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How to Build a Repeatable Scanning Workflow
Musculoskeletal ultrasound accuracy depends on process. A repeatable RMSK-level scanning workflow improves image acquisition, reduces bias, and strengthens clinical reliability from clinical question to documentation.
Carlos Jimenez
Feb 162 min read


Diagnostic Ultrasound: Guided Dry Needling: A Clinical Justification Using the Psoas
Dry needling is widely used in musculoskeletal practice, yet the level of anatomical precision applied during intervention varies significantly. In superficial regions, palpation may be sufficient. In deep anatomical compartments, however, assumption is not the same as certainty. Diagnostic ultrasound changes that equation. This discussion is not about using technology for novelty. It is about anatomical verification, risk mitigation, and clinical accountability particularly
Carlos Jimenez
Feb 122 min read


Understanding the Biceps Femoris T-Junction
Not all hamstring injuries behave like simple muscle strains. Recent anatomical and ultrasound-based research highlights the biceps femoris T-junction as a distinct injury site associated with prolonged rehabilitation and higher reinjury risk. This article explores the anatomy, imaging considerations, and rehabilitation implications for RMSK clinicians.
Carlos Jimenez
Feb 43 min read


Why Athletes Re-injured Muscles That “Look Healed” on Ultrasound
Muscle re-injury is one of the most frustrating problems in sports medicine.
Carlos Jimenez
Feb 23 min read


Dynamic Scanning: Where Most Clinicians Miss the Diagnosis
Dynamic muscle ultrasound goes beyond identifying structural injury. This article outlines a practical, RMSK-level workflow for using real-time scanning to assess function, guide rehabilitation, and support return-to-play decisions.
Carlos Jimenez
Jan 263 min read


When Should You Use Diagnostic Ultrasound for the Shoulder?
Diagnostic ultrasound can be a powerful tool for shoulder assessment—but only when used with intent. This article outlines an evidence-based framework for when shoulder ultrasound adds real clinical value, when MRI is the better choice, and why knowing when not to scan is just as important as knowing how.
Carlos Jimenez
Jan 123 min read


Muscle Ultrasound Is Only as Good as the Clinician Holding the Probe
Muscle ultrasound isn’t about producing perfect images—it’s about asking the right clinical questions. This article explores a structured, evidence-informed approach to muscle ultrasound that prioritizes technique, context, and clinical reasoning to support injury assessment, rehab progression, and return-to-play decisions in real sport environments.
Carlos Jimenez
Jan 23 min read


Why Ultrasound Physics and Artifacts Matter More Than Most MSK Courses Teach
Most scanning mistakes aren’t “probe problems.” They’re physics problems - and they change diagnoses. MSK ultrasound is powerful because it’s portable and real-time - but it’s also criticized as user-dependent. The difference between “seeing” and “misreading” is often whether the clinician recognizes artifacts and knows how to fix them. Ultrasound Beam Focusing and Steering Across Depth Section 1 - The uncomfortable truth: ultrasound is user-dependent Ultrasound isn’t a came
Carlos Jimenez
Dec 26, 20252 min read


Can Ultrasound Guide Return-to-Play? A Deep Dive into Muscle Architecture After Strain
Muscle strain injuries are among the most common issues seen across sport. They sideline sprinters, footballers, rugby players, endurance athletes, and weekend warriors alike. Clinicians often focus on restoring strength, reducing symptoms, and progressing running loads. But in recent years, advanced imaging and access to especially musculoskeletal ultrasound has revealed a more complicated truth: Large-scale injury surveillance data from professional soccer highlight the mag
Carlos Jimenez
Dec 19, 20255 min read


The Complete Pathway for Athletic Trainers (ATCs) to Earn an MSK Ultrasound Certification
Athletic Trainers cannot take the RMSK exam, but they can earn musculoskeletal ultrasound certification through the ARDMS MSKS/RMSKS pathway. This guide explains the official steps: SPI exam, 150 diagnostic scans, and MSKS application.
Carlos Jimenez
Dec 8, 20253 min read


How to Use Ultrasound to Track Return-to-Play Instead of Just Diagnosing Injury
A practical, RMSK-level approach for sports clinicians Rectus Femoris Partial Tear — Serial Ultrasound Healing (Weeks 1–3) In sports medicine, ultrasound is too often treated as a one-and-done diagnostic tool . A player pulls up with anterior thigh pain → we scan → we name the pathology → we move on. But the real value of ultrasound isn’t the first scan. It’s the four, six, or ten scans that come after. Return-to-play (RTP) is ultimately about progression , load tolerance , a
Carlos Jimenez
Dec 2, 20254 min read


How to Earn Your RMSK Certification: A Complete Guide for Sports Medicine & Rehabilitation Clinicians
Learn the full pathway to becoming RMSK-certified: prerequisites, clinical ultrasound hours, exam breakdown, pass rates, and preparation strategies. Includes details on Pura Health’s 2-day MSK ultrasound courses, soft tissue labs, and mentorship for RMSK candidates.
Carlos Jimenez
Nov 17, 20253 min read


Ultrasound in Sports Medicine: Seeing Muscle Healing in Real Time
Ultrasound is redefining how sports clinicians track muscle healing. This post highlights how modern imaging can visualize recovery phases, monitor vascular changes, and guide safe return-to-play after rectus femoris and hamstring injuries. Real cases show how ultrasound bridges anatomy, biology, and rehab timing.
Carlos Jimenez
Oct 28, 20253 min read


Ultrasound vs MRI for Rotator-Cuff Tears: What the Evidence Really Shows
A 2021 meta-analysis comparing ultrasound and MRI found that musculoskeletal ultrasound offers equal diagnostic accuracy for full-thickness rotator-cuff tears when performed by trained clinicians. With real-time dynamic assessment, lower cost, and immediate access, ultrasound is redefining shoulder evaluation in sports medicine serving as the first-line tool for diagnosis, communication, and early rehabilitation.
Carlos Jimenez
Oct 19, 20253 min read


When “Ankle Sprain” Isn’t a Sprain: A Hidden Extensor Digitorum Longus Tear
A 25-year-old soccer player presented with ankle pain after an inversion injury. High-resolution ultrasound revealed a rare partial tear of the extensor digitorum longus with fascial rupture and myofascial herniation—findings missed on MRI. Dynamic scanning was key to diagnosis.
Carlos Jimenez
Oct 14, 20252 min read


Diagnostic Ultrasound in Muscle Injuries: What Every Sports Clinician Should Know
A practical look at new evidence on diagnostic ultrasound for muscle injuries how it improves accuracy, prognosis, and return-to-play decisions.
Carlos Jimenez
Oct 6, 20253 min read


What Every Sports Clinician Should Know About Performing a Muscle Ultrasound Scan
Ultrasound isn’t just about spotting muscle tears. For sports clinicians, it offers a fast, dynamic, and practical way to assess injuries, guide return-to-play decisions, and monitor recovery. This blog breaks down what every clinician should know about ultrasound in muscle injuries — from evidence-based protocols to real-world sideline impact.
Carlos Jimenez
Sep 22, 20252 min read


Ultrasound in Foot & Ankle Overuse Injuries
Discover how musculoskeletal ultrasound helps detect stress fractures, tendinopathy, and plantar fascia injuries earlier than X-rays. A safe, portable, and cost-effective tool, ultrasound is transforming foot and ankle overuse injury management
Carlos Jimenez
Sep 8, 20253 min read


Quadriceps Proximal Third Injuries: What Ultrasound Reveals
Proximal quadriceps injuries are complex. Learn how ultrasound reveals direct vs indirect head tendon damage for better RTP decisions.
Carlos Jimenez
Aug 27, 20253 min read


Why I Created an Ultrasound Course for Sports Medicine Professionals
Discover how our MSK ultrasound course, built specifically for sports medicine teams, helps you assess injuries quickly, track recovery, and improve return-to-play decisions.
Carlos Jimenez
Aug 13, 20253 min read
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