In 2007, we introduced musculoskeletal ultrasound to our practice, and we have found that this imaging method has substantially improved the quality and depth of the care that we offer. Our diagnoses are more accurate because of the images that ultrasound provides, and our injections are also more accurate.
Our patients often ask us, "What can you see by ultrasound?" The answer is - basically everything. Rotator cuff tears, tendinosis, tenosynovitis (inflammation of tendon sheaths), synovitis (inflammation of the joint lining), fluid in joints and plantar fasciopathy (the disorder formerly known as plantar fasciitis) are examples of conditions detectable by ultrasound imaging. In our opinion, the use of musculoskeletal ultrasound is revolutionizing the practice of sports medicine.
Ultrasound can now be used to diagnose carpal tunnel syndrome (CTS), which is outstanding news. Patients no longer have to suffer through an EMG study for the evaluation of CTS. Exact criteria were established in 2004, correlating the cross-sectional area of the median nerve at the wrist to the severity of disease. The ultrasound image above shows a median nerve enlarged to 28 mm2. A normal median nerve should be less than 10 mm2.