FROM THE CLINIC TO THE FIELD
Musculoskeletal ultrasound, injury assessment, rehabilitation, and the questions that connect them.
57 articles
Accurate knee ultrasound requires precise anatomical localization and recognition of imaging artifacts. This clinician-focused article examines joint effusions, deep infrapatellar bursitis, extensor tendon pathology, Baker’s cysts, and the limits of meniscal assessment, with practical guidance on image interpretation and reporting.
Read articleA precise calf ultrasound assessment identifies the injured muscle, myotendinous junction, aponeurosis, or tendon. This clinician-focused review explores gastrocnemius and soleus injury patterns, examination technique, reporting considerations, and imaging limitations—and explains how anatomical findings inform rehabilitation and return-to-sport decisions.
Read articleCan an old rectus femoris scar tell you about a player's injury history? A prospective study of young football players explored ultrasound-detected scars, tendon and aponeurosis involvement, and subsequent muscle injuries. We explain the findings through a 25-player squad example, including what injury rates mean and why age and previous injury change the interpretation. Learn how to place scar findings in clinical context without turning an ultrasound image into an individual injury prediction.
Read articleA rare first rib stress fracture in a young baseball pitcher highlights the value of dynamic musculoskeletal ultrasound. Learn how real-time imaging reproduced symptoms, identified pathology, and expanded the role of ultrasound beyond static assessment.
Read articleFrom injury diagnosis to rehabilitation progression, diagnostic ultrasound is increasingly being used to support clinical decision-making, monitor recovery, and enhance patient care in sports medicine.
Read articleExplore how diagnostic ultrasound influences rehabilitation, return-to-play decisions, and clinical management beyond diagnosis in sports medicine.
Read articleCan diagnostic ultrasound monitor fracture healing? This case report explores the use of musculoskeletal ultrasound to visualize cortical disruption, callus formation, and bone remodeling during the follow-up management of a distal fibular fracture.
Read articleUltrasound is evolving beyond static imaging. This article explores how fascial gliding can be quantified using motion tracking and what this reveals about tissue behavior, recovery, and performance. A shift from structure to measurable tissue mechanics.
Read articleSupraspinatus tendon thickness does not always indicate pathology. Learn how to interpret ultrasound findings in rotator cuff tendinopathy using a clinical reasoning approach.
Read articleMusculoskeletal ultrasound has transformed how clinicians evaluate Achilles tendinopathy, but new research suggests clinical examination still plays a critical role. This article explores the relationship between tendon structure, pain on palpation, and how ultrasound findings should be interpreted in sports medicine practice.
Read articleYou can practice MSK ultrasound consistently and still feel unsure. This reflection explores why repetition alone isn’t enough — and how feedback and guidance change everything.
Read articleSciatic nerve–piriformis anatomical variants occur in up to 17% of individuals. Learn how RMSK-level musculoskeletal ultrasound can identify these patterns.
Read articleMusculoskeletal ultrasound allows clinicians to observe tissue behavior during movement. This article explores a dynamic ultrasound observation of the rectus femoris during a Reverse Nordic exercise, highlighting how the central tendon behaves under eccentric loading.
Read articleMusculoskeletal ultrasound is increasingly used to improve safety and accuracy in dry needling procedures. This article explores how real-time ultrasound visualization helps clinicians identify anatomical structures, avoid neurovascular risks, and enhance precision when performing needle-based interventions.
Read articleMusculoskeletal 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.
Read articleDry 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 when intervening...
Read articleNot 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.
Read articleDynamic 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.
Read articleDiagnostic 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.
Read articleMuscle 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.
Read articleMost 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 camera. It’s an...
Read articleMuscle 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 magnitude of muscle...
Read articleAthletic 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.
Read articleA 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 , and how well...
Read articleExplore RMSK certification requirements, clinical experience, exam topics and preparation steps, plus Pura Health’s MSK ultrasound mentorship.
Read articleUltrasound 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.
Read articleA 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.
Read articleA 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.
Read articleA practical look at new evidence on diagnostic ultrasound for muscle injuries how it improves accuracy, prognosis, and return-to-play decisions.
Read articleUltrasound 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.
Read articleDiscover 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
Read articleProximal quadriceps injuries are complex. Learn how ultrasound reveals direct vs indirect head tendon damage for better RTP decisions.
Read articleDiscover how our MSK ultrasound course, built specifically for sports medicine teams, helps you assess injuries quickly, track recovery, and improve return-to-play decisions.
Read articleDiscover 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.
Read articleBased on the 2025 narrative review by Hattori et al. in Diagnostics When it comes to ankle injuries—especially in athletes—we’ve...
Read articleAfter years working in sports medicine on fields, in clinics, with athletes at every level I kept returning to one simple question: Are...
Read articleUltrasound 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.
Read articleAs a clinician, I’ve spent years interpreting musculoskeletal ultrasound images at the bedside. While this skill is crucial, I often...
Read articleClinician performing an ultrasound scan on a patient’s knee, with imaging displayed on a portable screen.
Read articleCompetitive athletes are 3x more likely to return to sport within 9 months after ACL reconstruction compared to recreational athletes.
Read articleA futuristic digital wireframe representation of athletes running on a sports field, symbolizing AI-driven biomechanics tracking, performanc
Read articleRMSK certification is the gold standard in musculoskeletal ultrasound, signifying expertise and commitment to high-quality patient care.
Read articleDiscover how ultrasound screening can prevent injuries, save MLS teams millions, and keep players performing at their best.
Read articleForce plate testing reveals persistent deficits in jump height, RSI, and strength post-ACLR, highlighting key rehab targets.
Read articleOptimize My Jump 2 app in clinical settings with solutions for accuracy, training, and advanced evaluations. Empower your practice!
Read articleRecovery isn’t a formula. Inspired by Gabbett and Oetter’s research, this blog explores the need for tailored, complex recovery strategies.
Read articleTargeted resistance training with Nordic Hamstring and Hip Extension exercises can significantly improve muscle strength
Read articleInjury risk after return-to-play: Discover how severity and position affect recovery in football.
Read articleExplore how a new Shiny app visualizes hamstring injury risk factors, turning complex research into actionable insights for sports medicine.
Read articleDiscover how R Studio and Shiny revolutionize diagnostic ultrasound reporting with customizable, interactive, and professional tools.
Read articleCombining data and clinical knowledge, our Looker Studio dashboard tracks Cristiano Ronaldo’s hamstring rehab for a safe return to play.
Read article“Using R Studio, the Tendon Pain Monitoring Dashboard leverages linear regression, EWA, and reactive coding for advanced sports medicine
Read articleAssessing tendon tissue early helps personalize treatments, prevent injuries, and improve mobility.
Read articleCreate dynamic sports medicine dashboards with Google Forms, Sheets, and Looker Studio. Learn to collect, organize, and visualize data easy.
Read articleIntroduction Diagnostic ultrasound is an invaluable tool in sports medicine, providing a non-invasive, real-time, and dynamic assessment...
Read articleThe UEFA Women’s Elite Club Injury Study, encompassing four consecutive seasons from 2018/2019 to 2021/2022, offers an invaluable dataset...
Read articleUnderstanding common football injuries: hamstring, groin, and ankle injuries are frequent with varying recovery times and re-injury rates.
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