Why Physical Therapy?
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 to get up the couch to 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 leave the room to find new friends or meet with the old ones. Actually you can, hardware permitting, maintain multiple independent face-to-face video-aided conversations from the comfort of your room, all at the same time.
Major museums offer virtual tours of their exhibits where one navigates the halls with a click of the mouse. It is possible 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 have a very gratifying and fulfilling day with the most strenuous physical effort expended on the trip to the bathroom or to answer the door when the food is brought in.
It gets worse. The advancements in laptop technology allow users to 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 Homo computicus. Daily physical activity has become the thing of the past as it is being replaced by prolonged sitting in front of the computer monitor and sporadic, if haphazard, gym activities, neither of which bears any benefit for our musculoskeletal system. Slouched position has been accepted as comfortable in our society. Even the furniture is designed to embrace our bent out of shape frames.
In contrast to human brain, which can easily adapt to virtual reality, human spine and musculoskeletal system is much less able to do so. Slumping for days at a time in the comfy contoured chair wreaks havoc to the delicate balance of postural alignment and destroys normal movement patterns that took millions of years for the evolution to develop.
In fact, people in their daily routines have been substituting the natural movement patterns with those that suffice to answer the demands of their computerized jobs and no less computerized leisure activities. How many people spend hours on the couch with their laptops? 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 quell the epidemic. The importance of conservative non-invasive cares as a first line of defense against poor posture and abnormal movement patterns must be established if any strategic success is to be gained.
The solution must come from both ends of the patient-doctor chain. The physicians and surgeons must accept the fact that their role is no longer primary in fighting musculoskeletal scourge and shift the emphasis to physical therapy specialists and chiropractors (the practitioners who address primarily movement faults and dysfunctions). They must acknowledge the obvious that it is easier to prevent development of wrong movement patterns than to treat herniated disk or to correct well-established thoracic scoliosis.
The patients on the other hand must be educated of the importance to see a physical therapist or a chiropractor on a regular basis, as they would go see a dentist. The treatment must be directed 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.
The secrets of posture and movement disorders are being scientifically explored and are understood on a much greater level then 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 therapy based on active dynamic model is taking primary therapeutic role. 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 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 embrace allows us to integrate this reflex neuromotor CNS-based physical therapy into 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 can not 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 physical therapy 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 physical therapy and rehabilitation Prof. Vladimir Janda of the renowned Czech School of Rehabilitation, which was heralded by the Spine magazine as the worlds 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 medicine 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, while the knowledge of functional medicine an understanding of movement is uncommon among medical doctors.
Our physical therapy facility uses the most technologically advanced rehabilitation equipment such as Alter-G (gravity reduced) treadmill, Spineforce, and Wave Vibration therapy. 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.
Please also check out our Physical Therapy page.