FMSK Program

The Fellowship in


Musculoskeletal Sonography

The Hands-on diagnostics
Fellowship In Musculoskeletal Sonography 
(The FMSK program)

Hands-On Diagnostics is the only organization worldwide that offers a Fellowship in Musculoskeletal Sonography and a Residency in Clinical Electrophysiology.


Musculoskeletal Ultrasound has opened new horizons in the healthcare profession dealing with the musculoskeletal and neuromuscular systems. 

Recent advances in ultrasound technology have created a functional and practical approach to evaluate joints, muscles, ligaments and even nerves. Clinical evidence and research support using ultrasound as the first diagnostic test for numerous musculoskeletal conditions. Diagnostic ultrasound offers significant advantages compared to X-Ray, CT, and MRI, regarding safety and effectiveness. Musculoskeletal ultrasound simply uses sonic waves, and there is no exposure to radiation.

At the same time, diagnostic ultrasound is noninvasive and offers real-time imaging, allowing for examinations of structures at rest and in motion. This ability to capture the movement of musculoskeletal components differentiates it from other imaging modalities and can permit more accurate diagnosis.  

Measuring the electrical activity in muscles and nerves can help find diseases that damage muscle tissue (such as myopathy and muscular dystrophy) or nerves (such as amyotrophic lateral sclerosis or peripheral neuropathies). EMG and Nerve Conduction Studies are often done together to provide us with more complete data.



Why a Fellowship in Ultrasound?

While there are several continuing education training programs in musculoskeletal ultrasound, there was no Fellowship program in the U.S. until now to train health care providers extensively in this new advanced technology. 

Hands-On Diagnostics, a national franchise that helps Physical Therapists establish diagnostics in their facilities has now created the Fellowship in Musculoskeletal Sonography (the FMSK Program). The program aside from its extensive classroom time requires the completion of over 200 sonography studies performed under mentorship environment.  Students are assigned a mentor who works with them throughout the completion of the program and even goes onsite and spends time side by side with the therapist in training to make absolutely certain that the professional attains competence and confidence in performing this testing. “Mentorships help students become truly competent in musculoskeletal ultrasound and guarantee their success,” says program director Dr. Mohini Rawat, DPT, MS, CMP, RMSK, ECS, OCS.

This process helps students prepare for the RMSK board certification exam and eventually become Board Certified in Musculoskeletal Ultrasound

Why the Physical Therapist should use Ultrasound Sonography in the PT practice?

Musculoskeletal Ultrasonography can be performed by the Physical Therapist at the point of care.  If patient needs it, you have it available right there.

In a recent multicenter clinical study that was done and included over 465 patients, the outcomes were astonishing to say the least.

  • Management of patients who received EMG and MSKUS in the Physical Therapy practice was changed in 62% of patients post EMG and MSKUS testing in each group.
  • 26% patients were referred to physician/surgeon and received non-surgical (injections) or surgical interventions.
  • 16% of patients had significant change in their management post-test which led to change in their earlier diagnosis.
  • In 20% of patients, conservative PT management was changed or altered post-test.

But the most striking results of this study was that:

  • 90% of patients agreed or strongly agreed that they were better able to understand their problem, were reassured about their problem and were better able to manage their problem.
  • 98% agreed or strongly agreed that the Diagnostic test provided a high perceived value for them.

The Physical Therapist of the future will have a portable ultrasound unit in their practice and able to use it for their patients as needed, creating effective treatment plans based not only on physical examination findings but on objective evidence-based diagnostic data.  HODS trained PTs are doing this right now. HODS trains them, helps them create a HODS approved PT Diagnostic Center within their PT practice.

The title FMSK (Fellow in Musculoskeletal Ultrasonography)
The FMSK title is exclusive to HODS partners who are fellowship graduates.  The title evinces competence in Musculoskeletal Ultrasonography achieved through a vigorous training, studying and testing that advances the physical therapist to an expert in Ultrasound imaging.

The Important Role of AIUM
The American Institute of Ultrasound in Medicine (AIUM) released a groundbreaking statement declaring physical therapists as qualified providers to perform and/or interpret musculoskeletal ultrasound examinations. This decision by the AIUM further affirms the physical therapists’ evolving capacity to perform this diagnostic examination (along with additional types of examinations) and be recognized by insurance companies as qualified providers. 

The FMSK (Fellowship in Musculoskeletal Sonography) that HODS has created fully aligns with the purposes of AIUM and furthers the competent involvement of Physical Therapists in this area of study.




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