When you add ultrasound to your podiatry practice, you will initially gravitate to a core arsenal or repertoire of standard ultrasound exams and ultrasound-assisted procedures. Plantar fasciitis exams will be your first and most obvious application, where you are simply identifying inflammation and making measurements of the thickness of the fascia, checking for heel spurs, and looking for ruptures or tears to the fascia. Given how common this procedure is, you will likely use plantar fascia exams to master your work flow and develop your skills at the primary techniques. Very soon, however, you will expand to other materials in the training package, study more of the training videos, and move on to additional procedures and ever more refined distinctions.

An Outline of the Most Common Podiatry Ultrasound Exams

Plantar Fascia Exams

  • Distinguishing between plantar fasciitis, plantar fibromas, heel spurs, and other heel pad injuries.
  • Differentiating between plantar fasciitis and plantar fasciosis (the one being acute, the other chronic).
  • Checking for tears or ruptures of the fascia, and examining for hematoma and other trauma.

Tendon Exams

  • Checking for inflammation or tears and ruptures of the Achilles and PT tendons, and investigating other trauma.
  • Ascertaining the extent and severity of ligament strains and tears, periarticular swelling, etc.

Other Exams and Procedures

  • Differentiating between a neuroma and capsulitis.
  • Identifying various soft-tissue tumors and cysts.
  • Inspecting foreign bodies.
  • Measuring (and monitoring the healing process of) ulcers and lesions, and checking wounds for deep trauma or tunneling.
  • Delivering intra-articular and intra-lesional injections.
  • Conducting biopsies of deep masses and abscesses.
  • Aspirating fluid-filled masses not fully palpable.
  • Eliminating the need for otherwise-unnecessary MRI’s.