The BIOS Orthopedic Institute

Alberto J. Panero, D.O.

Regenerative Orthopedics Specialist & Sports Medicine Specialist located in Sacramento, CA

The emerging use of musculoskeletal (MSK) ultrasound has many diagnostic and procedural uses. It’s often referred to as the orthopedist’s stethoscope. Dr. Alberto J. Panero uses MSK ultrasound to help guide treatment and diagnose your condition. Make an appointment to come to The BIOS Orthopedic Institute in Sacramento, California to experience this state-of-the-art diagnostic tool today.

What are the benefits of MSK ultrasound?

MSK ultrasound provides a time and cost-efficient modality with diagnostic power comparable to MRIs. It’s portable and boasts a high safety profile, which allows it to be easily implemented as an in-office tool. Dr. Panero may use it for needle guidance as well as for diagnosis.

Are there diagnostic advantages to using MSK Ultrasound?

MSK ultrasound offers same day, in-office results as to whether you have a tear or soft tissue injury. You’ll experience real-time evaluations. The doctor is also able to compare an affected side to healthier parts of your body to allow for a more comprehensive evaluation. You, as a patient, will find ultrasound  more comfortable than claustrophobic MRI machines. Ultrasound does not come with the contraindications for people with pacemakers, metal implants, or obesity.

What can MSK ultrasound evaluate?

Dr. Panero uses MSK ultrasound to diagnose, determine treatment, and implement treatment of a number of conditions. It can identify:

  • Soft tissue disorders: Tears of muscles, tendons, and ligaments
  • Inflammation: Plantar fasciitis, tenosynovitis, and effusions
  • Masses: Hematoma, cyst, solid tumors, and calcific tendonitis
  • Nerve disorders: Morton’s neuroma, neuropathies, and trauma
  • Joint disorders: Erosions on bones, loose bodies, pannus, and loose bodies

How can ultrasound improve procedural outcomes?

MSK ultrasound provides an accurate way to administer guided injections so you get treatment at the right place. It helps the doctor avoid nerves, vessels, and other sensitive tissue. Without ultrasound, research shows that even expert injectors can miss their mark over 30% of the time. Using ultrasound for diagnosis also avoids the excess radiation that might be incurred with X-ray diagnoses.

The American Medical Society for Sports Medicine Position Paper on MSK ultrasound reviewed 124 studies, concluding that ultrasound-guided joint injections are more accurate and efficient than landmark guided injections.

Dr. Panero is an amazing physician who truly cares about the wellbeing of his patients. His entire team is dedicated, thorough, and professional who makes sure all appointments go smoothly even with the ongoing pandemic. Dr. Panero recommended PRP for my elbow tendinitis and truly advocated for me to get the treatment I needed to improve my chronic pain. I am so grateful to be one of Dr. Panero’s patients!

Rena S.

I really appreciate Dr. Panero’s skill and expertise, as well as his focus, deep active listening, and clear communication about next steps. Thank you so much!

Susan C.

Dr Panero is superb. Always and I have unqualified respect and admiration and trust in him. I am fortunate to be a patient and client of his. His staff are excellent and so professional and thoughtful too.

Leslie S.

I was very happy with Dr. Panero. He took his time to listen to me and evaluate me. Then he went over all my options and answered all my questions. I am very glad I was referred to him!

David M.

Dr. Panero is extremely professional and takes the time to explain in detail his diagnosis and opinion. He is also willing to listen to your concerns and needs.(Some orthopedic doctors I’ve meet with have not been as open minded.) I really like his approach to rehab and regeneration. It is refreshing to not have a Dr. want to immediately operate or medicate you. Nice courteous staff, reasonable wait time and the office is very accessible with a parking garage. Parking fee, I paid $1 for 30 mins, cash only.

Ronald Z.