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Musculoskeletal (MSK) Ultrasound

A private musculoskeletal (MSK) ultrasound scan uses sound waves to produce real-time images of tendons, muscles, ligaments, nerves and the soft tissue around joints, with no radiation. Because the images are live, the sonographer can watch a tendon or joint move and compare it with the other side, which makes ultrasound well suited to many tendon and soft tissue problems.

From £138✓ Radiation-freeNo GP referral
About Ultrasound Scan

Indications

Why get a Musculoskeletal (MSK) Ultrasound?

  • ✓Shoulder pain, including rotator cuff tendon problems and bursitis
  • ✓Achilles tendon pain and suspected tears
  • ✓Heel pain and plantar fasciitis
  • ✓Tennis elbow, golfer's elbow and other tendon problems
  • ✓Soft tissue lumps, such as ganglions and lipomas
  • ✓Carpal tunnel and other nerve entrapment, alongside a clinical assessment
  • ✓Muscle tears and strains

Book online

Appointments at independent centres

No GP referral is needed: you can self-refer and book directly. Written report from a consultant radiologist.

From £138 · 20–40 minutes

About this scan

What does a Musculoskeletal (MSK) Ultrasound show?

Ultrasound imaging uses high-frequency sound waves to create real-time images of the body's internal structures. Unlike MRI and CT, there is no ionising radiation, making it the preferred choice for assessing abdominal organs, pelvic structures, vascular blood flow, and soft tissue masses.

A sonographer applies a small amount of gel to the skin and moves a transducer (probe) over the area. The sound waves bounce back from internal structures to create live images on screen. Most ultrasound scans are painless and take 20–40 minutes. Results are often available immediately, with a written radiologist report typically within 24 hours.

Key facts

  • ✓Zero radiation: safe for all patients including pregnant women
  • ✓Real-time imaging: results often discussed immediately
  • ✓No injection or contrast agent required for most scans
  • ✓Written radiologist report within 24 hours
  • ✓Wide range of areas: abdomen, pelvis, thyroid, breast, vascular

The process

What to expect

01
Preparation check

The sonographer confirms you've followed any required preparation (fasting, full bladder) and explains the procedure.

02
Gel & probe

A warm gel is applied to the skin. The sonographer gently moves the probe over the area, taking measurements and recording images.

03
Immediate feedback

The sonographer may share initial findings with you during the scan. The scan typically takes 20–40 minutes.

04
Written report

A consultant radiologist reviews the images and your written report is delivered to your ScanBook portal within 24 hours.

Before your scan

How to prepare

1

For abdominal scans: fast (no food or drink except water) for 4–6 hours before your appointment.

2

For pelvic scans: arrive with a full bladder; drink 1 litre of water 1 hour before and don't urinate.

3

For thyroid, breast, MSK and vascular scans: no preparation is needed.

4

Wear loose, comfortable clothing to allow easy access to the area being scanned.

FAQs

Common questions about musculoskeletal (msk) ultrasound

Should I have an ultrasound or an MRI?

Ultrasound is often the better first test for tendons near the surface, such as the shoulder, Achilles, elbow and wrist, and for lumps. MRI is better for structures deep inside a joint, such as knee cartilage, the menisci, the hip labrum and bone.

Which body part should I book?

Book the area that hurts, for example the shoulder or the Achilles. If you are not sure, tell the centre your symptoms when you book. An MSK ultrasound usually covers one joint or area per appointment.

Do I need a GP referral for an MSK ultrasound?

No. You can self-refer for this scan and book directly through ScanBook, without seeing a GP first.

How long does an MSK ultrasound take?

Usually 15–30 minutes for one area. Wear clothing that lets the sonographer reach the joint, and expect to be asked to move it during the scan.

Is ultrasound safe?

Yes. Ultrasound uses sound waves, not radiation, and is completely safe for all patients, including pregnant women and children.

Will I need a full bladder?

Only for pelvic and lower abdominal scans. A full bladder creates an acoustic window for better imaging. For abdominal, thyroid, breast and MSK scans, no bladder preparation is needed.

Can ultrasound detect cancer?

Ultrasound can identify suspicious masses, cysts and structural abnormalities that may require further investigation. It's commonly used to characterise lesions found on physical examination or other imaging.

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