Diagnostic Ultrasound Scans & Guided Injections

We are proud to announce that we are now equipped to perform musculoskeletal diagnostical ultrasound scanning during the physiotherapy assessments in the clinic. The scanning will be performed as part of the assessment and is currently included in the treatment tariff.

How does Diagnostic Ultrasound work?

Diagnostic Ultrasound in musculoskeletal and sports medicine is used to identify more objectively where pathology is located. To perform a Diagnostic Ultrasound, ultrasound waves are produced by a transducer or probe. The probe is placed on the patient. Non-audible sound waves are then emitted into the body-region that is being assessed. Acoustic properties are then sent back to the probe and transferred into electrical energy that are analyzed by the ultrasound equipment, to produce an ultrasound image.

See the source image
Scans are performed with a GE Next Gen Logiq E machine in the clinic.

What are the Advantages of using Diagnostic Ultrasound ?

  • Soft tissue structure can be assessed non-invasively up to a depth 4-6 cm.
  • Safety first! No damaging radiation as compared to other imaging modalities for instance X-ray imaging.
  • Easy comparison can be made to the opposite side to determine what is normal and abnormal.
  • Immediate ‘Real-time’ dynamic assessment of movement to determine where the pain or pathology is located. This is not possible on MRI!
  • To measure progress during rehabilitation and the healing response.
  • Safer and objective decision making when to return to sport after injury.
  • Doppler signalling to establish changes in vascularisation that indicated inflammation. This is not visible on MRI!
  • Children can safely be assessed.
  • Avoid other unnecessary and costly imaging modalities.
  • Proactive approach to manage sports injuries.
  • Rapid accurate diagnosis can be established to avoid unnecessary time wasted, where conservative treatment is not indicated and onwards referral is warranted.

Sonography Training:

Diagnostic Ultrasound is a specialised radiological assessment modality that requires extensive training and experience. Sonography is not a protected title and can be performed by any practitioner. To ensure quality patient care, I have joined Brunel University and currently completing a CASE-approved post-graduate Sonography course. To optimise my diagnostic skills, I am receiving ongoing mentoring and guidance from an MSK consultant radiologist with the aim is to complete and report over 250 scans.

Examples of MSK Cases performed in clinic:

All images are used with permission from Meyer & Associates patients.

Achilles tendinopathy:

A mid-portion tendinopathy of the Achiiles tendon is evident.
Hypervascularisation due to the tendinopathic changes on power Doppler signalling.

Tennis Elbow /Lateral epicondylitis:

Plantar Fasciitis :

Shoulder Images:

Long Head of Biceps tenosynovitis
Sub-deltoid bursal thickening

Gluteal tendinopathy and Greater Trochanteric bursitis

Lateral Hip – Gluteal tendinopathy and Greater Trochanteric bursitis

Thumb Osteoarthiritis

CMC OA Thumb