I use ultrasound the way I use my hands.

Ultrasound uses sound waves to create real-time images of your soft tissue (tendons, ligaments, fascia, deep stabilizers) while I move you through specific positions. It is the same technology used to look at babies in utero, applied to your spine and connective tissue.

Here is the important part: this is not a separate imaging appointment you book and pay for. It happens during your examination, in the room, while I am already examining you. Think of it as an extension of my hands. I palpate a tendon that feels wrong, and then I look at it.

It also complements DMX: where DMX shows the bones moving, ultrasound shows what is holding (or failing to hold) them together.

It happens inside your exam, not as a separate visit. You stay comfortable while I apply gel and move a small probe across the area I am examining, and I will guide you through gentle movements while I look. Usually it adds a few minutes to the examination, and you can watch the screen with me.

No radiation, no contrast, no needles. Just sound waves and a screen. And no separate charge: it is part of your examination.

Looking with ultrasound during the exam is most useful when: - DMX or symptoms suggest a connective tissue problem - You need confirmation before connective-tissue-specific treatment - You can't tolerate or have contraindications to MRI - The presentation has hypermobility features - We need to track tissue changes during a treatment course