Level 2 Advanced

2-Day Lower & Upper Limb course (can attend 1 day only)

This 2-day course is designed for practitioners with experience in MSK Ultrasound.  If you have developed your scanning skills and are using ultrasound imaging in practice, this course will take your probe skills and knowledge to the next level.  The course is taught by dual trained physiotherapists/MSK sonographers and sports medicine consultants with over 40 years scanning experience between them.  There is a strong clinical focus throughout and particular attention is made to when, and how, imaging findings change clinical management.  Many case examples are presented and discussion is encouraged to share ideas and experiences.  Our courses are attended by a range of clinicians, providing an excellent forum to network, learn from each other and challenge our clinical practice.

Programme overview Pre-requisites Why choose this course? Who should attend?Timetable Tutors


Programme overview

Over the two days, we cover most parts of the body, with a particular focus on scanning challenging structures such as the distal biceps, rotator cuff interval and cable in the upper limb, as well as the proximal hamstring, lateral hip and most common muscles and peripheral nerves in the lower limb. Delegates can attend either one day (lower limb or upper limb) or both days.

Short presentations provide an overview of ultrasound in acute and chronic sports injuries, the relationship with other imaging and the clinical management implications.  The majority of the course takes place in small tutorial groups with constant feedback from one of our expert tutors. Numbers on the course are kept low to ensure delegates are closely supervised and are challenged to develop their skills.  Our experience shows that teaching in this format is the best way to ensure that delegates can directly translate what they have learnt and apply these skills and techniques in their own clinical setting. Tutorial groups are adjusted to the level of experience, skills and clinical interests of the delegates.  At the end of the course, feedback is given on progress, skill level and areas for further development.

The future of ultrasound imaging will be discussed with reference to technical advances such as the development of high resolution multifrequency linear transducers, 3-dimensional imaging, MRI/US fusion and elastography.

Delegates are sent pre-course material to review to help prepare for the course and ensure a learning experience.


Course pre-requisites

  • Must be a health care professional with significant clinical experience
  • Must have at least one year experience of MSK scanning
  • Must be registered with the relevant UK professional body e.g. GMC, HCPC, SOR etc.


Why choose this course?

SMUG guarantees:
  • One expert tutor to 3-6 delegates – plenty of time to practise under close supervision.
  • One machine to 3-4 delegates – only state of the art, high specification machines are used on the course.
  • 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
  • Exclusive discounts on future SMUG courses and ultrasound products


Who should attend?

  • This programme attracts MSK radiologists, GP’s with special interest in MSK/Sports Medicine, Sports Medicine Consultant’s, Physiotherapists, Radiographers, Podiatrists, Sonographers and Osteopaths.



Day One – Lower Limb

09:15 – 09:30 Registration
09:30 – 11:30 Hip
Detailed anatomy review Anterior and lateral structures:

Anterior Thigh: Quadriceps

Posterior Thigh: Hamstrings, adductors

Nerves: Sciatic, femoral, lateral cutaneous.

Presentation Case Studies
Muscle Injury Classification.
Relational functional-structural changes. Practical implications.
11:30 – 11:45 Coffee
11:45 – 13:30 Knee
Detailed anatomy review Postero-medial, postero-lateral
Calf muscle complex, including Plantaris
Nerves: Tibial and peroneal nerve
Presentation Case Studies
When to use ultrasound imaging in knee injuries.
Grading tendon injury. Other imaging.
Function- structural changes. What to do and when.
12:45 – 13:30 Lunch
13:30 – 15:30 Ankle & Foot Posteromedial ankle
Tibio talar and subtalar joints
Lateral ankle
Nerves: Tibial, sural
Presentation Case Studies
Differential diagnosis in ankle injuries
15:30 – 15:45 Coffee
15:45 – 16:30 Review/Consolidate Practical review by request/popular demand
16:30 – 16:50 Going forwards Recognise spectrum of trauma and healing, clinical and rehabilitation/exercise implications.

Day Two – Upper Limb

09:15 – 09:30 Registration
09:30 – 11:30 Shoulder
Detailed anatomy review Rotator cuff, rotator cable, rotator cuff interval
A-c joint and coraco-acromial ligament. Impingement tests
Nerves: Suprascapular
Case Studies

Clinical examples: sports injuries, post surgical evaluation

Relation functional-structural changes. Practical implications.

Integrate imaging with clinical assessment.

11:30 – 11:45 Coffee
11:45 – 13:30 Elbow Lateral, medial and posterior joint
Tendon, ligaments
Nerves: from proximal to the elbow to the wrist:Ulnar, radial, posterior interosseus, median.
Case Studies
Sport related injuries, diagnosis and treatment implications
13:30 – 14:15 Lunch
14:15 – 15:30 Wrist & Hand Extensor compartment, carpal tunnel, wrist joints, finger muscles and tendons
Nerves: Ulnar, median, radial
Case studies
Sport related injuries
15:30 – 15:45 Coffee
15:15 – 16:30 Review / Consolidate The challenging shoulder
Clinical and imaging correlation
16:30 – 16:50 Going forwards Recognise spectrum of trauma and healing.

Ultrasound guided procedures.




Chris Myers – Extended Scope Physiotherapist, Osteopath and MSK Sonographer

Robert Laus – Clinical Specialist Physiotherapist & MSK Sonographer

Dr Lorenzo Masci – Consultant Sports Medicine Doctor and MSK Sonographer


  • "Practical sessions were very informative." –JE, Sonographer

  • "Lots of opportunity to use the scanners." –BB, Radiographer

  • "One to one supervision pretty much all the time." –RT, Sports Therapist

  • "Good logical methods of scanning for each particular structure." –SB, Osteopath

  • "The use of the schematic diagrams was very good." –AP, Sports Medicine Doctor

  • "I found the course highly informative and very relevant to my job as a therapist." –JW, Rheumatologist

  • "Great group numbers" –LD, Orthopedic Surgeon

  • "Good logical methods of scanning for each particular structure" –OS, Physiotherapist


Upcoming Dates

2-Day Lower & Upper Limb £640
(can attend 1 day only for £350)

Fri 24th & Sat 25th Nov 2017
Lower Limb & Upper Limb
Mile End Hospital, London E1 4DG     (5 places left)
Click to register



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Payment Details

Bacs transfer to sort code 12-24-81, a/c no. 06281642, ref: SMUG plus your surname.
Credit or debit card by contacting 00 44 (0)20 7987 8899 (Mon to Fri office hours).

Register Now


This course is held at:

Waterside Physiotherapy, One Parker House, Admirals Way, Canary Wharf, London E14

This course is held at:

Mile End Hospital
Sportsf & Exercise Medicine Dept., 1st Floor, Red Zone, Bancroft Road, London E1 4DG

Nearest tube stations are Mile End and Stepney Green, then a 10 to 15 minute walk.  Go to the main entrance of Mile End Hospital on Bancroft Road.

Venue Information