new york city
integrative rehabilitation group

Chronic Knee Pain

A New York, winner of the Patients' Choice Awards.
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About Chronic Knee Pain

Many people assume that joint pain is just part of getting older, and most don’t seek knee pain treatment until their mobility is severely impaired. But chronic knee pain is not a normal part of aging, and seeking knee pain treatment early on can save you from severe disability later in life.

The knee is a complex joint made up of multiple interdependent structures, and chronic knee pain can have multiple causes. An accurate diagnosis and knee pain treatment by a seasoned professional can completely resolve your chronic knee pain and restore pain-free movement.

Dr. Lev Kalika

About Knee Pain Specialist Dr. Lev Kalika

Dr. Kalika has devoted his life’s work to finding innovative and effective ways to resolve musculoskeletal pain and dysfunction. As a world-renowned expert in musculoskeletal ultrasonography, Dr. Kalika is able to use high resolution ultrasound imaging to detect anomalies that often go unnoticed by lesser trained clinicians. Dr. Kalika offers technologically advanced knee pain alternative treatment options that are rarely found in private rehabilitation clinics. He has successfully treated hundreds of patients suffering from knee pain in NYC.

Chronic Knee Pain Potential Causes

Torn or ruptured meniscus
Torn ligaments
Degenerative tendons
Muscle imbalances
Suboptimal gait mechanics

Old injuries that were never rehabilitated
Injuries and anomalies elsewhere in the lower kinetic chain
Excess body weight
Sedentary lifestyle
Arthritic inflammation

Accurate Diagnosis is Key to Successful Knee Pain Treatment

The source of chronic knee pain can be difficult to pinpoint, especially if your clinician lacks the expertise and technology to find the underlying cause. At NYCIRG, we use the highest resolution diagnostic ultrasonography to examine the knee joint and related structures.

Our track record of success with knee pain treatment is due to our combined years of experience and extensive training in ultrasound imaging, innovative therapies and advanced technologies that let us precisely measure and track your progress.

Our high-tech gait analysis lab lets us detect gait defects that are invisible to the human eye, which are often the underlying cause of chronic knee pain.

Our access to advanced equipment and our impressive credentials in knee pain alternative treatment options sets NYCIRG apart as the clinic of choice for knee pain in NYC.

Why Physical Therapy Alone is Not Always
Enough for Successful Knee Pain Treatment

Conventional physical therapy clinics often start knee pain treatment with one-size-fits-all physical therapy exercises, but doing so can actually prolong your pain and slow your progress.

At NYCIRG, before we begin physical therapy, we pre-treat the body’s tissues and structures, to remove any impediments that can undermine the effectiveness of physical therapy.

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

Average physical therapists often lack the skills and knowledge to pre-treat these conditions, and few clinics have access to the technological tools needed to address them.

Our Advanced Technologies are Game-Changers for Chronic Knee Pain

The clinic at NYCIRG features some of the most advanced technologies available for musculoskeletal rehabilitation.

Focused Shockwave Therapy (ESWT)

Extracorporeal Shockwave Therapy (ESWT)

Focused ESWT technology produces high frequency sound waves to stimulate the body’s own reparative mechanisms. ESWT helps to reduce pain and inflammation, increase circulation to targeted tissues, and stimulate the body’s innate healing mechanisms. Depending on the type, location and severity of damaged tissues, the effects of ESWT may be enhanced by other advanced technologies.

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, to trigger a reparative response. EMTT waves are able to target difficult-to-reach tendons, muscles, bones and nerves.

Electromagnetic Transduction Therapy (EMTT)

Myofascial Acoustic Compression Therapy (MyACT)

Our new PiezoWave shockwave machine features MyACT, a new type of focused shockwave technology that allows for deeper compression of the focused waves. Its higher frequency allows for precise neuro modulation under ultrasound guidance, with a special linear head for treating myofascial pain.

NESA Neuromodulation Therapy

The NESA device generates a biphasic low-frequency electrical current that travels through autonomic neural pathways, to restore optimal neural signaling to the brain.

NESA Neuromodulation Therapy

Extracorporeal Pulse Activation Technology (EPAT)

EPAT, also known as defocused or radial shockwave therapy, uses acoustic pressure waves to enhance blood circulation to targeted tissues. Many practitioners use only radial shockwave therapy – aka EPAT – which is a pressure wave and not a true shockwave. EPAT does not have the same reparative potential as ESWT, and research shows that even focused shockwaves are less effective than ultrasound-guided ESWT.

High Energy Inductive Therapy (HEIT)

HEIT uses electromagnetic fields to penetrate cells, tissues, organs and bones, to reactivate optimal electrochemical function and stimulate healing of nerves, muscles and blood vessels.

HIGH ENERGY INDUCTIVE THERAPY (HEIT)

Localized Cryotherapy

Cold therapy has been used for centuries to treat soft tissue injuries, numb pain and reduce inflammation. Today, modern technology brings us a more efficient and effective means of leveraging cold therapy using nitrogen gas. When used with other therapies, localized cryotherapy helps to provide fast relief and speed recovery during the rehabilitation process.

INDIBA Radiofrequency Therapy

INDIBA therapy is a type of transfer of energy capacitive and resistive (TECAR) therapy that helps to restore the ionic charge of damaged cells, for faster injury healing and rehabilitation. The INDIBA CT9 converts electrical current into a stable frequency of 448 kHz that resonates with the cells’ own inherent frequency.

INDIBA Radiofrequency Therapy

Extracorporeal Shockwave Therapy (ESWT)

PRP therapy uses a sample of the patient’s own whole blood, which is spun in a centrifuge to extract a high concentration of platelets. When injected into damaged tissues, PRP initiates tissue repair by releasing biologically active factors to stimulate the synthesis of new connective tissues and blood vessels. PRP can help to jump-start the healing process.

Proliferation Therapy, aka Prolotherapy

Prolotherapy uses a biologically neutral solution, often containing dextrose, saline or lidocaine. The solution irritates the affected connective tissue, stimulating the body’s own natural healing mechanisms to encourage growth of new normal ligament or tendon fibers.

Kineo

Motion Analysis

Ultrasound Guided Dry Needling

We use ultrasound to guide many of our targeted needling therapies. Guidance with high resolution ultrasound ensures that our therapeutic techniques hit their mark, for maximum effectiveness.

Get the Best Physical Therapy for Knee Pain in NYC

Many people who seek treatment for chronic knee pain see only temporary results that fail to get at the underlying cause. When knee pain returns and persists, they give up, resigning themselves to reduced mobility and a diminished quality of life.

At NYCIRG, we never stop until we identify the exact cause of your chronic knee pain and resolve it. Our one-on-one personalized approach ensures that your knee pain treatment is customized to your specific needs. We treat the patient, not just the symptoms, and that makes all the difference. Contact NYCIRG today for knee pain alternative treatment that really works!