Point-Of-Care Ultrasound (POCUS)

A rapid imaging tool for evaluating muscles, joints, and soft tissues. POCUS enhances diagnostic accuracy improving musculoskeletal care.

What is Point-of-Care Ultrasound?

Ultrasound is a non-invasive imaging technique that uses high-frequency sound waves to create detailed images of the inside of the body. Unlike audible sound, ultrasound operates at frequencies above 20 kHz, which are inaudible to humans. The process begins with a transducer (an element which is in direct contact with the patient’s skin), which contains piezoelectric crystals that vibrate when an electrical current is applied. These vibrations generate short sound pulses that travel through the body’s tissues.

When these sound waves encounter different tissues or structures, some of the waves are reflected to the transducer, creating echoes. These echoes are converted into electrical signals, which are then used to form an image. The ultrasound machine calculates the time it takes for the echoes to return and uses this information to determine the distance to the structures, resulting in a two-dimensional image of the area being examined.

A physiotherapist conducts Point-of-Care Ultrasound (POCUS)

Where is the ultrasound used?

This method is widely used in medical diagnostics and can visualize muscles, tendons, ligaments and structures around the joint such as joint capsule or bursas. It can also visualize the surface of the bony allowing for diagnosis of some bony injuries where cortical bone is involved.

Ultrasound can produce real-time, high-resolution images without the need for invasive procedures. Another great advantage of Ultrasound is that it can produce a dynamic image of the structures allowing for interaction of the involved structures and thus diagnoses of conditions such as shoulder impingement or tendon subluxations.

Point-of-Care Ultrasound vs Traditional Ultrasound?

Unlike traditional ultrasound, which typically involves separate imaging and interpretation by a radiologist, POCUS allows clinicians to perform and interpret scans directly at the patient’s bedside. This real-time diagnostic capability provides immediate insights, speeding up decision-making and enhancing patient care.

Feel free to contact us to learn more about our POCUS service or to schedule an appointment.

Prices start from £179.

How can POCUS benefit you?

Our POCUS (Point-of-Care Ultrasound) service is designed to streamline your healthcare experience. By integrating ultrasound into your clinical exam, we provide an immediate diagnosis, which can greatly improve treatment outcomes.

Whether you are dealing with tendon injuries, soft tissue conditions, or muscle pathologies, POCUS offers a comprehensive, real-time understanding of your condition. This in-person assessment and interpretation ensure a more accurate, faster diagnosis and saves cost to the patient compared to traditional imaging methods.

What happens at POCUS session?

During your session, a clinician trained in Musculoskeletal Ultrasound will:

Review your medical history

Conduct a thorough physical examination

Perform the ultrasound on-site

Interpret the results, discuss those with you and provide you with recommendations

Formal report will be provided to you within 48 hours of the session

This approach provides you with clear, detailed insights into your injury or condition, helping you make informed decisions about your next steps.

What conditions can be detected by Point-of-Care Ultrasound?

Detectable by POCUS

Tendon disorders: Tears, tendinopathies, calcific tendinopathies

Ligament injuries: Tears, sprains

Joint disorders: Osteoarthritis, effusion (swelling), capsulitis

Soft tissue conditions: Lipomas, ganglion cysts, tumours

Muscle injuries: Strains, tears, contusions, swelling

Nerve pathologies: Entrapment syndromes, nerve injuries

Bone fractures: when cortical bone is involved

Crystal-induced conditions: Gout, pseudogout

Systemic conditions: Rheumatoid arthritis, psoriatic arthritis

NOT detectable by POCUS

While POCUS is highly effective for musculoskeletal and soft tissue imaging, there are certain conditions we do not assess, including:

Lumps and bumps

Structures around the face

Vascular conditions like deep vein thrombosis (DVT)

Abdominal, cardiac, or lung conditions

Inguinal or abdominal hernias

Conditions of the neck, thoracic, lower back, or pelvis

Intra-articular pathologies, like ACL injuries

For these conditions, your clinician may recommend seeing an appropriate specialist or undergoing further diagnostic tests, such as MRI or CT scans.

Meet your therapist

  • Mattia Zappala MSK Sonographer and Specialist Sports & Musculoskeletal Physiotherapist 
  • "Jakob is excellent and has sorted me out three times over the years for neck, back and hip problems. I highly recommend!"

    Jodi Bart
  • "With the current covid 19 restrictions and my urgent need for physio I booked in with Jakub at W6 Physiotherapy for remote physio. It has far surpassed my expectation and has been very effective. My exercise program is revised and updated each session. Having had so much success with it, I would certainly use the remote service even out of lockdown as a convenient way to get physio help from the comfort of my own home."

    Catherine
  • "The result has been impressive. Face to face contact seems preferable but this has been very effective. It is time efficient, video resolution has been high and discussions clear. Thank you."

    Gordon