Ultrasound has been used in medicine for long time especially in OB and Cardiology. Recently, advancements in ultrasound technology and the development of 'high-definition' ultrasound imaging has made it possible to perform diagnostic and therapeutic interventions of the musculoskeletal system. It is no surprise, that musculoskeletal ultrasound has become the finest diagnostic asset to the field of Sports Medicine since the advent of MRI. Performed real-time at the bed side, ultrasound imaging is used as an extension of a physical exam. With the ability to scan patients in the clinic, diagnoses can be made while patients watch the ultrsound screen. This provides us the opportunity to teach patients about the injury and explain ways we can treat the findings visualized on the screen. The ability to put patients through motions during the scan also provides a dynamic component to the exam, which is not possible with MRI or other radiological studies. The muscoloskeletal ultrasound is interactive and allows for the patient's feedback during the evaluation. This reduces false positive findings by allowing a skilled Sports Medicine physician to link the patient's symptoms with the real-time images of the injury or damaged tissue.

At SRM, we can use ultrasoud to guide injections into joints, tendons, ligaments and specific muscle tissues. Injections that were not possible five to seven years ago, can now be performed through the skin under the direct visualization of ultrasound. Ultrasound guidance can also be used for minimally invasive procedures like treatment of calcific tendinopathy and percutaneous needle tenotomy. This gives patients another option before considering more invasive surgery. Ultrasound guidance also gives us the ability to deliver medicine at the desired spot. This improves results and reduces the possibility of tendon weakening resulting from blind injections with certain medications.