
Dr Tim Woo
7.3K posts

Dr Tim Woo
@TimDHWoo
Musculoskeletal Radiologist 💀| I like bones | Genetics and Micro research | Rock music and Gaming 🤘


But truthfully….many people know this and still want wellness checks and pay ££££ to have it done …because “if you can measure it why wouldn’t you check?” And so we move into a new era of screening that is unevidenced but growing exponentially. I don’t think we can do anything to avoid it… horse bolted etc

More than two decades in clinical practice (NHS and Private) . Hundreds of complex cases. One skill that changed everything. 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐭𝐢𝐜 𝐦𝐮𝐬𝐜𝐮𝐥𝐨𝐬𝐤𝐞𝐥𝐞𝐭𝐚𝐥 𝐮𝐥𝐭𝐫𝐚𝐬𝐨𝐮𝐧𝐝. Not because it's impressive technology. But because of what it actually does for your patient in front of you. It sharpens your clinical reasoning on cases that don't fit the textbook. It gives you prognostic data you simply can't generate from palpation alone. 𝐀𝐧𝐝 𝐩𝐞𝐫𝐡𝐚𝐩𝐬 𝐦𝐨𝐬𝐭 𝐩𝐨𝐰𝐞𝐫𝐟𝐮𝐥𝐥𝐲 — 𝐢𝐭 𝐭𝐫𝐚𝐧𝐬𝐟𝐨𝐫𝐦𝐬 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐮𝐧𝐝𝐞𝐫𝐬𝐭𝐚𝐧𝐝𝐢𝐧𝐠. 𝐖𝐡𝐞𝐧 𝐬𝐨𝐦𝐞𝐨𝐧𝐞 𝐜𝐚𝐧 𝐬𝐞𝐞 𝐭𝐡𝐞𝐢𝐫 𝐩𝐚𝐭𝐡𝐨𝐥𝐨𝐠𝐲 𝐨𝐧 𝐬𝐜𝐫𝐞𝐞𝐧, 𝐜𝐨𝐦𝐩𝐥𝐢𝐚𝐧𝐜𝐞 𝐜𝐡𝐚𝐧𝐠𝐞𝐬. 𝐄𝐧𝐠𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐜𝐡𝐚𝐧𝐠𝐞𝐬. 𝐎𝐮𝐭𝐜𝐨𝐦𝐞𝐬 𝐜𝐡𝐚𝐧𝐠𝐞. If you're offering shockwave therapy or MSK Injections and you're not scanning first, I'd gently challenge you to reconsider. Here's my clinical position: the effectiveness of shockwave is significantly enhanced by pre-procedural ultrasound — both to confirm the diagnosis and to rule out conditions that can convincingly mimic tendon pathology. Calcific deposits, partial tears, bursitis, and neoplastic lesions don't all respond to shockwave the same way. Some shouldn't receive it at all. 𝐘𝐨𝐮𝐫 𝐞𝐲𝐞𝐬 𝐚𝐧𝐝 𝐡𝐚𝐧𝐝𝐬 𝐚𝐫𝐞 𝐞𝐱𝐜𝐞𝐥𝐥𝐞𝐧𝐭. 𝐁𝐮𝐭 𝐭𝐡𝐞𝐲 𝐡𝐚𝐯𝐞 𝐥𝐢𝐦𝐢𝐭𝐬. Last week I had the privilege of spending a full day with the osteopathic team at Ben Cohen Osteopathy in Epping — a deep dive into MSK ultrasound fundamentals with a particular focus on tendon pathology. Exactly the kind of clinically relevant upskilling that shockwave-offering clinics need more of. The day was organised by Venn Healthcare. The VINNO Ultrasound Vinno 6 cart-based device genuinely impressed me. In eight years of scanning across multiple platforms, its image quality ranks among one of the best I've worked with. I will share more images in the future. You can check out the image of supraspinatus in Long Axis. 𝐒𝐡𝐨𝐜𝐤𝐰𝐚𝐯𝐞 𝐚𝐧𝐝 𝐌𝐒𝐊 𝐈𝐧𝐣𝐞𝐜𝐭𝐢𝐨𝐧𝐬, 𝐰𝐢𝐭𝐡𝐨𝐮𝐭 𝐬𝐜𝐚𝐧𝐧𝐢𝐧𝐠 𝐢𝐬 𝐚𝐧 𝐞𝐝𝐮𝐜𝐚𝐭𝐞𝐝 𝐠𝐮𝐞𝐬𝐬. 𝐇𝐨𝐰𝐞𝐯𝐞𝐫, 𝐰𝐢𝐭𝐡 𝐬𝐜𝐚𝐧𝐧𝐢𝐧𝐠 𝐢𝐬 𝐩𝐫𝐞𝐜𝐢𝐬𝐢𝐨𝐧 𝐦𝐞𝐝𝐢𝐜𝐢𝐧𝐞. 𝐓𝐡𝐞 𝐛𝐚𝐫 𝐟𝐨𝐫 𝐨𝐮𝐫 𝐩𝐚𝐭𝐢𝐞𝐧𝐭𝐬 𝐝𝐞𝐬𝐞𝐫𝐯𝐞𝐬 𝐭𝐨 𝐛𝐞 𝐡𝐢𝐠𝐡𝐞𝐫. If you're interested in learning more about the Vinno 6 and how it can support your MSK ultrasound practice, reach out to @VennHealthcare directly — they're the people to speak to.





@dieworkwear Derek, got any recs for fun socks brands?





















