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What is Musculoskeletal Ultrasound?

Musculoskeletal diagnostic ultrasound is an advanced imaging tool used by our clinicians to evaluate muscles, tendons, ligaments, and joints. It’s commonly used to diagnose a variety of musculoskeletal conditions due to its non-invasive nature, real-time imaging capabilities and ability to detect abnormalities without the need for radiation. Here at Insight, we provide musculoskeletal ultrasound, as well as dry needling and cortisone injections. If you’re experiencing pain, swelling, limited mobility or frequent pain in your muscles, an ultrasound can help identify the root cause of the issue and help guide and tweak your treatment plan to your individual needs. To find out more about how we can diagnose and alleviate your painful symptoms, contact us now or book an appointment using the quick and easy online booking system. Today, we will take a look at some of the most common conditions that can be detected by this diagnostic tool.

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Tendonitis and Tendinopathy

One of the most common conditions that can be diagnosed by musculoskeletal ultrasound is tendonitis, which is the inflammation of a tendon. Tendons are thick cords that connect muscles to bones. These connective tissues can be susceptible to overuse or injury, becoming inflamed and potentially leading to pain and reduced movement. Tendinopathy refers to the degeneration or damage of the tendon tissue itself, often caused by repetitive strain or aging. Diagnostic ultrasound is highly effective in visualising tendon inflammation, tears, or thickening, especially in areas like the rotator cuff (shoulder), Achilles tendon (ankle), and the tendons around the elbow.

Bursiti

Bursitis is an inflammation of the bursae, which are small fluid-filled sacs that cushion and reduce friction between muscles and bones. When these bursae become irritated or inflamed, they can cause pain, most commonly around the shoulder, hip or knee. Ultrasound can effectively detect bursitis by visualising the increased fluid in the bursa and identifying areas of swelling or irritation. It can help clinicians confirm the diagnosis and monitor the condition over time to assess treatment effectiveness and tweak treatment if necessary.

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“Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.”

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Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists

What our patients say

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Ligament Sprains and Tears

Ligaments are the strong bands of tissue that connect bones to each other and provide added stability to the joints. A ligament sprain occurs when the ligament is overstretched or torn, often as a result of sudden trauma like a fall or twist, or perhaps due to overwork in a professional setting or at the gym. Our ultrasound can effectively detect ligament injuries such as sprains and tears by providing imaging of the soft tissue structures and highlighting areas of damage or weakness. The ability to assess ligaments in motion makes ultrasound especially useful for diagnosing injuries in the knee, ankle, and wrist.

Muscle Strains

Muscle strains, or pulled muscles can occur when muscle fibers are overstretched or torn. These injuries often result from sudden movements, overexertion or lifting heavy objects with improper form or technique. Musculoskeletal ultrasound allows for detailed imagery of muscle tissue, which can help identify tears, bruising and other damage to the muscles. It is particularly helpful in assessing the severity of strains and guiding rehabilitation by tracking healing progress.

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How much Barbotage cost?

Our Ultrasound Guided Barbotage procedure start from £300 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. 

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Arthritis and Joint Inflammation

Ultrasound is increasingly used to diagnose various types of arthritis including rheumatoid arthritis, osteoarthritis and gout. In arthritis, inflammation of the joint lining (synovitis) can lead to pain, stiffness and swelling. Musculoskeletal ultrasound can detect early signs of joint inflammation and assess the extent of cartilage damage and bone erosion. Additionally, it can help to visualise fluid accumulation inside the joints, a common feature of inflammatory arthritis conditions.

Carpal Tunnel Syndrome

Carpal tunnel occurs when the median nerve, which is the nerve that runs through the wrist, becomes compressed. This can lead to numbness, tingling, pain in the hand and wrist and reduced movement. Our diagnostic ultrasound can effectively assess the median nerve's size and detect any abnormalities, such as swelling or compression in the carpal tunnel. Ultrasound can also be used to guide injections or other treatments for carpal tunnel.

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Your clinician

All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year.

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For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly.
 

Frozen Shoulder (Adhesive Capsulitis)

Frozen shoulder is a condition characterized by stiffness and pain in the shoulder joint, which can severely limit range of motion. It is often characterised by inflammation and thickening of the shoulder capsule (the connective tissue surrounding the shoulder joint). Ultrasound can help diagnose frozen shoulder by revealing thickened tissue, fluid buildup and decreased joint mobility, aiding in both diagnosis and treatment planning.

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Here at Insight, our musculoskeletal diagnostic ultrasound is an essential tool for diagnosing a wide range of soft tissue injuries and conditions. From tendinitis and bursitis to muscle strains and ligament sprains, ultrasound offers a non-invasive, accurate and real-time view of your body’s internal structures. By utilising this diagnostic tool for early detection and in the accurate planning of treatment, musculoskeletal ultrasound enables clinicians to develop more effective and personalised treatment plans. If you're experiencing musculoskeletal pain or discomfort, contact us or book an appointment to find out more. Ultrasound may be the key to unlocking an accurate diagnosis and a faster, more effective recovery.

MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist.

10 New Cavendish St,

London, W1G 8UL,

England

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Our Central London clinic is based in The French Pharmacy in Marylebone.

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3 min walk from Harley Street

8 min walk from Bond St tube

20 min from Victoria

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​Pilates Studio in Lambeth

88 Atlantic Road,

London, SW9 8PX,

England

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2 min from Brixton Underground Station

8 min from Pimlico via Victoria Line

15 min from Oxford Circus

27 min from King's Cross St Pancras ​

Cortisone Injections at our Central London and South London Clinics

We also provide home visits

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