Overview of NMUS

What is Neuromuscular Ultrasound?

Neuromuscular ultrasound refers to scanning of nerves and muscles to assess and guide treatment of primary neuromuscular disorders. NMUS is a rapidly evolving subspecialty. Early studies dates back to the 90s. For decades, the literature focused on focal mononeuropathies especially carpal tunnel syndrome and ulnar neuropathy at the elbow. However, along the years, the interest has expanded to explore US utility in generalized nerve and muscle disorders. Moreover, new subdomains are continuously emerging like cranial nerve ultrasound, and nerve & muscle elastography,

Value 

The value of NMUS lies in its ability to assess the structural/anatomical aspect of nerves and muscles which makes it a perfect assessment tool that complements electrodiagnostic tests. 
It can give information about the size of nerves and muscles, echotexture changes, nerve mobility, muscle movements, nerve and muscle vascularity, structural factors that may compress nerves and/or muscles. It also identifies important anatomic variants that can impact diagnosis & management. 
Moreover, using ultrasound to guide nerve & muscle treatment allows accurate targeting and prevents inadvertent injury of nearby structures.  

Want to learn more about NMUS, its indications, how to acquire the skill, and how to implement it in your practice especially in EMG labs? 

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