MSK Ultrasound: A Good Investment? PM&R News   •   February, 2018 When it comes to MSK ultrasound, are you an early innovator or prefer to wait until this modality becomes more mainstream? I wrestled with deciding to become proficient at MSK ultrasound. Being a physiatrist, I think we take a certain amount of pride in performing the best and most comprehensive MSK physical exams. In addition, we know our landmarks and are certain that our intervention is targeted towards our desired anatomical area. While that has some merit (cough...cough... no bias here!), no physical exam is 100% sensitive and specific, anomalies do exist, and [...]

What is the Etiology? PM&R Image   •   November, 2017     Here we present a case of a 63-year-old woman who presented with severe 10/10 right neck, trapezius and shoulder pain after changing out all of the light bulbs in her 8,000 square foot home. She states that she woke up with severe pain described as burning and stabbing. All movement makes the pain worse, she gets minimal relief with heat. On exam, she is guarded. The right cervical paraspinals, trapezius, rhomboids, infraspinatus, supraspinatus and deltoid are sensitive to touch. She is reluctant to move. Upper extremity reflexes are intact and there are no long [...]