5:00 PM - 5:30 PM

Interventional Ultrasound in pain medicine : Muscular skeletal Ultrasound in Rheumatology for Non-rheumatologists

Presenter
Dr Anwar Samhari
Consultant Rheumatologist and Interventional Pain Physician
Abstract of Topic

Musculoskeletal Ultrasound (MSK-US) is a safe, real-time imaging modality that has become essential in diagnosing and managing musculoskeletal and inflammatory joint conditions—not only in rheumatology but also in pain medicine, orthopaedics, and general practice.
For non-rheumatologists (e.g., GPs, orthopaedic surgeons, physiotherapists, sports medicine, and integrative pain practitioners), MSK-US enhances clinical accuracy and enables precision-guided interventions at the point of care.
Key Benefits:
Real-time imaging: Dynamic visualization of joints, tendons, and soft tissues.
Radiation-free and repeatable: Ideal for chronic disease monitoring.
Early detection of inflammation: Identifies synovitis, enthesitis, bursitis before structural damage.
Enhanced procedural accuracy: Safer, more effective injections and aspirations.
Bedside integration: Correlates immediately with clinical findings.
Common Applications:
Joint effusions & synovitis – Diagnosis and guided steroid injections
Tendinopathies & enthesitis – Distinguishes inflammatory from mechanical pain
Nerve entrapments – e.g., Carpal tunnel; enables hydrodissection
Soft tissue & bursitis – Targeted injections for trochanteric or subacromial bursitis
Guided regenerative therapies – Precise PRP, prolotherapy, and stem cell delivery
Focus Areas for Non-Rheumatologists:
Shoulder: Rotator cuff injuries, bursitis
Knee: Effusions, Baker’s cysts
Hand/Wrist: Synovitis, tendon sheath issues
Foot/Ankle: Plantar fasciitis, Achilles tendinosis
Spine/SI joints: Facet pain, sacroiliitis (for advanced users)
Why Training Matters:
Builds diagnostic confidence
Reduces unnecessary referrals
Improves efficiency and patient outcomes
Supports integrative, regenerative, and functional approaches to pain
Conclusion:
MSK Ultrasound is a transformative tool for non-rheumatologists, empowering them with diagnostic precision and interventional capability to provide faster, safer, and more effective care in musculoskeletal and inflammatory pain management.