Ultrasound can find the cause of pain

By Patricia Delzell, M.D., Advanced Musculoskeletal Medicine Consultants, Inc.

When dealing with musculoskeletal pain, doctors may order an MRI, but that often does not reveal the problem. An ultrasound, however, is an ideal tool for looking at areas of chronic pain. It can pinpoint the structure that is causing your pain and—because ultrasound can look at your tissues in motion—it can diagnose issues that non-dynamic tests such as MRI and CT cannot. In addition, because of the high spatial resolution, ultrasound can identify chronic changes in the soft tissues that are not seen with MRI.

Here at Advanced MMC, we use ultrasound to look at the soft tissues in the area of pain as well as the ones in that structure’s biomechanical or kinetic chain to make sure that the entire group of tissues is working correctly and not putting strain on one structure or another. We also use ultrasound to evaluate the internal details of tendons, muscles, ligaments, nerves and fascia. If there is physical pain caused by any of these, an ultrasound should be able to reveal it and help determine how best to treat it. Here are just a few scenarios where diagnostic ultrasound may be helpful in pinpointing the true cause of your pain:

1. When you lie flat on your stomach, can you bend your knees to 90 degrees without pain in your upper thigh and buttocks? If not, you likely have an old hamstring injury.
2. Do you experience persistent radiating pain, numbness, tingling, or heaviness in your limbs? If so, you may have nerve injury or nerve entrapment.
3. Do you have perpetual knots in your muscles? There are layers of multiple muscles and other supporting soft tissues, especially in the hips, shoulder and back. An ultrasound can easily distinguish among these layers to identify scarring.
4. Do you have persistent pain after joint replacement? Soft tissue scar in the muscles and fascia can be the cause of pain that mimics joint pain. Ultrasound is the test of choice for evaluating these soft tissues.

Advanced Musculoskeletal Medicine Consultants is at 8398 Kinsman Road in Novelty, Ohio. To schedule a complimentary Chronic Pain Phone Consultation, call 440-557-5011. Visit AdvancedMMC.com for more information, including blogs and videos.