Dr Carter has been utilizing diagnostic ultrasound in her practice since 2008; she is the Island’s first officially trained physician in musculoskeletal ultrasound. Ultrasound allows us to look under the skin and see great detail in tendons, muscles, ligaments, nerves and the outside of joints. It does not necessarily always replace other imaging, but unlike x-rays, MRI and CT scans, it can be used in ‘real time’ or dynamically, watching what happens to a tissue in movement. 

The challenge with musculoskeletal ultrasound lies in the long learning curve. But as an integrated part of medical practice at CSOM, patients have been benefitting hugely over the years from precise in office imaging diagnosis and from there a more informed treatment and management plan.


Sobering statistics have suggested that in some cases as many as HALF of all ‘blind’ (without image guidance) injections may miss the target. Doing the same injections guided can massively improve accuracy, for the best possible injection outcomes. Injections close to nerves require skilled guidance, in order to effectively infiltrate around them without risk of injecting into the nerve itself. Modern ultrasound with its high resolution is capable of amazing detail in and around such tissue, and its use helps keeps CSOM at the cutting edge of the paradigm shift in orthopaedics and sports medicine.