Private Musculoskeletal Assessment with Diagnostic Ultrasound

Insight MSK – Specialist Musculoskeletal Clinic

One-stop diagnosis and treatment for muscle, tendon, and joint pain

If you’re living with persistent pain and don’t know why, you’re not alone. Many people see multiple practitioners, receive conflicting opinions, and still don’t get clear answers.

That’s exactly why I created this one-stop musculoskeletal (MSK) assessment and diagnostic ultrasound service — so you can get the answers and treatment you need in one visit.

During a single, hour-long appointment, I’ll carry out a thorough clinical assessment, perform a real-time diagnostic ultrasound scan, give you a clear diagnosis, and — if appropriate — provide an ultrasound-guided injection or treatment plan there and then.

No waiting weeks for imaging.
No juggling multiple appointments.
Just clarity, reassurance, and a plan to get you moving again.

What makes this musculoskeletal assessment different?

Most patients are used to the slow and fragmented route:

  • 1
    See a GP or physio.
  • 2
    Get referred for an ultrasound scan elsewhere.
  • 3
    Wait for results.
  • 4
    Return for treatment — often weeks later.

With my one-stop MSK assessment, everything happens in a single, comprehensive session:

  • Full clinical history and examination – I’ll take time to understand how your symptoms began, how they affect you, and what’s helped (or not helped) so far.
  • Diagnostic ultrasound scan – Performed by me using advanced high-resolution imaging equipment during your appointment.
  • Same-day diagnosis – You’ll leave knowing exactly what’s going on.
  • Treatment plan or ultrasound-guided injection – If appropriate, I can provide treatment there and then.
  • Detailed written report – Including your diagnosis, care plan, and exercise recommendations to support recovery.

This integrated approach saves you time, money, and frustration — and, most importantly, it speeds up your recovery.

Why choose a one-stop MSK assessment and ultrasound clinic?

Traditional care can stretch over several weeks and multiple appointments with different clinicians. In that time, your symptoms may worsen and your confidence can fade.

By combining clinical expertise with diagnostic imaging and treatment, my one-stop service offers:

  • Rapid answers and reassurance – No more guessing what’s wrong.
  • Personalised care – Tailored advice, not generic exercises.
  • Convenience – Assessment, scan, and treatment in one visit.
  • Continuity – One experienced clinician guiding you from diagnosis to recovery.

As one patient put it:

“Max is a highly trained, responsive, and caring practitioner. He’s helped me manage knee pain and arthritis for years, keeping me active and pain-free. I couldn’t recommend him highly enough.”
Helena Davis, 55, Personal Assistant at the Royal College of Psychiatrists

Understanding diagnostic ultrasound imaging

Diagnostic ultrasound is a safe, non-invasive, radiation-free imaging technique that allows me to see what’s happening inside your muscles, tendons, and joints in real time.

Unlike X-rays or MRI scans, ultrasound shows structures as they move — I can watch tendons glide, muscles contract, and joints move dynamically. This makes it invaluable for pinpointing musculoskeletal problems such as tendon tears, inflammation, or joint impingement.

During your scan, I’ll apply a clear gel to the skin and move a small probe over the area. You may feel gentle pressure, but it’s not painful. I follow the British Medical Ultrasound Society (BMUS) guidelines to ensure the highest safety standards.

What conditions can diagnostic ultrasound identify?

Ultrasound imaging is one of the most powerful diagnostic tools in musculoskeletal medicine.
It helps identify a wide range of problems involving muscles, tendons, ligaments, nerves, and joints — all in real time.

During your assessment, I can diagnose or assess:

  • Tendon problems – such as tendonitis, tendinopathy, partial or complete tears, ruptures, and calcific tendonitis
  • Ligament injuries – including sprains, overstretching, and partial or full tears
  • Muscle injuries – strains, tears, and soft tissue damage
  • Joint conditions – arthritis, effusions (fluid), synovitis, or inflammatory disorders such as rheumatoid arthritis
  • Nerve entrapments – like carpal tunnel, cubital tunnel, or tarsal tunnel syndrome
  • Cysts and soft tissue lumps – including ganglion cysts and lipomas
  • Bursitis – affecting shoulders, hips, knees, and elbows
  • Foreign bodies – splinters, glass, or debris embedded under the skin
  • Stress fractures – visible in some cases even before they appear on X-ray in early stages, although MRI remains the reference standard.

Because ultrasound can show your structures in motion, it often detects issues that static scans (like X-rays or MRIs) might miss.

Meet your clinician – Maxence Legout, Specialist Physiotherapist

All assessments and injections are carried out personally by Maxence Legout, a senior musculoskeletal physiotherapist and advanced injection therapist.

  • Over 15 years’ physiotherapy experience
  • 10 years specialising in diagnostic ultrasound and guided injections
  • Performs more than 2,000 ultrasound-guided procedures each year within the NHS

What sets my service apart is the combination of diagnostic imaging skill and physiotherapy expertise.

I don’t just interpret images, I assess how your body moves, identify why the problem started, and design a plan to stop it coming back.

By bringing these skills together, I offer a single point of contact for accurate diagnosis, evidence-based treatment, and long-term rehabilitation advice — all within one appointment.

Real-world results from our patients

“I came for an ultrasound thinking I had Achilles tendonitis. It turned out to be my plantaris tendon — a completely different issue. Max explained everything clearly, adjusted my training, and prevented further damage.”

James T, Ironman Triathlete
“After months of shoulder pain and a suspected rotator cuff tear, Max’s scan showed the cuff was intact but severe osteoarthritis was the real cause. He treated it with an ultrasound-guided injection during the same session. Incredible difference.”
Sarah M, Teacher

Who benefits from this one-stop MSK assessment?

This service is ideal if you:

  • Have pain or loss of movement and want to know exactly why
  • Need a diagnosis before committing to further treatment
  • Want your ultrasound interpreted by a clinical specialist rather than a technician
  • Prefer to avoid multiple appointments with different practitioners
  • Value a comprehensive, same-day assessment and plan

You may not be suitable if:

  • You have long-standing, widespread pain in multiple joints
  • You have multiple swollen joints and a family history of inflammatory arthritis
  • You’ve recently fractured a bone requiring orthopaedic management
  • Your main problem is spinal or nerve-root pain (such as sciatica)
  • You’re under 10 years old

I don’t perform ultrasound scans for:

  • Spine or spinal nerves
  • Non-musculoskeletal problems (e.g., pregnancy, vascular, or abdominal scans)
  • Children under 10

If you fall outside these criteria, I’ll gladly recommend the right specialist for your needs.

Do you actually need an ultrasound scan?

Not every problem requires ultrasound. Sometimes a detailed physical examination gives the answer; other times, MRI or X-ray imaging is more appropriate.

That’s why I offer a free telephone consultation before booking your appointment.

We’ll discuss your symptoms and decide whether ultrasound will genuinely add value — saving you time and unnecessary expense.

Pricing and value

Comprehensive one-stop MSK assessment – £250
Includes:

  • Free pre-appointment telephone consultation
  • Full clinical examination (45–60 minutes)
  • Diagnostic ultrasound scan
  • Detailed written report
  • Personalised care plan and exercise programme

Ultrasound-guided injections (optional):

  • Corticosteroid injection: + £100
  • Hyaluronic acid injection: + £200

All injections are performed under ultrasound guidance for maximum accuracy and safety.

Why this represents outstanding value

If you booked equivalent services separately, you’d typically pay:

Service Typical private cost (London)
Initial consultant appointment £250–£300
Diagnostic ultrasound scan £150–£200
Follow-up for results £150–£250
Injection or treatment £180–£900
Total elsewhere: £730–£1,650

With this one-stop MSK assessment, you get everything in one visit — saving hundreds of pounds and weeks of waiting.

After your assessment

You’ll leave with:

  • A clear diagnosis and explanation
  • A treatment plan or rehabilitation programme
  • Advice to prevent recurrence
  • Follow-up guidance if required

Within 24–48 hours, you’ll receive a detailed written report including findings, recommendations, and links to any relevant exercise videos or educational resources.

Frequently Asked Questions

Usually 60 minutes, including assessment, scan, and treatment discussion.

Yes – you’ll receive it within 24–48 hours by secure email.

In most cases, yes. If an injection or other intervention is appropriate, we can perform it during your appointment.

No. You may feel mild pressure from the probe, but the scan is not painful.

Absolutely. Ultrasound uses sound waves, not radiation, and is one of the safest diagnostic tools available when used according to BMUS standards.

If another imaging method (MRI, CT, or X-ray) would be more suitable, I’ll advise you and help arrange the correct referral.

Book an appointment

Schedule a free telephone consultation today to discuss your symptoms and find out whether this one-stop musculoskeletal assessment is right for you.

Appointments are usually available within one week, and most patients receive same-day answers and treatment.

Kim, M.S. et al. Diagnosis and Treatment of Calcific Tendinitis of the Shoulder. (2020). Documents reactive changes and tendon cell metaplasia. https://pmc.ncbi.nlm.nih.gov/articles/PMC7726362/

Gatt, D.L. et al. Ultrasound-Guided Barbotage for Calcific Tendonitis of the Shoulder: Systematic Review. (2014). Supports safety and success rate of barbotage.

https://pubmed.ncbi.nlm.nih.gov/24813322/

Lee, J.P. et al. Clinical and Radiological Outcomes of Ultrasound-Guided Barbotage. (2022). Clinical outcomes in a cohort of 36 patients showing improvement.

https://pmc.ncbi.nlm.nih.gov/articles/PMC9185114/