Introduction to Musculoskeletal (MSK) Ultrasound Course by SMUG

Introduction to Musculoskeletal Ultrasound

Based on 21 Reviews

£645 Inc VAT
Venue Start Date
University of Central Lancashire, PR1 7QS Fri 19 Jul - Sat 20 Jul 2019
Mile End Hospital, E1 4DG Fri 20 Sep - Sat 21 Sep 2019
Mile End Hospital, E1 4DG Fri 15 Nov - Sat 16 Nov 2019
  • One machine to three delegates - only high specification machines are used on the course
  • Close supervision from our expert tutors - plenty of time to practice under close supervision
  • Exclusive access to our online resources and content from our expert tutors
  • Opportunity to progress to the Mentorship Programme to gain competency in MSK Ultrasound
  • Comprehensive presentations

This 2-day course is the most comprehensive introduction to MSK Ultrasound in the UK. Now in its 8th year, this intensive, hands-on course is designed for practitioners with no or limited experience in MSK Ultrasound. This course is our foundation level and can form part of our Mentorship Programme to gain a competency in MSK Ultrasound. The 'SMUG guarantee' ensures that there is at least one high specification machine to 3 delegates and close supervision from one of our expert tutors.

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The course is taught by highly experienced dual trained physiotherapists/MSK sonographers and sports medicine consultants combining over 40 years scanning experience. We teach you the basic skills required to incorporate MSK ultrasound into your clinical practice and the knowledge and resources to further develop your scanning skills. The course is a mixture of lectures, case studies, demonstrations and practical workshops. The practical workshops take place in small groups with close supervision from our expert tutors.

Over the two days, short lectures cover basic physics, artefacts, knobology, image optimisation, quality assurance, medico-legal and clinical governance issues. A significant part of the course is practical workshops with ample time for delegates to scan under close supervision. We cover the knee, shoulder and ankle joints in detail. This includes the ligaments, nerves, surrounding musculature and tendons for each body part. The elbow, lateral hip and wrist are covered in less detail unless specifically requested. Where appropriate ultrasound guided injections will be discussed with the group. On day 2 (when possible) there is an opportunity for delegates to discuss the scan results and appropriate management.

Who should attend?
This programme attracts MSK Radiologists, GPs with special interest in MSK/Sports Medicine, Surgeons, Sports Medicine Consultants, Physiotherapists, Radiographers, Podiatrists, Sonographers and Osteopaths.

Course pre-requisites
Must be a health care professional with significant clinical experience
If practicing in the UK, must be registered with the relevant UK professional body e.g. GMC, HCPC, SOR etc.


  • Chris Myers - Extended Scope Physiotherapist, Osteopath and MSK Sonographer
  • Robert Laus - Clinical Director, Specialist Physiotherapist and MSK Sonographer
  • Dr Lorenzo Masci - Consultant Sports Medicine Doctor and MSK Sonographer
  • Mark Maybury - Extended Scope Physiotherapist
  • Mike Bryant - Consultant MSK Physiotherapist
  • John Leddy - Extended Scope Physiotherapist

Notes for the course held at University of Central Lancashire:

Hotel: The Legacy International Preston, which is a 10 mins walk from the venue.
Parking: Available at UoCL

Day 1

Time Summary Details
09:15 - 09:30 Registration/Coffee
09:30 - 10:00 Introduction US applications in clinical setting and sports medicine. Tissue characterisation.
10:00 - 11:30 Scanning skills The essentials:

Patient and practitioner positioning
Hand setting, pressure
Orientation in anatomical not radiology planes
Transverse/longitudinal spin
Dynamic scanning
Skills training Know the anatomy and scan the anatomy. Integrate US within clinical assessment
Practice Achilles and calf muscle
Tissue Visualisation Tendon: Achilles tendon
Muscles: calf muscle
Ligament: MCL
Joint: knee/ankle
Nerve: sciatic nerve
Tendon with synovial sheet: tibialis posterior
11:30 - 11:45 Coffee Break
11:45 - 12:45 Knee Part 1 Anterior:
Practical Distal quadriceps
Infrapatellar tendon

Fat pads, suprapatellar recess medial:
Peripheral margin medial meniscus
Medial retinaculum
Knee Cases Presentation and discussion. Differential diagnosis, treatment implications. MRI versus US.
12:45 - 13:30 Lunch
13:30 - 14:45 Shoulder Part 1 Anterior:
Practical Biceps tendon Rotator cuff
Shoulder Cases Presentation and discussion
14:45 - 15:00 Coffee Break
15:00 - 16:45 Ankle Part 1 Anterior:
Practical Tibialis anterior tendon
Extensor hallucis/digitorum tendons
Tibiotalar joint capsulaLateral
Peroneal tendons and retinaculum
Ankle Cases Presentation and discussion

Day 2

Time Summary Details
09:15 - 09:30 Registration/Coffee
09:30 - 11:30 Introduction Consolidate the basics. Expanding your skills: more challenging structures.
Dynamic testing ligaments, tendons, joints, muscles.
Soft tissue landmarks in muscles.
Transverse/longitudinal spin. Dynamic tests.
Shoulder Part 2 Rotator cuff
Practical Rotator cuff interval
Coraco-acromial ligament
Postero-superior gleno-humeral joint
Impingement tests
11:30 - 11:45 Coffee Break
11:45 - 12:45 Knee Part 2 Lateral Knee
Practical LCL, ITB
Lateral meniscus
Popliteal tendonPosterior joint
Posteromedial corner and pes anserinus
Medial and lateral patellar retinaculum
Knee Cases Presentation and discussion. When is ultrasound assessment indicated?
12:45 - 13:30 Lunch
13:30 - 15:05 Ankle Part 2 Putting your skills to the test! Challenging structures and dynamic testing.
Practical Lateral:
peroneal tendons, ATFL, CFL

Achilles and calf muscle, flexor hallucis longus, tibiotalar and subtalar capsula, plantar fascia

Tarsal tunnel, deltoid ligament

Tibialis anterior, flexors halluces/digitorum, tibiotalar joint
Ankle Cases Presentation and discussion
15:05 - 15:15 Coffee Break
15:15 - 16:45 Revision and Requests
US in Sports Injuries Presentation
What to do next Use your skills and learn to recognise:
Spectrum of normal anatomy
Spectrum of tissue changes and trauma
Spectrum of tissue healing and complications
Practise and gain experience!
Different pathways

Are SMUG courses endorsed by The College of Radiographers?

Endorsment for our Introduction to Musculoskeletal Ultrasound Imaging in Sports Medicine course is currently being processed.

How does the SMUG introduction course differ from other courses?

It is an intensive, highly practical, hands-on and highly interactive course with a high tutor participant ratio of at least 1:6. It is designed for sports medicine practitioners and provides a good grounding in tissue recognition and scanning skills as well as giving participants a clear idea of the skill level required and the time it takes to be competent and confident.

Do I get a qualification/certificate at the end of the Introduction course?

You will receive a certificate for the allocated CPD hours for the course, not a certificate of competence.

How do I continue to develop my skills after the Introduction course?

For MSK Diagnostic Ultrasound the only accredited pathways are via the Royal College of Radiologists and a PG Cert in MSK Sonography (such as at Canterbury University); it takes approximately 18 months and you have to do a clinic with a radiologist/sonographer once a week.

What are the prerequisites for the Mentorship Programme?

Participants to have attended an introduction to MSK ultrasound imaging course (not necessarily our course) and have good anatomical knowledge (especially cross-sectional) and access to an ultrasound scanner in their clinical setting.

I only want to know how to scan a particular area (shoulder, muscle, ankle). Is the introduction course for me?

Yes, any scanning requires the skill to optimise the image using the machine settings and the correct manual skill to assess the tissues of interest as well as the knowledge of how to avoid pitfalls.

I am already injecting and only want to know how to do it under guidance. Is the introduction course necessary?

Yes, to identify the correct target area you need the manual skill to visualise the needle and the procedure correctly as well as to follow up after injections.

My company is looking at purchasing a machine. Any suggestions or things to look for?

Many portable machines are very good quality. Look for multi-frequency probes (5-12 MHz or higher), sensitive Power and colour Doppler and most important of course good, clear images. GE, Siemens, SonoSite, Mindray to mention a few manufacturers. Ask the representative to demonstrate a model in your clinic and compare!

Will I be able to scan my patients after the introduction course?

The course gives you the practical skills, but it takes a lot more training to get familiar with the spectrum of normal anatomy appearance, trauma, pathology and clinical interpretation, before ultrasound can be combined with your clinical examination. Practise your skills on patients with their consent, do not use it immediately as a clinical skill.

What is your cancellation policy?

Less than 28 days notice = No refund
29 to 56 days notice = 50% refund
Over 57 days notice = Full refund, less an administrative charge of 4% of the course fee

What are the prerequisites for the Introduction course?

Participants should have good anatomical knowledge (especially cross-sectional) and clinical experience.

What are the prerequisites for the Advanced course?

Participants have ideally attended an introductory (Level 1) course, are expected to have regular access to an ultrasound scanner, are using ultrasound scanning as part of their daily practice, have completed at least 10 documented scans and are competent at identifying the normal appearance of most commonly assessed structures in MSK ultrasound.

Do SMUG run courses specific to emergency medicine to identify DVT etc?

No, our courses are purely sports medicine orientated and as such do not cover DVT screening or application in an A&E department.

Can I pay by instalments?

Yes. Please email Francesca at Please note that to guarantee your place, the final instalment must be received 28 days prior to the start of the course.

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Price: £645.00 Inc VAT

Venue: University of Central Lancashire, Physiotherapy Clinic, Ground Floor, Brook Building, Victoria Street, Preston, PR1 7QS

Day 1: Friday 19 July 2019 09:15-16:45
Day 2: Saturday 20 July 2019 09:15-16:45

Total Days: 2 Days

Note: Bookings close on Thursday 18 July 2019

Add to Cart

Price: £645.00 Inc VAT

Venue: Mile End Hospital, Sports and Exercise Medicine Dept, 1st Flr, Red Zone, Bancroft Road, London, E1 4DG

Day 1: Friday 20 September 2019 09:15-16:45
Day 2: Saturday 21 September 2019 09:15-16:45

Total Days: 2 Days

Note: Bookings close on Friday 20 September 2019

Add to Cart

Price: £645.00 Inc VAT

Venue: Mile End Hospital, Sports and Exercise Medicine Dept, 1st Flr, Red Zone, Bancroft Road, London, E1 4DG

Day 1: Friday 15 November 2019 09:15-16:45
Day 2: Saturday 16 November 2019 09:15-16:45

Total Days: 2 Days

Note: Bookings close on Friday 15 November 2019

Physio. BB

Saturday 22 April 2017

This has really opened my eyes to the potential of ultrasound as a neurophysio I was out of my comfort zone but, I felt the tutors were very accommodating

Physio. GM

Saturday 22 April 2017

Practical sessions and amount of time allowed to practice scanning. Constant tutor feedback was extremely helpful

John Evans
Osteopath and Senior Lecturer Oxford Brookes University

Saturday 25 April 2015

The whole course was fantastic - congratulations a big success!

Dr Ali Abassi
Consultant Radiologist

Saturday 25 April 2015

Excellent practical sessions with significant amount of time allowed to practice scanning. Constant tutor feedback was extremely helpful

Lisa Hughes
MSK Sonographer

Saturday 25 April 2015

It was a really useful course to rejuvenate my skills, what I did years back! Excellent use of landmarks and analogies throughout the course to assist learning.

Jo Daniels
Clinical Specialist Physiotherapist

Saturday 25 April 2015

Great opportunity to get hands experience with real time feedback. Constant correlation to clinical presentation throughout the course. A must do course for any MSK practitioner.

Mr Andrew Edwards
Orthopaedic Surgeon

Saturday 25 April 2015

The course was great fun! As an orthopaedic surgeon adding ultrasound to my practice will transform the client pathway and improve my injection accuracy and outcomes.

Geoff Gardener
Registered Osteopath

Saturday 25 April 2015

Excellent course. Feeling far more confident after the course

Luke Millward

Saturday 25 April 2015

Excellent tutor demonstrations; clearly presented and at the right pace. The practical workshops were well organised and we had clear objectives with each session. The course was broken up into different joints. There was a lot of information to remember so this made it more manageable.

Doug Tannahill
Registered Osteopath

Saturday 25 April 2015

Great mix of demo and practical; with excellent supervision and lots of time to scan. I will definitely comeback for another SMUG course.

Paul Hattam
Highly Specialised Physiotherapist and Lead Tutor Society of Orthopaedic Medicine (SOMMS)

Saturday 25 April 2015

Lots of practical scanning time and very passionate tutors. Looking forward to starting the mentorship programme.

Gareth Davies
Registered Osteopath

Saturday 25 April 2015

I had never picked up a probe before the course. The course moved at an appropriate pace for my experience and the tutors accommodated the varying levels very well.

Mr Kailish Devalia
Orthopaedic Foot and Ankle Surgeon

Saturday 25 April 2015

Excellent and inspiring course, concise and to the point and very approachable tutors. I will be back for more!

Dr Dane Vishnubala
Sports Medicine Registrar

Saturday 25 April 2015

Really enjoyed the course. There is no other group to learn ultrasound with - these guys are the leaders in the field. I will definitely attend the Mentorship course to prepare for my DOPS exam with the Faculty of Sports & Exercise Medicine.

Sebastion Cencini
Sports Physiotherapist - Italian National Volleyball Team

Saturday 25 April 2015

Highly hands-on course with time to practice. The tutors were friendly and approachable.

Marius Fredriksen
Specialist Physiotherapist, Norway

Saturday 25 April 2015

Very practical and small groups. Excellent

Kjetil Nord-Varhaug
Specialist Physiotherapist, Norway

Saturday 25 April 2015

Overall a great course with great machine to person ratio and tutor therapist ratio! The day was a mix of short presentations and demos and then practical workshops. The tutors were very approachable.

Dr Frank Johnson
Consultant in Sports Medicine, Canada

Saturday 25 April 2015

Good systematic approach to scanning, well directed to student needs. Great to have tutors with a mix of clinical backgrounds (radiologist, sports doc and physiotherapists).

Consultant in Sports Medicine Netherlands

Saturday 25 April 2015

Very good. Excellent anatomical explanations with clear scanning protocols and great course handouts. Thank you to the whole team again for an exciting and challenging few days

Matt Prout
Extended Scope Physiotherapist

Monday 00 00 0000

Practical sessions were great, very close supervision and the teacher's were very passionate. Loved it!

Paul Fisher
Lead Physiotherapist GB Basketball

Monday 00 00 0000

Best course I have been on for years. Really challenges you clinical practice. Great tutors Chris and Rob - clear explanations and demos

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