However, the less conspicuous pathology from degenerative changes and repeated micro-trauma are also pathologic entities in need of extensive evaluation when seen in the physical medicine environment. Left undiagnosed and untreated these problems lead to rupture of the rotator cuff. Musculoskeletal sonography is a noninvasive and cost-effective imaging modality. Its increased availability and reliable results has prompted increased frequency of utilization. By implementing musculoskeletal sonography into a regular evaluation of the shoulder, the physician is providing a comprehensive exam of this region for many precarious and troublesome pathologies.
Musculoskeletal ultrasonography is the imaging modality of choice for soft tissue diagnosis.
The chiropractic doctor is well suited by training to make this technology an integral part of the practice regimen. It's safe, easy and accurate. References Moppes F, Veldecamp O, Roorda J. Role of ultrasonography in the evaluation of the painful shoulder. Clinics in Diagnostic Ultrasound, Vol. Churchill-Livingstone, p. 123.