From Probe to Practice

MRI or MSK ultrasound? Ryan Martin and Colin Rigney on why doctors resist ultrasound, the cases a clean MRI missed, and whether your hands alone are enough.

Is insurance a lifeline or a leash? Matthew Gillogly, founder of Mavrix Profit System, joins Colin Rigney on leaving insurance-based care, pricing a cash pay practice for profit, and why volume medicine is a false gospel.

Will AI replace the MSK ultrasound clinician? Ryan Martin and Colin Rigney make their predictions for AI assisted diagnosis, point of care imaging and the independent MSK clinic over the next 10 years.

Is MSK ultrasound too operator dependent to trust? Ryan Martin and Colin Rigney take on the most common objection and explain why the answer is a system, reps and hands-on training.

How many scans before MSK ultrasound clicks? Colin Rigney and Ryan Martin map the learning curve across your first 100 scans, from the what am I looking at phase to real diagnostic confidence.

How often does the infraspinatus actually tear on its own? Colin Rigney and Ryan Martin on the forgotten rotator cuff, the two normal findings that get read as pathology, and the overlap that fools people early in their scanning.

Is a weekend MSK ultrasound course enough? Colin Rigney and Ryan Martin on what two days can and cannot teach you, why intent decides what you walk away with, and the honest answer to "I don't have time." Learn it Friday, use it Monday.

How do you know what abnormal is if you do not know what normal is? Colin Rigney and Ryan Martin on reading echo texture — the signature each tissue should have, the three questions to ask at a tendon-bone interface, and why the first thing you see in clinic is abnormal. Learn it Friday, use it Monday.

Tip the probe five degrees and normal tendon goes dark. Dark reads as hypoechoic, and hypoechoic reads as torn. Colin Rigney and Ryan Martin on anisotropy, the echogenicity vocabulary the RMSK exam actually tests, and the positioning habits that decide what your screen tells you. Learn it Friday, use it Monday.

"If you can't diagnose it, you can't inject it." Dr. Greg Zakas on leaving the opioid model of pain medicine for regenerative orthopedics, why the needle work is the easy half, and what diagnostic ultrasound does to patient trust. Learn it Friday, use it Monday.

Linear or curvilinear? Which frequency? Colin Rigney and Ryan Martin on probe selection, gain, and the positioning habits that decide whether your MSK ultrasound exam is worth running. Plus the case where the linear probe couldn't reach. Learn it Friday, use it Monday.

"Whether you know it or not, you have a gap in your practice." Colin Rigney and Ryan Martin introduce From Probe to Practice — what it is, who it's for, and why a show about MSK ultrasound doesn't have to feel like a lecture. New episodes every Tuesday. An Advanced MSK Ultrasound Center podcast.