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Rethinking Supraspinatus Tendon Thickness: Ultrasound Interpretation in Rotator Cuff Tendinopathy
Supraspinatus tendon thickness does not always indicate pathology. Learn how to interpret ultrasound findings in rotator cuff tendinopathy using a clinical reasoning approach.
Carlos Jimenez
5 days ago4 min read


Achilles Tendinopathy: Why the Clinical Exam Still Matters in the Era of Ultrasound
Musculoskeletal 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.
Carlos Jimenez
Mar 314 min read


Why More Practice Isn’t Enough to Master MSK Ultrasound
You 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.
Carlos Jimenez
Mar 242 min read


Sciatic Nerve–Piriformis Anatomical Variants
Sciatic nerve–piriformis anatomical variants occur in up to 17% of individuals. Learn how RMSK-level musculoskeletal ultrasound can identify these patterns.
Carlos Jimenez
Mar 164 min read


When Dynamic Ultrasound Reveals Normal Muscle Behavior
Musculoskeletal 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.
Carlos Jimenez
Mar 114 min read


Why Ultrasound Matters in Dry Needling
Musculoskeletal 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.
Carlos Jimenez
Mar 63 min read


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


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


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


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 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


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
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