The RMSK certification that Dr. Oltman has earned signifies expert-level skill in musculoskeletal ultrasound diagnostics and ultrasound guided procedures. It is awarded by the Alliance for Physician Certification & Advancement (APCA) and is a course of study that takes years to master. Only a handful of physicians in the state of Oregon have earned this distinction and is an important mark of Dr. Oltman's dedication to the specialty of interventional orthopedics and regenerative medicine. 

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If the doctor you are seeing or considering for injections does not use ultrasound guidance, you should question whether you're getting what you're paying for. If your doctor doesn't have RMSK-level expertise, you should come see the difference at Cascade Regenerative Medicine. 

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Musculoskeletal Ultrasound use is rapidly increasing across the healthcare landscape as technology has allowed for better image production. It is a simple, painless, in-office, zero-radiation technique that allows for a plethora of information and data to be collected within the context of any patient visit.

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Ultrasound provides higher quality images then MRI for many common conditions such as:

• Achilles Tendinopathy

• Tennis Elbow

• Plantar Fasciosis

• Rotator Cuff Tendinopathy

• Patella Tendinopathy

• Ankle Sprains

• Carpal Tunnel Syndrome

• Bursitis

• And many others...

Ultrasound produces an image in real-time where the area under investigation can be moved and manipulated to gather more data, called "dynamic evaluation". It also does all of this at a fraction of the cost of an MRI. 

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The biggest source of error and critique of ultrasound imaging is user-error. The expertise and experience of the person holding the ultrasound is paramount. Seeing an RMSK-credentialed physician like Dr. Oltman ensures the quality and reliability of the information gathered. Dr. Oltman adheres to the scanning standards of the American Institute of Ultrasound Medicine (AIUM). 

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Ultrasound Guided Injections are the gold standard for most orthopedic injections. Guidance provides a degree of precision that simply cannot be replicated with "blind injections". There is a big difference in the benefit of a treatment when the injection is placed "in the neighborhood" of the problem versus exactly into the damaged area with visual confirmation. Dr. Oltman is able to deliver the appropriate medicine into the most specific areas possible, delineating between individual tendon, ligament, nerve, and/or fascia fibers. 

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Healthcare providers can refer their patients for Ultrasound Exams a la carte here. 

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Ultrasound evaluation and guided injections are standard for every patient at Cascade Regenerative Medicine, included in the cost of services. Images are saved and archived for monitoring improvements and coordinating care with other practitioners. 

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References

• MRI vs US

• Ultrasound better then MRI in Ankle tendon imaging

• Ultrasound better then MRI in Wrist tendon and nerve imaging

• Ultrasound equal to MRI for rotator cuff pathology

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