From Probe to Practice

Advanced Musculoskeletal Ultrasound Center
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From Probe to Practice is a weekly podcast on musculoskeletal ultrasound — diagnostic scanning, ultrasound-guided injections, and how MSK ultrasound changes the way clinicians practice regenerative and musculoskeletal medicine. Hosted by Colin Rigney and Ryan Martin, founders of the Advanced MSK Ultrasound Center, who have trained clinicians for years and bring the reps to prove it. This is not a 45-minute monologue on probe physics. It's a high-energy dialogue about what actually happens inside a practice: the diagnostic gaps nobody mentions, the injections that miss and why, the referrals you didn't need to make, the business of integrating ultrasound, and the case studies that only come from tens of thousands of scans. Plus, in Ryan's words, "a lot of dirt on each other." Every episode is built around one promise: take something you learned from a podcast on Friday and implement it on Monday. For physicians, regenerative medicine clinicians, sports medicine providers, anyone preparing for the RMSK exam — and anyone who works alongside them. Because you can't diagnose what you can't see. New episodes weekly. An Advanced MSK Ultrasound Center podcast.

  1. 16h ago

    Rehab After Orthobiologics: Dr. Steve Derrington on PRP, Ultrasound and the Next 10 Years

    Dr. Steve Derrington, a fellowship-trained PM&R physician and owner of Derrington Orthopedics, Interventional Sports and Spine, a Regenexx practice in Carlsbad and Laguna Hills, California, joins Colin Rigney. He trained as a D.O., spent a dedicated residency month at Jefferson with ultrasound pioneer Dr. Levon Nazarian, scanned cadavers alongside the anatomy, and did his fellowship with Dr. Marko Bodor in Napa. Steve explains why the magic of ultrasound lives in the oblique views, how an MRI can under-represent a rotator cuff tear that ultrasound shows, and what fluoroscopy and ultrasound teach each other. Then his AMSKU Global Summit topic: rehabilitation after orthobiologics. A patient who got PRP elsewhere was told to treat it like a post-op shoulder; Steve explains why that is not right, how his patients get a rehab plan with movement guard rails instead of sets and reps, and why PT partners who communicate build trust and better outcomes. Plus setting expectations before a procedure, running a self-pay practice for an active Southern California population, patients who arrive with AI-organized histories, and his view of the next 10 years: if you offer basic-level care, you will be left behind by someone doing it at a really high level. Register for the AMSKU Annual Global Summit '26, Saturday 5 December 2026, fully online What this episode covers: From osteopathic medicine to PM&R and orthobiologics A residency month with Dr. Levon Nazarian at Jefferson Fellowship with Dr. Marko Bodor in Napa Blind injections on mission trips, and why image guidance won Learning sono-anatomy on cadavers alongside the textbooks The magic lives in the oblique views Ultrasound and fluoroscopy: what each teaches the other When an MRI under-represents a rotator cuff tear Does teaching make you a better doctor? His summit talk: rehabilitation after orthobiologics Why early PRP research was all over the place "Treat it like a post-op shoulder": why that is not right Rehab plans with movement guard rails, not sets and reps PT partnerships as a trust accelerator Setting expectations: this is not another cortisone shot A self-pay practice for an active population The next 10 years: basic-level care gets left behind Links mentioned in this episode: Dr. Steve Derrington, Derrington Orthopedics, Interventional Sports and Spine Interventional Orthobiologics Foundation (IOF), where Steve teaches AMSKU Annual Global Summit '26, Saturday 5 December, fully online, over 30 speakers. Register Every AMSKU MSK ultrasound course Questions or comments? Reach us New episodes every Tuesday. Watch on YouTube, or listen on Spotify and Apple Podcasts. Chapters:0:00 This week on From Probe to Practice0:24 From Probe to Practice0:42 Episode 14: Dr. Steve Derrington of Derrington Orthopedics2:18 From osteopathic medicine to PM&R and orthobiologics3:34 A month with Dr. Levon Nazarian at Jefferson4:34 Fellowship with Dr. Marko Bodor in Napa6:50 Blind injections on mission trips7:48 Sono-anatomy on cadavers8:52 The magic lives in the obliques9:09 Ultrasound and fluoroscopy, learned together11:25 Beyond point and shoot: diagnostics12:40 When an MRI under-represents the cuff14:05 The next step in his learning18:02 Does teaching make you a better doctor?21:03 His summit talk: rehab after orthobiologics22:14 Why early PRP research was all over the place23:44 How much better could outcomes be?24:11 Tissue repairs under tension26:03 Rehab protocols after a procedure27:08 "Treat it like a post-op shoulder"28:17 MLS laser and modalities28:55 Working with PT partners30:01 A trust accelerator and outcome booster31:28 Setting expectations before a procedure32:43 PTs asking for his protocols33:51 Orthobiologics are not swapping the syringe34:32 An honest, non-surgical evaluation35:23 Practicing in Southern California36:11 An active population that wants back in the game38:04 Running a self-pay practice39:02 Why he chose orthobiologics40:45 From Napa to Southern California41:29 Ultrasound early in residency42:18 The next 10 years43:44 Basic-level care gets left behind44:07 Will insurance change?45:13 AI-informed patients47:09 Imaging at home?48:32 Dr. Derrington at the AMSKU Global Summit49:23 It doesn't feel like work50:21 AMSKU Annual Global Summit '26

    Rehab After Orthobiologics: Dr. Steve Derrington on PRP, Ultrasound and the Next 10 Years

  2. Nov 3

    Ultrasound Unlocked Same-Day Answers: Dr. Tom Sellers on PRP, Nerve Blocks and Less Surgery

    Dr. Tom Sellers, a double board certified primary care sports medicine physician in the greater Phoenix area, joins Colin Rigney and Ryan Martin. He grew up watching his dad, his partner at Sellers Sports Medicine and Family Practice, cover sports from the sideline, then trained at Creighton and in the sports medicine fellowship at UNLV, where the rule was that the better diagnostician you are, the better proceduralist you will be. Tom explains how point of care ultrasound unlocked prompt care in his clinic: an exam and a scan on the same day instead of weeks of x-rays, physical therapy and an MRI that insurance denies. He walks through why he is team ultrasound, with no injection anywhere in the body that is not image guided, and how a suprascapular nerve block before a supraspinatus PRP keeps lidocaine out of the tissue. Asked where his field will be in 10 years, he sees better orthobiologics, energy modalities like laser and shockwave, and way less surgery, because his favorite thing to say is you don't need surgery. Plus why none of what he does is magic, the osteopathic principle of the body's innate ability to heal, the book Who Not How, and why you can't learn MSK ultrasound in a weekend seminar. Register for the AMSKU Annual Global Summit '26, Saturday 5 December 2026, fully online What this episode covers: Growing up watching his dad cover sports from the sideline Music, philosophy and the call to medicine The psychology of pain and injury in sports medicine The UNLV sports medicine fellowship: diagnostics first Learning after fellowship, apprenticeship style Who Not How, and why you can't learn this in weekend seminars How ultrasound unlocked prompt care and same-day answers The knee pain runaround: x-ray, PT, MRI denied Suprascapular nerve blocks and shoulder hydrodilatation Team ultrasound: no injection without image guidance Nerve blocks before PRP, without lidocaine in the tissue Where will your field be in 10 years? Better orthobiologics and way less surgery Energy modalities: laser and shockwave Educating patients one-on-one in the exam room None of what I do is magic The body is regenerative in nature The osteopathic principle: the body's innate ability to heal Why a weekend course won't make ultrasound skills stick Pain to Progress, Tom's podcast Links mentioned in this episode: Dr. Tom Sellers, Sellers Sports Medicine and Family Practice Sellers Sports Medicine on Instagram, @sellers_sportsmed Pain to Progress, Tom's podcast Book: Who Not How AMSKU Annual Global Summit '26, Saturday 5 December, fully online. Register Every AMSKU MSK ultrasound course Questions or comments? Reach us New episodes every Tuesday. Watch on YouTube, or listen on Spotify and Apple Podcasts. Chapters:0:00 This week on From Probe to Practice0:26 From Probe to Practice0:45 Episode 13: Dr. Tom Sellers of Sellers Sports Medicine1:55 Growing up watching his dad on the sideline5:00 Music, philosophy and the call to medicine8:01 Choosing primary care sports medicine8:54 The psychology of pain and injury9:58 The UNLV fellowship: diagnostics first11:32 Learning after fellowship, apprenticeship style13:46 Who Not How and weekend seminars14:50 Advice for clinicians on the same path16:08 Ultrasound unlocked prompt care18:36 The knee pain runaround20:29 Favorite procedure: suprascapular nerve blocks22:22 Team ultrasound: always image guided23:19 Nerve blocks before PRP24:21 Where will your field be in 10 years?25:56 Better orthobiologics26:45 Way less surgery28:20 Surgeons talking about preventing surgery29:22 Energy modalities: laser and shockwave30:31 Patients want more natural solutions31:42 Getting patients to know their options34:04 None of what I do is magic34:43 The body is regenerative in nature35:54 The body's innate ability to heal: being a D.O.38:13 One of Ryan's favorite episodes38:55 How Tom's dad connects all of us39:59 Building a system for learning ultrasound41:11 Don't learn it on a weekend trip41:58 Pain to Progress, Tom's podcast42:37 The AMSKU Global Summit faculty45:24 Where to find Dr. Tom Sellers46:48 AMSKU Annual Global Summit '2648:10 The Kneedles: Don't Let Me Miss You

    Ultrasound Unlocked Same-Day Answers: Dr. Tom Sellers on PRP, Nerve Blocks and Less Surgery

  3. Oct 27

    AI in MSK Ultrasound: It Won't Take Your Job, and Dynamic or It Didn't Happen

    AI is already showing up in MSK ultrasound machines, coloring in the anatomy as the probe touches the skin. Is it going to take your job? Ryan Martin and Colin Rigney spent a long time tracing and measuring hundreds of patellar tendon, Achilles and plantar fascia scans by hand to help train an AI, and they explain what that taught them: the algorithms run on statistics, imaging is variable, and it all still comes down to the human input. AI will make smart people smarter, but you still need deep sono anatomy to know whether to trust what it tells you, and the human element stays at the center of care. Then the second topic: dynamic or it didn't happen. The advantage ultrasound has over MRI, CT and x-ray is the ability to assess tissue in motion, yet most cases on social media are static images. Why physical therapists, athletic trainers and sports medicine physicians pick up dynamics faster, why the biggest gap is anatomy, and why, if you are not using dynamic capability, you are just taking pictures. Register for the AMSKU Annual Global Summit '26, Saturday 5 December 2026, fully online What this episode covers: Operator dependent or system dependent: a quick recap Is there AI in MSK ultrasound right now? How Ryan and Colin helped train an AI on MSK ultrasound images The biggest flaw in AI ultrasound: variability in imaging Should you get hyped on platforms with AI built in? AI will make smart people smarter Why you still need sono anatomy to interpret what AI tells you The human element: Adam Grant's Hidden Potential AI sono anatomy programs for novices, under supervision No, AI is not going to take your job Dynamic or it didn't happen Biomechanics: why PTs, athletic trainers and sports medicine physicians have a head start Dynamics is limited only by your creativity The biggest gap when teaching dynamics is anatomy If you are not scanning dynamically, you are a photographer Links mentioned in this episode: AMSKU Annual Global Summit '26, Saturday 5 December, fully online. Register Every AMSKU MSK ultrasound course Questions or comments? Reach us Book: Hidden Potential by Adam Grant New episodes every Tuesday. Watch on YouTube, or listen on Spotify and Apple Podcasts. Chapters:0:00 This week on From Probe to Practice0:14 From Probe to Practice0:33 Episode 12: AI in MSK ultrasound and dynamic or it didn't happen1:00 Recap: operator dependent or system dependent2:00 The operator is human. What about AI?2:52 Is there AI in MSK ultrasound right now?3:40 How we helped train an AI on MSK images5:04 The biggest flaw: variability in imaging5:46 Should we get hyped on AI platforms?6:38 AI will make smart people smarter7:37 You still need sono anatomy to interpret AI8:30 The human element and Adam Grant's Hidden Potential9:46 AI sono anatomy programs for novices11:16 It's not going to take your job12:01 Dynamic or it didn't happen12:57 Static images on social media13:27 Biomechanics: why PTs and ATs have a head start14:33 How do we get more clinicians scanning dynamically?14:49 Dynamics is limited only by your creativity15:40 Gaps when teaching doctors dynamics17:16 The biggest gap is anatomy18:32 Which specialties pick up dynamics faster20:03 If you're not scanning dynamically, you're a photographer20:41 The takeaway: learn dynamics21:50 Why we do this podcast22:45 Dynamic evaluations in every AMSKU course23:52 AMSKU Annual Global Summit '2625:14 Somebody Tell Them: the AGS '26 benefit song

    AI in MSK Ultrasound: It Won't Take Your Job, and Dynamic or It Didn't Happen

  4. Oct 21

    MRI vs MSK Ultrasound: The $2,000 Coin Flip and Palpation Theater

    MRI is the gold standard most doctors train on, so why do so many who know they should adopt MSK ultrasound still hold back? Ryan Martin and Colin Rigney take on two topics they know can get heated. First, the $2,000 coin flip: the intimidation factor nobody wants to admit, imposter syndrome and the mythical finish line, and why the road to mastery goes through incompetency. Then the cases: a labral tear that two MRIs called negative and dynamic ultrasound found, an athletic pubalgia patient whose MRI came up clean, why abdominal wall tears hide on a static scan, and what the 2009 de Jesus study found for rotator cuff tears. MRI and ultrasound are complementary tools, and the skill is knowing which one to use and when. Second, palpation theater: "my hands are history enough", why precision is the most important lever in needle-guided orthobiologics, and the question to ask any clinician who relies on special tests alone: why would you not want that information? Register for the AMSKU Annual Global Summit '26, Saturday 5 December 2026, online What this episode covers: The $2,000 coin flip: why MRI is the gold standard in training The intimidation factor nobody wants to admit Imposter syndrome and the mythical finish line The road to mastery goes through incompetency A labral tear two MRIs missed and dynamic ultrasound found Athletic pubalgia: when the MRI comes up clean Operator dependent: you have to know how to elicit it The 2009 de Jesus study: ultrasound, MRI and MR arthrography for rotator cuff tears MRI and ultrasound are complementary: know which tool to use and when Palpation theater: are special tests and your hands enough? Precision in needle-guided orthobiologics Ultrasound is a flashlight: why would you not want that information? Links mentioned in this episode: AMSKU Annual Global Summit '26, Saturday 5 December, online. Register or watch last year's playback Questions or comments? Reach us Every AMSKU MSK ultrasound course New episodes every Tuesday. Watch on YouTube, or listen on Spotify and Apple Podcasts. Chapters:0:00 This week on From Probe to Practice0:24 From Probe to Practice0:39 Episode 11: the $2,000 coin flip and palpation theater1:03 The $2,000 coin flip: MRI is the gold standard in training2:35 The intimidation factor nobody wants to admit4:14 Imposter syndrome and the mythical finish line4:33 The road to mastery goes through incompetency5:39 Which camp are you in? MRI or ultrasound6:22 Case: a labral tear two MRIs missed8:45 MRI missed it, dynamic ultrasound found it9:14 Case: athletic pubalgia and a clean MRI10:27 Operator dependent: you have to know how to elicit it11:29 Why abdominal wall tears hide on MRI12:35 A high level exam for the lower abdominal wall14:01 The 2009 de Jesus study: rotator cuff tears15:43 Ten minutes at the point of care16:28 Complementary tools, not either or17:18 ACR guidelines and clinical reasoning18:54 Ryan's Arizona problem19:45 Palpation theater: are special tests enough?20:44 "My hands are history enough"21:14 Precision in needle-guided procedures23:01 How to start the conversation with clinicians23:29 Ultrasound is a flashlight24:14 The surgeon who scanned like he operated25:28 Meeting people where they're at26:36 AMSKU Annual Global Summit '2628:01 Watch last year's summit playback

  5. Oct 13

    Cash Pay Practice: Why Insurance Is a Leash, Not a Lifeline | Matthew Gillogly

    Is insurance a physician's lifeline, or a leash? Colin Rigney is joined by Matthew Gillogly, founder and CEO of Mavrix Profit System and author of Out of the System. Matthew is not a physician: he built three cash pay clinics, sold them, and now helps doctors leave insurance dependency and build practices they actually own. They talk about the squeeze on doctors and patients, private equity in healthcare, and why Matthew sees no future in insurance-based care. Then the business of a cash pay practice: why it is not only for the wealthy or the big city, who the core patient is, how to price so that price signals your skill, and why volume medicine is a false gospel when the true cost of a PRP injection is higher than most clinics charge. Just as important is the internal shift: Dr Janet Ang's first year in her own practice, two-way doors, the future self, and why "I'm trying" keeps doctors stuck. Matthew previews his opening keynote for the AMSKU Annual Global Summit '26 on 5 December: what the next 10 years hold for regenerative medicine and the doctors who choose agency over their lives. Get Matthew's book, Out of the System Register for the AMSKU Annual Global Summit '26, Saturday 5 December 2026, online Work with us! https://links-amsku.vercel.app/ What this episode covers: Why regenerative medicine is growing worldwide, from England to Australia to DubaiThe squeeze on doctors and patients, and why Matthew sees no future in insurance-based carePrivate equity in healthcare and what it means for outcomesInsurance isn't a lifeline, it's a leash: a business model no investor would backWant to double your profits? Raise your prices 11 percentIs cash pay only for the wealthy? Practices in Skaneateles and Wichita Falls say noLeaving the system: the technical side and the future selfDr Janet Ang: from $12,000 to $60,000 a month in cashWhy "I'm trying" keeps doctors stuck: belief systems and the origin codeVolume medicine is a false gospel: the real cost of a PRP injectionHow Matthew built and sold Carolina Men's ClinicThe next 10 years in regenerative medicine: agency over your lifeFreeing 100,000 doctors by 2040, in the US and beyondLinks mentioned in this episode: Matthew's book, Out of the System: A Doctor's Guide to Reclaim Your Purpose, Power and PassionMavrix Profit SystemOut of the System podcast, AppleOut of the System podcast, SpotifyAMSKU Annual Global Summit '26, Saturday 5 December, online, opening keynote by Matthew Gillogly. Register or watch last year's playbackQuestions or comments? Reach usEvery AMSKU MSK ultrasound courseNew episodes every Tuesday. Watch on YouTube, or listen on Spotify and Apple Podcasts. Chapters:0:00 This week on From Probe to Practice0:21 From Probe to Practice0:34 Episode 10: Matthew Gillogly, founder of Mavrix Profit System1:59 Regenerative medicine is going global3:00 A massive shift in the medical landscape4:57 Why there is no future in insurance-based care8:17 The unintended consequences of the Affordable Care Act11:33 A $1,100 MRI on insurance, or $350 cash11:56 Private equity in healthcare14:18 Insurance isn't a lifeline, it's a leash17:51 Double your profits: raise prices 11 percent18:50 Is cash pay only for the wealthy?20:27 Cash pay in small towns and big cities21:47 Leaving the system: overnight or step by step?22:56 The future self: Dr Janet Ang's first year24:33 Two-way doors25:52 Price tells patients everything about your skill27:40 10 percent of patients will pay 3 to 4 times more28:20 The Mercedes dealership analogy29:50 The Gap and the Gain31:45 Rocky: filling the gaps34:25 Epigenetics and the origin code38:59 Why "try" keeps you stuck40:42 Effort alone doesn't make success42:05 Colin's father's practice44:12 Volume medicine is a false gospel45:11 Net profit, not revenue48:28 The real cost of a PRP injection49:42 Building Carolina Men's Clinic52:48 The more we raised price, the more we sold56:18 The next 10 years in regenerative medicine57:27 Lessons from Detroit: let go of the past1:00:04 Agency over your life1:01:03 A global movement1:01:29 Where to find Matthew: Out of the System1:02:56 Matthew's AGS 2026 keynote1:03:11 AMSKU Annual Global Summit '261:04:38 Watch last year's summit playback

    Cash Pay Practice: Why Insurance Is a Leash, Not a Lifeline | Matthew Gillogly

  6. Oct 6

    The Future of MSK Ultrasound: AI, Point of Care and the Next 10 Years

    What will MSK ultrasound and musculoskeletal medicine look like in 10 years? Ryan Martin and Colin Rigney make their predictions. They start with AI assisted diagnosis: why AI will make smart clinicians smarter and expose the ones who use it poorly, why you should not rely on it 100 percent yet, and who takes the liability when an algorithm reads the image. Then robotic blood draws and needle guidance, what could replace today's injections, and why regenerative medicine will be market driven. On point of care, Colin makes the case that AI can already take a history more consistently than a human and that one appointment should send a patient home with all the answers, while Ryan pictures an AI guided ultrasound delivered to the patient's door. They close on the independent MSK clinic: same day diagnosis and treatment becoming the standard, and why corporate healthcare and the high-touch independent practice can both grow. These are the questions the speakers at the AMSKU Annual Global Summit '26 will answer on 5 December. Register for the AMSKU Annual Global Summit '26, Saturday 5 December 2026, online Work with us! https://links-amsku.vercel.app/ What this episode covers: AI assisted diagnosis in MSK ultrasound: will AI take my job?Why AI will make smart clinicians smarter, and expose the restWill a robot replace the sonographer?AI guided image acquisition: a learning tool, not something to rely on 100 percentWho takes the liability for an AI read: the clinician or the developer?More progress in the next 10 years than in the last 200Robotic blood draws, needle guidance and what could replace today's injectionsRegenerative medicine and a market driven futureThe future of point of care: one appointment, all the answersAI taking the patient history, and an ultrasound delivered to your doorSame day diagnosis and treatment as the standard for the independent MSK clinicCorporate healthcare vs the independent practice: two things can be trueComing up on the podcast: Matthew Gillogly, Marc Pietropaoli and Ariana DeMersVoices from the 2025 AMSKU Annual Global SummitLinks mentioned in this episode: AMSKU Annual Global Summit '26, Saturday 5 December 2026, live and online: see the speakers and their predictions for the next decade, register, or watch the playback from last year's summitQuestions, comments or a prediction of your own? Reach usEvery AMSKU MSK ultrasound courseNew episodes every Tuesday. Watch on YouTube, or listen on Spotify and Apple Podcasts. Chapters:0:00 This week on From Probe to Practice0:23 From Probe to Practice0:38 Episode 9: predictions for the next 10 years1:44 Robotic blood draws and AI needle guidance2:58 Will AI take my job? AI assisted diagnosis4:11 AI will make smart people smarter5:33 Will a robot replace the sonographer?6:12 Don't rely on AI 100 percent in image acquisition6:51 Who takes the liability for an AI read?7:15 More progress in 10 years than the last 2007:56 Predictions from the Global Summit speakers8:24 What will replace today's injections?9:14 If a robot can draw blood9:46 Regenerative medicine: a market driven future12:09 The future of point of care12:48 One appointment, all the answers13:54 An AI guided ultrasound delivered to your door15:05 At scale, but is that what patients want?15:46 Amazon or the human touch?17:06 Will patients leave the house for care in 10 years?17:22 The independent MSK clinic in 10 years18:53 Same day diagnosis and treatment as the standard20:33 Corporate healthcare vs the independent practice21:08 Two things can be true22:21 The next decade is in your hands24:11 Coming up on the podcast24:44 summit.amsku.com: speakers from six continents27:21 Voices from the 2025 AMSKU Annual Global Summit

    The Future of MSK Ultrasound: AI, Point of Care and the Next 10 Years

  7. Sep 29

    Is MSK Ultrasound Too User Dependent? Why Training Beats the Objection

    "It's so user dependent." It is the objection Ryan Martin and Colin Rigney hear more than any other about bringing MSK ultrasound into practice. In this episode they take it head on. X-rays are position dependent, MRI is reader dependent, surgery has its errors too, and every one of them is learned as a system. Ultrasound is no different: a systematic scan, enough reps with feedback, and a mentor beside you. They share how an ER physician got comfortable with a technical procedure in about 50 reps, how a resident went from no ultrasound at all in February to ultrasound guided PRP and bone marrow procedures a few months later, and why you cannot learn a hands-on skill from YouTube alone. Work with us! https://links-amsku.vercel.app/ What this episode covers: Why user dependence is the objection that comes up most about MSK ultrasoundOperator dependence in every modality: x-ray positioning, MRI reading, surgeryUltrasound as a system: shining a flashlight under the skin and working your checkpointsPlays are made to be broken, once you know the playbookNot operator dependent, system dependentHow many reps it really takes: 50 and a backboard to learn fromThe road to mastery goes through incompetencyFrom no ultrasound in February to ultrasound guided PRP and bone marrow procedures months laterWhy you can't learn a hands-on skill from YouTube, and why accountability mattersThe "I don't want to go back to school" mountainVoices from the 2025 AMSKU Annual Global SummitLinks mentioned in this episode: MSK Ultrasound Residency, 12 months of hands-on training with expert mentors. Book a free discovery callAll-inclusive MSK ultrasound course memberships, with step by step video tutorialsMSK ultrasound scanning guides and eBooks by anatomical regionEvery AMSKU courseTell us the objection you hear mostAMSKU Annual Global Summit, Saturday 5 December 2026, live and online. Register, or watch the playback from last year's summitNew episodes every Tuesday. Watch on YouTube, or listen on Spotify and Apple Podcasts. Chapters:0:00 This week on From Probe to Practice0:25 From Probe to Practice0:38 The objection: MSK ultrasound is too user dependent1:45 MRI is the gold standard, and still reader dependent2:41 A flashlight under the skin: ultrasound as a system3:24 A handheld skill still has a system4:08 "It's so user dependent." There's training for that5:15 Errors in MRI, CT scans and surgery too6:38 Plays are made to be broken7:18 Not operator dependent, system dependent7:38 Talking a clinician through the objection8:04 50 reps: how an ER physician learned a technical procedure9:02 15 orthopedic surgeons in one week9:56 The road to mastery goes through incompetency10:07 February to June: a resident's first guided procedures11:25 Learning MSK ultrasound without a fellowship12:29 A hundred books on riding a bicycle13:14 Accountability and a residency style program14:55 Why we welcome the objections16:00 The mountain: "I don't want to go back to school"16:39 Raising the standard at the point of care17:34 Coming up: more objections, and a live Q&A18:23 Voices from the 2025 AMSKU Annual Global Summit

    Is MSK Ultrasound Too User Dependent? Why Training Beats the Objection

  8. Sep 22

    MSK Ultrasound Learning Curve: What Changes Across Your First 100 Scans

    How many scans does it take before MSK ultrasound starts to click? Colin Rigney and Ryan Martin get honest about their own first 100 scans: the moment Ryan nearly quit, the mentors who kept them going, and the phases every learner moves through on the ultrasound learning curve, from taking 50 pictures of a shoulder to streamlining your sequence to finally bringing real assessment into the scan. Work with us! https://links-amsku.vercel.app/ What this episode covers: The ultrasound learning curve in phases: 0 to 25, 25 to 50, 50 to 75 and on to 100 scansWhy the first 25 scans are the "what am I looking at" phaseDon't sleep on the physics: knobology, gain, focal zone and depth from day oneWhy even a strong anatomy background gets humbled by sonoanatomyBuilding trust with a mentor, and why you cannot second guess the coachingMoving from technician to diagnostician between 50 and 75 scansA near miss: the gastrocnemius tear that looked like a Baker's cystThe anterior hip, the deep gluteal space, and why piriformis is not a diagnosisThe AMSKU Annual Global Summit, Saturday 5 December 2026Links mentioned in this episode: AMSKU Annual Global Summit, Saturday 5 December 2026, live and online. Early bird tickets available now: summit.amsku.comIntroduction to Musculoskeletal Ultrasound: MSK Ultrasound Physics and Machine OptimizationEvery AMSKU courseNew episodes every Tuesday. Watch on YouTube, or listen on Spotify and Apple Podcasts. Chapters:0:00 Harder than you think0:27 From Probe to Practice1:20 What your first 100 scans really teach you1:56 Behind the eight ball: when Ryan nearly quit4:13 Mentors, and getting the nod5:15 Why the shoulder clicks first7:25 Don't sleep on the physics8:29 Practicing for a job that didn't exist yet10:34 Know your equipment11:43 Humbled by anatomy on ultrasound13:47 Unlearning three dimensional expectations14:51 Old habits and trusting the coaching15:50 Scans 0 to 25: what am I looking at?17:46 Scans 50 to 75: from technician to diagnostician20:37 A good plan executed sooner21:00 50 stellate ganglion blocks: a physician's learning curve24:34 The near miss: a gastroc tear, not a Baker's cyst28:25 The anterior hip Bermuda Triangle30:53 Not everything is the piriformis32:39 The AMSKU Annual Global Summit35:34 Raising the standard37:59 Why we do this38:45 Voices from the 2025 summit

    MSK Ultrasound Learning Curve: What Changes Across Your First 100 Scans
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About

From Probe to Practice is a weekly podcast on musculoskeletal ultrasound — diagnostic scanning, ultrasound-guided injections, and how MSK ultrasound changes the way clinicians practice regenerative and musculoskeletal medicine. Hosted by Colin Rigney and Ryan Martin, founders of the Advanced MSK Ultrasound Center, who have trained clinicians for years and bring the reps to prove it. This is not a 45-minute monologue on probe physics. It's a high-energy dialogue about what actually happens inside a practice: the diagnostic gaps nobody mentions, the injections that miss and why, the referrals you didn't need to make, the business of integrating ultrasound, and the case studies that only come from tens of thousands of scans. Plus, in Ryan's words, "a lot of dirt on each other." Every episode is built around one promise: take something you learned from a podcast on Friday and implement it on Monday. For physicians, regenerative medicine clinicians, sports medicine providers, anyone preparing for the RMSK exam — and anyone who works alongside them. Because you can't diagnose what you can't see. New episodes weekly. An Advanced MSK Ultrasound Center podcast.

Information

  • Creator
    Advanced Musculoskeletal Ultrasound Center
  • Years Active
    2026
  • Episodes
    15
  • Rating
    Explicit
  • Copyright
    © 2026 Advanced Musculoskeletal Ultrasound Center
  • Show Website
    From Probe to Practice