NYPT license in 2015 then, attended Dominical College and received Doctorate of physical therapy in 2017.
HyunJu is a dedicated evidence-based practitioner and continues to supplement her education through research and continuing education courses including:
HyunJu is also studied Counseling Psychology with bachelor degree from Seoul Digital University to deeply understand patients perspective. Her goal is to provide customized PT services to workers and sport athletes with individual posture and exercise program from core stability to dynamic stability.
and a faulty diagnosis can make treatment a total waste of time.
Failure to accurately diagnose a condition in its early stages can lead
to chronic problems and sometimes devastating results.
Diagnostic musculoskeletal sonography (MSUS) provides the perfect tool for the rehab practitioner. Yet many doctors and physical therapists have no experience with MSUS, are unaware of its advantages, and have no idea how to use it as a diagnostic tool.
Below is a prime example of how ultrasound can take the guesswork out of diagnosis.Successful Treatment
A bad physical therapy experience is one of the primary causes of unnecessary surgery.
We have equipped our clinic with the latest research-grade technology to arrive at objective and accurate diagnoses, and to objectively measure our patients’ progress.
Most importantly, we are the only facility in the US where structural medical diagnosis is reflected in functional treatment, and vice versa.
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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