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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
5 days ago3 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


Real-Time Clarity: MSK Ultrasound Transforming Sports Medicine Practice
Discover how portable MSK ultrasound is empowering sports medicine professionals with on-the-spot injury triage, dynamic movement assessment, and precision-guided interventions. From the sidelines to the lab, learn why this “next game-changer” is revolutionizing athlete care and research.
Carlos Jimenez
Aug 2, 20253 min read


Rethinking Ankle Injury Evaluation: Why Ultrasound Is Changing the Game
Based on the 2025 narrative review by Hattori et al. in Diagnostics When it comes to ankle injuries—especially in athletes—we’ve...
Carlos Jimenez
Jul 29, 20252 min read


Reimagining Athlete Monitoring: Why It Was Time to Put This on Paper
After years working in sports medicine on fields, in clinics, with athletes at every level I kept returning to one simple question: Are...
Carlos Jimenez
Jul 16, 20253 min read


The Role of Ultrasound in Managing Soccer Injuries And Why It Belongs in Every High-Performance Environment
Ultrasound is transforming how clinicians diagnose and manage tendon injuries in athletes. This non-invasive, real-time tool allows for dynamic assessment of structures like the Achilles tendon—helping to differentiate between tendinosis, partial tears, and complete ruptures while guiding safe return-to-play decisions.
Carlos Jimenez
Apr 18, 20254 min read


How AI Learns from Ultrasound: A Step-by-Step Workflow
As a clinician, I’ve spent years interpreting musculoskeletal ultrasound images at the bedside. While this skill is crucial, I often...
Carlos Jimenez
Apr 3, 20256 min read


Bridging AI and Ultrasound: My First Machine Learning Project in Injury Recognition
Clinician performing an ultrasound scan on a patient’s knee, with imaging displayed on a portable screen.
Carlos Jimenez
Mar 10, 20255 min read
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