Cadaveric Ultrasound Guided MSK Injection Course by SMUG UK

Unlimited access to cadavers over 2 days - The closest you can get to the real thing!

Cadaveric Ultrasound Guided MSK Injection

Based on 24 Reviews

£945 Inc VAT
Venue Start Date
Leeds University Institute of Medical Education, LS2 9JT Thur 25 Nov - Fri 26 Nov 2021
  • The cadavers used on the course are as close as you can get to the real thing
  • Excellent delegate to cadaver ratio - plenty of time to practice all the injections under close supervision
  • One machine to two delegates - only high specification machines are used on the course
  • Excellent delegate to tutor ratio - we guarantee one tutor to every four delegates to ensure close supervision throughout
  • Exclusive access to our online resources and content from our expert tutors
  • Comprehensive online presentations of all the injections covered on the course (images and videos)

This comprehensive, unique and highly practical 2-day course takes place in the impressive facilities at St George's cadaver laboratory in London and is the essential course for anyone looking to begin ultrasound guided procedures, for clinicians looking to expand their repertoire of injections or learn more advanced techniques. Our tutors have top tips and technical knowledge to ensure you expand your knowledge and develop your skills.

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The course is split into upper limb on day 1 and lower limb on day 2. This gives the opportunity for shoulder surgeons and other upper limb specialists to attend only the first day and lower limb specialists such as foot and ankle surgeons, podiatrists and hip surgeons to attend only the lower limb day. However, we do advise that delegates attend both days to maximise their learning and skill acquisition.

Please note: If you are only able to attend one day, please email

The practical workshops are carried out on soft-preserved full body cadavers, which is the closest match to the real thing! You have full access to perfect your skills on the cadavers over the 2 days. We have lots of machines and you will benefit from close supervision throughout from the faculty.

The course is taught by very experienced practitioners who will deliver the information you need and translate this information into the practical application of carrying out the guided injections. This course is packed with clinical gems, top tips when to inject when not to inject, what to look out for and to avoid with each procedure and how to make the procedures as straight forward for the clinician and as comfortable as possible for the client. We cover the basic procedures including all peri-articular and articular injections and more advanced procedures that are at the cutting edge of MSK and sports medicine. This includes barbotage, hydro-distention, high volume injections and tendon stripping techniques. Following this course you will be ready to either start carrying out guided injections on your clients or ready to introduce the more advanced techniques into your repertoire.

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
The course is designed for delegates just starting out with ultrasound guided procedures or want to develop their skills.


  • Chris Myers - Extended Scope Physiotherapist, Osteopath and MSK Sonographer
  • Dr Lorenzo Masci - Consultant Sports Medicine Doctor and MSK Sonographer
  • Dr Jon Houghton - Consultant Sports Medicine Doctor and Rheumatologist
  • John Leddy - Extended Scope Physiotherapist
  • Michael Bryant - Extended Scope Physiotherapist
  • Ali Abbasi - Consultant Radiologist

Day 1 - Upper Limb

Time Summary Details
09:00 - 09:15 Registration/Coffee Housekeeping and registration
09:15 - 09:30 Presentation and Discussion Outline of the day - Course objectives and an introduction to the tutors.

Rules of the lab!
09:30 - 09:45 Presentation and Discussion Types of injections - we will cover joint, tendon sheath, bursal and nerve injections plus more advanced procedures including barbotage, high volume injections, hydrodistention, tendon stripping and dry needling techniques.

What should we inject and when?
09:45 - 10:15 Presentation and practical demonstrations Injection technique - How to carry out an in-plane and out-of-plane injection - technical considerations and top tips on how to manipulate the probe and your machine parameters to optimise the needle.
10:15 - 13:00 Cadaveric lab - demonstrations and practical workshop Shoulder - Intra-articular, ACJ, SA Bursa, LH biceps sheath, Suprascapular nerve
13:00 - 13:45 Lunch
13:45 - 15:15 Cadaveric lab - demonstrations and practical workshop Elbow - Intra-articular (radial-ulnar and humero-ulnar joint), cubital fossa, common flexor and extensor tendons and distal biceps
15:15 - 15:30 Presentation and Discussion Procedural consideration of US guided injections - discussion around sterility, aseptic technique, probe covers and the use of sterile gel and anti-bacterial agents
15:30 - 17:00 Cadaveric Lab Demonstration and Practical Workshop Wrist and Hand - Intra-articular, scaphoid-lunate, TFCC, DeQuervains tenosynovitis, CTS, Guyons Canal, trigger thumb/finger

Day 2 - Lower Limb

Time Summary Details
09:00 - 09:15 Registration/Coffee Re-cap of the main learning points and plan for the day.
09:15 - 10:30 Demonstration and Practical Workshop Knee - Intra-articular, infra-patellar and superficial bursa and high volume patella tendon, fat pad injection, aspirations, semi-membranosus tendon, Bakers cyst.
10:30 - 12:30 Demonstration and Practical Workshop Ankle and Foot - talo-crural, sinus tarsi, FHL and tibilais posterior sheath, medial and lateral recesss, posterior impingement, Mortons neuroma , 1st MTP, seasamoiditis, Achilles high volume injections and tendon scrapping, plantarfasciitis
12:30 - 13:15 Lunch
13:15 - 14:30 Demonstration and Practical Workshop Hip and groin- Intra-articular hip injection, psoas sheath, ilioinguinal nerve, snapping hip syndrome and common adductor tendon.
14:30 - 16:30 Cadaveric Lab (the cadavers will be moved onto their sides) Demonstration and Practical Workshop Hip - gluteus medius and minumus, trochanteric bursal injections.

Knee - ITB friction syndrome, pes anseurine bursitis.

Ankle - peroneal tendon injection, ST joint and sinus tarsi injection.

Revision from Day 1.
16:30 - 17:00 Demonstration and Practical Workshop Revision - delegates can choose which injections to recap/revise.

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.

What are the prerequisites for the PGCert in MSK Ultrasound?

You must have access to an MSK ultrasound scanner so you can practise (minimum 10 scans per week).
You must have a clinical supervisor to achieve 100 supervised scans.
You must have good MSK anatomical knowledge (especially cross-sectional).
You must be able to attend all dates.

Can I pay for the PGCert in MSK Ultrasound in instalments?

Yes. You must pay a deposit within 7 days of being offered a place, with the balance paid at least 21 days before the course start date.

Can SMUG help find a clinical supervisor for the PGCert in MSK Ultrasound?

No. It is the students responsibility to identify a clinical supervisor.

How many scans are required for the PGCert in MSK Ultrasound logbook?

You must produce a logbook of 250 scans (100 supervised & 150 unsupervised scans).

What is the deadline for submission of the PGCert logbook?

This must be submitted within 6 months of the OSCE, preferably electronically, and must not contain any identifiable patient information.

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: £945.00 Inc VAT

Venue: Leeds University Institute of Medical Education, Worsley Building, Clarendon Way, University of Leeds, Leeds, LS2 9JT. (Next to Leeds General Infirmary)

Day 1: Thursday 25 November 2021 09:15-16:15
Day 2: Friday 26 November 2021 09:15-16:15

Total Days: 2 Days

Note: Bookings close on Thursday 25 November 2021

Dr Chris Milne
Consultant Sports Medicine - Rangers Football Club

Tuesday 09 July 2019

Fantastic course as per others within SMUG. Thorough pre-course reading provided. Clear, concise teaching sessions, and excellent opportunity for intensive repeated practice under close supervision with experienced tutors. Recommend for anyone injecting in clinical practice.

Warren Brown
Lead Advanced Level Physiotherapist

Thursday 18 January 2018

Best course I've ever attended, so massive gratitude to you and your team


Saturday 06 May 2017

Excellent course - loved it

Doctor. PD

Saturday 06 May 2017

Good relationship with clinical practice and quality of tutors

Physio. PH

Saturday 06 May 2017

Practical time was excellent, course tutors very approachable and knowledgeable

Doctor. DA

Saturday 06 May 2017

Excellent feedback from tutors

Physio. MP

Saturday 06 May 2017

Superb lecturing, I would highly recommend this course


Saturday 06 May 2017

Good course with good support


Saturday 06 May 2017

Excellent experience


Saturday 06 May 2017

Very practical

Mr Martin Klinke
Consultant Foot and Ankle Surgeon

Saturday 06 May 2017

I really enjoyed the course very much. I can recommend this course to anyone who is interested to learn ultrasound-guided injections. I am sure this you will continue to be successful with this course in the future.

Sports Medicine Consultant

Saturday 06 May 2017

Excellent, practical aspects very good. The tutors were very welcoming and shared their considerable experience throughout the course. Good balance between demos and practical workshops - everyone at plenty of time to practice- excellent teaching material.

Mr Manoj Sood
Consultant Hip Surgeon

Saturday 06 May 2017

An excellent hands-on course with enthusiastic instructors and a good instructor to delegate ratio. Allows plenty of time to practice the injections and to concentrate on the ones that are most relevant to your practice. Recommended.

Consultant Radiologist

Saturday 06 May 2017

I attended the cadaveric course to learn US guided injections of the hip - I currently do them fluoroscopy guided - by the end of the course I felt very confident in carrying them out and will start on Monday in clinic!

Matt Prout
Extended Scope Physiotherapist

Saturday 06 May 2017

We had unlimited access to the cadavers. The teaching faculty have extensive experience of teaching guided injections and shared their substantial amount of knowledge over the two days. The course was very relaxed and friendly.

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

Saturday 06 May 2017

Practical time was excellent, course tutors very approachable and knowledgeable. The course was very well organised within small groups and lots of close supervision from the tutors.

Dr Frank Johnson
Consultant in Sports Medicine, Canada

Saturday 06 May 2017

Superb lecturing and great ratio of cadavers to delegates. I would highly recommend this course. I came all the way from Canada for it!! - Worth every penny! Significantly more time on the cadavers compared to North American Courses and much cheaper! Win-win!

Gareth Davies

Saturday 06 May 2017

Really positive fun atmosphere on course. Chris has an amazing energy to his teaching - he is clearly passionate about what he does and that shows in his enthusiasm and support for the delegates. Congratulations on a truly brilliant course.

Consultant Radiologist

Saturday 06 May 2017

This was an excellent experience; the tutors have fantastic tips to help with needle visualisation. I feel ready to carry put my first gulded injection on Monday morning!

Geoff Gardener

Saturday 06 May 2017

This is a difficult course to organise and run. Lots of technical elements to cover - Chris, Lorenzo, Jon and John go out of their way to constantly help the delegates. This is a must do course for anyone wanting to learn ultrasound guided injections.

Clinical Specialist Physiotherapist

Saturday 06 May 2017

The SMUG team have clearly spent a considerable amount of time devising this course to ensure they cover all the technical elements required and all peripheral joint and soft tissue injections. Having the opportunity to practice all these injections over the 2 days is a unique experience and essential to gain the skill required to carry out US guided injections. I would attend this course 2-3 times and I would still find it useful.

Mr Kailish Devalia
Orthopaedic Foot and Ankle Surgeon

Saturday 06 May 2017

Many thanks to the team to for a brilliant course. Very practical and relevant to my practice.


Saturday 26 November 2016

Very practical and relevant to my practice

Radiologist. BW

Saturday 21 November 2015

Excellent, practical aspects very good.

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