Musculoskeletal Diagnostic Ultrasound Scan
Diagnostic musculoskeletal ultrasound scan uses high-frequency sound waves to produce images of the Joints, tendons, muscles, ligaments, nerves, and other soft tissue throughout the body. Thus helps to identify the abnormalities of the musculoskeletal problems.
A Diagnostic Ultrasound Scan is carried out by placing a probe (also called transducer) and gel directly on the scanning part of the body skin. Gel helps to transfer the high-frequency sound waves from the transducer into the body and back to the probe to produce the body images on the screen.
Ultrasound scan is a noninvasive procedure and does not use ionizing radiation, hence it is a safe tool to use on anyone.
What musculoskeletal problems can be diagnosed?
Few examples of common problems :
- Arthritis of the joints. Ex: Wrist & hands, foot & ankle, knee, shoulder, elbow, etc.
- Inflammatory changes in the hands and feet. Ex: Rheumatoid, gout, psoriatic arthritis, etc.
- Shoulder rotator cuff tears, biceps tendon tear, Achilles tendon tear in the ankle, and other tendon tears throughout the body.
- Bursitis: ex: shoulder, knee, and ankle.
- Ligament sprains/tears.
- Muscle tears.
- Ganglion cysts.
- Foreign bodies. Ex: glass or wood splinters.
- Carpal tunnel syndrome.
- Baker’s cyst.
How should I prepare for the ultrasound examination?
Wear comfortable and loose-fitting clothing, as you need to remove clothing and jewellery in the area to be examined.
If you are expecting to have an injection, make sure you have arranged alternative transport. This is due to your motor insurance policy, it will not be valid for at least 3 hours after the injection. Please check with your insurance policy. Either bring your partner, family member or friend with you. Alternatively, you can use either a taxi or public transport to return home.
No other preparation is required.
How is the procedure performed?
Depending on the area to be examined, you will be asked either to be seated or lying face-up or face-down on an examination table. Then the clinician applies some gel on your skin and places the probe over the gel, and the probe is moved around until the desired images are obtained. The clinician may ask you to move the extremity being examined to obtain images of all the structures of the body part.
Usually, the probe pressure does not cause any discomfort to you. However, you may experience some discomfort or tenderness while scanning over the tender areas.
After completing the ultrasound scanning, ultrasound gel will be wiped. Ultrasound gel is a water-based gel and dries quickly without causing stains. After the examination you can carry out all your daily activities as usual.
Ultrasound examination may take 10 – 20 minutes to complete, occasionally may take longer.
When will I know the ultrasound examination findings?
We will discuss the results with you after completing the exam and the signed report will be provided to you at a later time.
Some times a follow-up examination or further investigations may be recommended, to further evaluate the identified abnormality.
A follow-up ultrasound exam may also be recommended to see if there has been any change in the abnormality over time or to understand the effect of the treatment.
Are there any limitations of Ultrasound Imaging of the Musculoskeletal System?
Ultrasound does not penetrate the bone beyond the bony cortex. For this reason inside the joints or bones cannot be visualized. MRI or other imaging modalities are ideal to visualize the internal structure of bones or joints.
Deeper the structure poorer the ultrasound image quality, therefore, deeper structures in larger patients may not be seen easily.
What are the benefits vs. risks?
Noninvasive (not painful).
Sometimes, part of the examination can be uncomfortable, but not painful.
Ultrasound is less expensive than the majority of the other imaging methods.
No radiation and no known harmful side effects.
Ultrasound is a real-time imaging modality, making it a good tool for guiding the injection needle accurately.
Patients with metal implants or cardiac pacemakers can safely receive ultrasound imaging.
Real-time ultrasound imaging can show the movement of the tendon or joint.
No known harm to humans.
"I came to see Ram at his clinic regarding an ongoing issue with a tennis ball elbow injury. After carrying out an ultra scan he was able to carry out steroid injection. Very thorough and professional in explaining the root cause of the problem. Was able to give me an injection straight away and provide me with strict guidelines to follow after treatment. First class service and would highly recommend to anyone that requires pain management control."
Tennis Elbow Injury - Robbie Mehan
"Ram came to my home to deliver the treatment which was much appreciated. He was able to see me straight away, no waiting. We were able to look closely at the joint on ultrasound before he injected (hip) and see how it was looking. The injection was relatively pain-free (sharp scratch as it is done under local anaesthetic) and over fairly quickly. I have had an improvement in my mobility in the joint although I am still awaiting the full effect. I hope it will help me until the NHS are able to operate. Ram was very kind, very courteous and has kept in touch to check on my progress. Having sought other quotes for the same procedure he was very reasonable also. I would recommend him to anyone who has had this type of injection recommended to them by their Doctor. Thank you, Ram, it was much appreciated.."
Hip Pain Treatment - Alison Augustus
"Excellent treatment for trochanteric bursa.
Ram explained the procedure for the steroid injection given. He answered all of my mother's questions and provided her with the documentation for aftercare.
The procedure itself was painless and performed to her complete satisfaction. I would have no hesitation in recommending Joint Care Clinics"
Trochanteric Bursa - Lisa Mackie
"Our experience with Ram has been very positive and we would happily recommend his services to anyone. Ram is a very polite and friendly professional who took the time to explain his work before undertaking a guided steroid injection into my Mother’s knee joint. After experiencing months of pain in her knee, Mum had a GP administered steroid injection but derived no benefit. After Ram’s guided steroid injection Mum reports no pain whatsoever and it has improved her mobility considerably. Thanks, Ram"
Knee pain treatment - Julie Melck
"Great Service & highly recommend Joint Care Clinics:
My Mother-In-law has chronic knee & ankle pain. She was on painkillers every day, the pills caused a lot of heartburn & didn't help much with the pain. Ramakrishna Rachaputi suggested & explained in detail about the possible treatments. My Mother-In-law received an ultrasound-guided Injection on her knee & ankle. After that, she started feeling a lot better and no need to take pain killers every day.
All thanks to Joint Care Clinics"
Knee and ankle pain treatment - Vara Prasad Manda
"Having been in severe pain for several months in desperation I rang the Joint Care Clinic. Rami visited me at home the next day and was very thorough with his assessment. I had a ultrasound-guided injection into my hip. 10 days on and the pain has almost gone. I would recommend Rami
to anyone suffering pain in their joints."
Hip pain treatment - michael john cambridge
"Great service. I am a L4 sports massage therapist and corrective exercise specialist - and I am thoroughly impressed with the competency and knowledge of Rama. I would recommend his great service to anyone who suffer from musculoskeletal problems."
James Tang Fitness
"I recently had an Ostenil plus injection from Ram. He was very knowledgeable and put my mind at ease about the injection. He explained the procedure really well. He used an ultrasound to find the area that needed the injection. I would highly recommend him and I will definitely have another ostenil injection. I had an Injection one year earlier and it has really helped and would have no hesitation in having another one."
"Rami, was very clear in describing the procedure of what might or not occur during and afterwards. Rami also helped to make the appointment very relaxed. I personally had a very good experience and wouldn't hesitate to return"
"After experiencing bad arthritic knee pain I made an appointment with Ram for PRP injections, he was amazing, he explained everything clearly to me and reassured me as I am needle phobic, I would not hesitate to recommend this gentleman to anyone. Fantastic man ."
Knee pain treatment - JAN HATT
"I was suffering significant hip pain and the NHS muscular-skeletal unit were unable to diagnose the problem even though I had multiple scans including MRI. They were, therefore, unable to provide any treatment other than physiotherapy which didn't really help. At the first appointment with Ram, he was able via an ultrasound scan to diagnose Bursitis and give me a steroid injection. After a week or two, the pain was just about gone and my quality of life was significantly improved. I would highly recommend Ram."
hIP pain treatment - Jim McAlpine
"I have suffered problems with my left knee for several years now and have seen my local GP, Physio. , etc. and had various x-rays and treatment plans prescribed. Sadly, none of these have really helped and my knee has become progressively worse. Rami was excellent - taking a full background history to the problem followed by an exhaustive Ultrasound examination; fascinating to see ‘inside’ your knee in real-time! It is early days yet (just over one week) but , already I can start to feel an easing of the pain and a gradual ‘freeing-up’ of the joint. Overall I am very happy with the service and look forward to continuing improvement…"
"Exceptional Service & highly recommend Joint Care Clinics:
My mum has chronic knee & ankle pain. She was on painkillers everyday, the pills caused a lot of heartburn & didn't help much with the pain. Ramakrishna Rachaputi suggested & explained in detail about the possible treatments. My mum received an ultrasound guided Injection on her knee & ankle. After that she started feeling a lot better and no need to take pain killers everyday. She did enjoy her holiday in UK.
All thanks to Joint Care Clinics"
We cover a wide area throughout Warwickshire and surrounds, either by home visit or clinics in the following areas: Rugby, Coventry, Warwick, Milton Keynes, Leamington Spa, Stratford, Kenilworth, Whitnash, Atherstone, Bedworth, Leicester and Nuneaton. We also have clinics throughout the West Midlands including Birmingham and Solihull. We also have a clinic in Newcastle covering the North East.
If you do not see your area listed please still get in touch as we may be able to refer you to another practitioner in your area.