The running and sports injury clinic was developed to provide a diagnostic service to injured runners and other athletes. In order to understand the cause of running injuries sophisticated and precise biomechanical analysis must be conducted. This type of evaluation includes a computerized gait analysis that utilizes a state of the art motion analysis laboratory. The motion analysis laboratory includes: specialized treadmill, 3D video analysis system with special software, surface electromyography system and ground reaction force plate.


Occupational injuries in ballet dancers are fractures, sprains, strains and ligament injuries of the joints.

Pain in the lumbosacral area may be caused by acute trauma of spinal joints and chronic diseases that have developed because of professional stress. Past spinal injuries could cause persistent headaches.
Typically, patients who have suffered an acute ballet injury get to the physical therapist. Of course, surgical and conservative treatment is important, but we recommend you treat the effects of ballet injury with dynamic neuromuscular stabilization.

Types of injuries:

  • stretching
  • rips and tears
  • fractures
  • crush syndrome

Using dynamic neuromuscular stabilization techniques, it is possible to remove the joint contractures, spasms, back pain, relieve pain symptoms significantly and often completely get rid of them.


Probably the most common ballet dancers’ injury meets the knee. Due to the high loads of the knee joint and inevitable drops, we observe torn ligaments, joints and fractures. Treatment of knee injuries is rather complicated and prolonged, as a consequence of the osteopathic treatment of such injuries is the rapid rehabilitation of the actor, to return to work, as well as the prevention of severe complications injuries, such as sprains, repeated subluxations, instability of the knee joint and deforming arthritis .
Hip injuries are also typical for ballet dancers. It is a severe injury, which is accompanied by a set of problems, including inflammatory processes developing in the pelvic organs. If the injury requires large hip surgery and prolonged immobilization, in this case, the therapy methods are imperative in order to eliminate health problems, restore the patient’s ability to get back to work.

Diseases of the joints such as the wrist, ankle, shoulder, not necessarily related to the ballet trauma, but progressive occupational diseases of the joints perfectly amenable to treatment with DNS.
Experts of the Dynamic Neuromuscular Rehabilitation in NYC have extensive experience of successful ballet injury therapy.


Knee joint

Damage to the knee joint for the ballet actors is one of the most common injuries. High functional load, the complexity of anatomical and biomechanical features cause a wide range of damage of various anatomical structures of the knee joint.

The actual sports traumatology problem is, as much as possible, earlier resumption of physical activity, after treatment and the ability to continue the patient’s intense training regime.
Early emergence and progressive course of deforming arthritis and instability of the knee with the development of secondary damage of various anatomical structures are the main limiting factors to continue ballet career. In this regard, particular important are the treatment methods to restore the integrity of damaged capsular ligamentous structures and menisci, covering the first 2-3 weeks of the injury.

Our ballet injuries therapy clinic originally use DNS method of simultaneous reconstruction of the knee.


The value of the hip trauma treatment method is that it allows an objective assessment of the existing pathological changes of intra-structures that cannot always be detected in the survey with the use of traditional methods of research, and further define the desired range of therapeutic interventions to restore joint function.

Subcutaneous ruptures of the Achilles tendon

Currently, the ballet injury clinic increased the number of patients with subcutaneous rupture of the Achilles tendon. For ballet dancers conservative treatment of chronic Achilles tendon pain are ineffective. The clinic has developed a method of treatment of this disease with the positive effect achieved through the restoration of the power of Achilles tendon tissue.

Ankle joint

In recent years, in the Clinic is widely used DNS for the ankle joint. Treatments are carried out under the supervision of the qualified therapist. The main indications for performing DNS are unexplained pain, synovitis, blockades, limitation of movement, osteochondral injury and aseptic necrosis of the head of the radius and humerus.

Shoulder joint, wrist joint and elbow

Since 1999, the Clinic has implemented and successfully used in DNS of the wrist joint deforming arthrosis, osteochondral lesions, restrictions of movement in the joint, aseptic necrosis of the hand bones, wrist joint and elbow.

Extracorporeal shock wave therapy

Since 2011 at the Dynamic Neuromuscular Rehabilitation clinic we use the method of extracorporeal shock wave therapy to treat a variety of degenerative diseases of the musculoskeletal system («heel spur», humeral epicondylitis, the Achilles tendon pathology etc.). Long duration and the lack of effect of conservative treatment is an indication for the most advanced and innovative treatment of fractures of the long bones. Results of this method in more than 200 patients showed its high efficiency for ballet injury therapy and ballet injury prevention.


Ballet injury treatment should be started immediately after the injury (within 20 minutes), with assistance during the first time, the restoration of up to 50 %. If you do everything on time, you will get back to ballet much earlier.

  • REST – try the first 1 – 3 days, to ensure complete rest, but watch out that the muscles do not atrophy and occasionally do a light massage to the blood came.
  • ICE – first it is a struggle with edema. Ice to put in the first 10-15 minutes, then every hour for 10-15 minutes, especially the first day, and put on a wet rag, not to the skin , keeping the skin froze.
    PRESSURE – compressive elastic bandage reduces run-off pressure. Apply during the movement of lymph that is starting just below the injury. With the appearance of swelling below the bandage, cyanosis, this indicates that the bandage pulls blood vessels. At night do not wrap the bandage!
  • UP – the injury area has to be raised about the level of the chest, for the outflow of blood and lymph. Try to keep the rise of the first 72 hours!

Edema usually builds in the first 72 hours. It mostly prevents the recovery, so to start deal with the swelling treat it in the first place. For the first 24-72 hours do not warm the damaged area and eliminate all physical activities. All this will result in an increase in gain and edema, and an increase in the length of your recovery. If within 24-48 hours symptoms has not decreased, they require the clinic treatment.

Under what circumstances you should definitely call the doctor:

  • deformations in the area of ​​injury
  • severe pain
  • loss of consciousness
  • incoordination
  • vomiting
  • secretion of the ears and nose, colorless or blood
  • seizures
  • shortness of breath
  • rake with arterial bleeding


Many years of research have allowed us to identify and evaluate the role of chronic microtrauma in ballet dancers in the pathology of the musculoskeletal system and to offer effective methods of prevention and treatment. Since the foundation of the present day Dr. Kalika’s clinic is a leader in DNS sports therapy. There have been treated hundreds of athletes, ballet dancers and circus performers.

The focus of research in recent years has been the improvement of methods of stabilizing the knee and shoulder joints based on new technologies. In order to reduce the time of consolidation of fractures and early activation of patients in the clinic have been widely used original methods of dynamic neuromuscular stabilization for Ballet injury physical therapy and Ballet injury prevention

For the first time developed system of ballet injury therapy for the patients with lumbosacral pain is combining methods of conservative treatment, as well as non-invasive high-tech approach. Differentiated application of therapeutic methods will fully and quickly restore the spine’s function and improve professional performance. When treating patients who are widely used such modern and highly informative diagnostic methods as Computer Assisted recovery environment (CAREN). Along with this, the ballet trauma center started the application of stimulating the reparative processes in the muscles and cartilage tissues.

Clinic has the primary role in the development and wide distribution of non-invasive methods of diagnosis and treatment. Used and developed by the Dynamic Neuromuscular Rehabilitation center in NYC unique techniques of neuromuscular treatment for various types of instability, knee and shoulder joint treatment, diseases and injuries of the elbow, wrist and ankle joints can significantly improve the results of treatment for these types of diseases.