Level 1 Beginner: 2-Day course

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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 (link) to gain a competency in MSK Ultrasound.  The ‘SMUG guarantee’ ensures that there is at least one high specification machine to 4 delegates and close supervision from one of our expert tutors.

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


Programme overview

The course is taught by dual trained physiotherapists/MSK sonographers and a sports medicine consultant combining over 40 years scanning experience.  We teach you the basic skills required to incorporate ultrasound into your clinical practice and the knowledge to further develop your scanning skills in the future.  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, image optimisation, quality assurance, medico-legal and clinical governance issues, and knobology.  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 scan real patients and for the groups to discuss the scan results and formulate an appropriate management plan.


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.


Why choose this course?

SMUG guarantees:
  • One machine to three delegates – only high specification machines are used on the course.
  • Close supervision from pour expert tutors – plenty of time to practise 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.
  • 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, Surgeons, Sports Medicine Consultants, Physiotherapists, Radiographers, Podiatrists, Sonographers and Osteopaths.


Day One

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 & scan the anatomy. Integrate US within clinical assessment
Practise 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
11:45 – 12:45 Knee Part 1
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 shoulder:
Practical Biceps tendon
Rotator cuff
Shoulder Cases Presentation and discussion
14:45 – 15:00 Coffee
15:00 – 16:45 Ankle Part 1 Anterior:
Tibialis anterior tendon
Extensor hallucis/digitorum tendons
Tibiotalar joint capsulaLateral:
Peroneal tendons and retinaculum
Ankle Cases Presentation and discussion.

Day Two

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
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 & 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
15:00 – 15:15 Coffee
15:15 – 16:45 Revision & 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


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


Fri 27th & Sat 28th Oct 2017:
£560 Mile End Hospital, London E1 (FULL)
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:

Mile End Hospital

Sports & Exercise Medicine Dept., 1st Flr, Red Zone, Bancroft Rd, 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