The course is split into lower limb on day 1 and upper limb on day 2. This gives the opportunity for lower limb specialists such as foot and ankle surgeons, podiatrists and hip surgeons to attend only the lower limb day or shoulder surgeons and other upper limb specialists to attend only the upper limb day. We do advise that delegates attend both days to maximise their learning and skill acquisition.
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.
Tutors:
- 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 - Lower Limb
| Time |
Summary |
Details |
| 09:00 - 09:15 |
Registration/Coffee |
|
| 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? - a review of the evidence and tutors experience.
The evidence base for US guided injections - is it worth it? |
| 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 - 11:30 |
Cadaveric lab - demonstrations 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. |
| 11:30 |
Cadaveric lab - demonstrations 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 |
| 13:00 |
Lunch |
|
| 13:45 - 14:45 |
Cadaveric lab - demonstrations and practical workshop |
Hip and groin- Intra-articular hip injection, psoas sheath, ilioinguinal nerve, snapping hip syndrome and common adductor tendon. |
| 14:45 |
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. |
| 15:00 |
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. |
Day 2 - Upper Limb
| Time |
Summary |
Details |
| 09:00 - 09:15 |
Registration/Coffee |
Re-cap of the main learning points and plan for the day. |
| 09:15 - 11:00 |
Demonstration and Practical Workshop |
Shoulder - Intra-articular, ACJ, SA Bursa, LH biceps sheath, Suprascapular nerve. |
| 11:00 - 13:00 |
Demonstration and Practical Workshop |
Wrist and Hand - Intra-articular, scaphoid-lunate, TFCC, DeQuervains tenosynovitis, CTS, Guyons Canal, trigger thumb/finger. |
| 13:00 - 14:00 |
Lunch |
|
| 14:00 - 16:00 |
Demonstration and Practical Workshop |
Elbow - Intra-articular (radial-ulnar and humero-ulnar joint), cubital fossa, common flexor and extensor tendons and distal biceps. |
| 16:00 - 16:50 |
Demonstration and Practical Workshop |
Revision - delegates can choose which injections to recap/revise. |
| 16:50 - 17:00 |
Presentation and discussion |
Recap of course, the future of ultrasound and guided procedures.
Feedback forms and presentation of certificate. |
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.
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 a £25.00 admin charge
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 info@ultrasoundtraining.co.uk. Please note that to guarantee your place, the final instalment must be received 28 days prior to the start of the course.
Warren Brown
Lead Advanced Level Physiotherapist
Best course I've ever attended, so massive gratitude to you and your team
Mr Martin Klinke
Consultant Foot and Ankle Surgeon
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.
Anonymous
Sports Medicine Consultant
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
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.
Anonymous
Consultant Radiologist
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
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)
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
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
Osteopath
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.
Geoff Gardener
Osteopath
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.
Anonymous
Clinical Specialist Physiotherapist
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
Many thanks to the team to for a brilliant course. Very practical and relevant to my practice.