MSK Diagnostic Ultrasound

We are now accepting referrals from Chiropractors, Physiotherapists, Osteopaths, Sports Therapists, GPs.

If you wish to refer to us, please refer to the referral forms attached below, and email it to alex@liverpoolchiropracticclinic.co.uk:

What is MSK Ultrasound?

Musculoskeletal Diagnostic Ultrasound is a non-invasive procedure that uses sound waves to help clinicians diagnose various musculoskeletal pathology more accurately and to help clinicians in the treatment of their patients suffering from pain and injuries.

Ultrasound imaging, also known as ultrasonography is carried out by putting some cold gel on the surface of the skin and using a small probe that transmits high frequency sound waves to the body. It then receives the soundwaves that bounces back to the probe to generate a real-time image on the ultrasound system.

There is no ionizing radiation with ultrasound compared to its imaging counterparts such as X-rays and Computed Tomography (CT) scans. Thus, there is no exposure to the patient.

What is MSK Ultrasound useful for?

DUS provides images of tendons, ligaments, muscles, nerves and joints. One of the greatest advantage of MSK DUS is real-time dynamic imaging and its ability to detect inflammation. Ultrasound dynamic imaging is very useful as it allows the detection of impingements, subluxation of tendons, ligamentous laxity or tears, trigger finger etc. which cannot be detected by other imaging methods such as Magnetic Resonance Imaging (MRI), CT or X-rays.

 

We will be offering scans for the following area:

· Shoulder

· Elbow

· Wrist

· Hand

· Knee

· Ankle

· Foot

How should I prepare for my scan?

An ultrasound scan requires little to no special preparation.

The skin around the overlying area will be exposed during the scan and you may be asked to wear a gown. However, depending on the area investigated, wearing loose-fitting clothing may be sufficient.

How is the procedure performed?

For most examinations, you will be asked to be seated on a chair or lying down on an examination table. During the scan, our chiropractor and ultrasonographer Dr.Eunise Yeo may ask you to move the part examined in a certain way or will move it for you in order to evaluate the anatomy sufficiently.

Gel will be placed on the examined area to ensure full transmission of soundwaves into your body to get the best images possible. The transducer will be placed on your body and moved back and forth to investigate the anatomy in interest. The procedure will be relatively painless. However, the pressure of the transducer might be mildly uncomfortable.

Most scans would be completed within 30 minutes. However, it may sometimes require more time. You may resume your normal activities immediately after your scan.

Benefits vs Risks

Benefits

– It is cost efficient. DUS costs less than an MRI.

– DUS is non-invasive

– No ionizing radiation (unlike X-Rays & CT)

– Dynamic real-time imaging allows the imaging of movement of soft tissue structures such as tendons, ligaments, joints etc. Most other imaging only provides static imaging.

– DUS is a quick procedure and you will be able to have interactions with the ultrasonographer during the scan.

– DUS gives a clear image of soft tissues that cannot be seen on X-Rays.

– DUS is an excellent alternative to MRI for claustrophobic patients

– Compared to MRI, ultrasound may provide greater internal detail when assessing soft tissue structures such as tendons and nerves.

Risks

– DUS is safe and painless and has no known harmful effects on humans.

What happens after the scan?

Your ultrasonographer (Eunise) will interpret the images and send a detailed report to your referring clinician who requested the examination. Usually your referring clinician will go through the results with you. If it is appropriate, Eunise may discuss the results with you directly after the scan.

In some cases, a follow up examination may be necessary in certain abnormalities if there is a need for further evaluation, additional views or different imaging technique. Sometimes a follow up examination may be required for certain abnormalities so that it can be monitored over a period of time.

Limitations of an ultrasound scan

Ultrasound waves have difficulty penetrating bone. Thus, ultrasound will not be able to image deeper structures of bones and joints. MRI may be more appropriate to visualised deeper structures of a joint.

There is a limitation of how deep soundwaves can penetrate. Therefore, deeper structures of larger patients may not be seen as clearly.

We are now accepting referrals from Chiropractors, Physiotherapists, Osteopaths, Sports Therapists, GPs.

If you wish to refer to us, please refer to the referral forms attached below, and email it to

alex@liverpoolchiropracticclinic.co.uk: