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From Probe to Practice

From Probe to Practice

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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.© 2026 Advanced Musculoskeletal Ultrasound Center Hygiène et vie saine Maladie et pathologies physiques
Épisodes
  • MRI vs MSK Ultrasound: The $2,000 Coin Flip and Palpation Theater

    MRI vs MSK Ultrasound: The $2,000 Coin Flip and Palpation Theater
    Oct 21 2026

    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 Practice
    0:24 From Probe to Practice
    0:39 Episode 11: the $2,000 coin flip and palpation theater
    1:03 The $2,000 coin flip: MRI is the gold standard in training
    2:35 The intimidation factor nobody wants to admit
    4:14 Imposter syndrome and the mythical finish line
    4:33 The road to mastery goes through incompetency
    5:39 Which camp are you in? MRI or ultrasound
    6:22 Case: a labral tear two MRIs missed
    8:45 MRI missed it, dynamic ultrasound found it
    9:14 Case: athletic pubalgia and a clean MRI
    10:27 Operator dependent: you have to know how to elicit it
    11:29 Why abdominal wall tears hide on MRI
    12:35 A high level exam for the lower abdominal wall
    14:01 The 2009 de Jesus study: rotator cuff tears
    15:43 Ten minutes at the point of care
    16:28 Complementary tools, not either or
    17:18 ACR guidelines and clinical reasoning
    18:54 Ryan's Arizona problem
    19:45 Palpation theater: are special tests enough?
    20:44 "My hands are history enough"
    21:14 Precision in needle-guided procedures
    23:01 How to start the conversation with clinicians
    23:29 Ultrasound is a flashlight
    24:14 The surgeon who scanned like he operated
    25:28 Meeting people where they're at
    26:36 AMSKU Annual Global Summit '26
    28:01 Watch last year's summit playback
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    29 min
  • Cash Pay Practice: Why Insurance Is a Leash, Not a Lifeline | Matthew Gillogly

    Cash Pay Practice: Why Insurance Is a Leash, Not a Lifeline | Matthew Gillogly
    Oct 13 2026
    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 SystemRegister for the AMSKU Annual Global Summit '26, Saturday 5 December 2026, onlineWhat 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
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    1 h et 5 min
  • The Future of MSK Ultrasound: AI, Point of Care and the Next 10 Years

    The Future of MSK Ultrasound: AI, Point of Care and the Next 10 Years
    Oct 6 2026

    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

    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 rest
    • Will a robot replace the sonographer?
    • AI guided image acquisition: a learning tool, not something to rely on 100 percent
    • Who takes the liability for an AI read: the clinician or the developer?
    • More progress in the next 10 years than in the last 200
    • Robotic blood draws, needle guidance and what could replace today's injections
    • Regenerative medicine and a market driven future
    • The future of point of care: one appointment, all the answers
    • AI taking the patient history, and an ultrasound delivered to your door
    • Same day diagnosis and treatment as the standard for the independent MSK clinic
    • Corporate healthcare vs the independent practice: two things can be true
    • Coming up on the podcast: Matthew Gillogly, Marc Pietropaoli and Ariana DeMers
    • Voices from the 2025 AMSKU Annual Global Summit

    Links 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 summit
    • Questions, comments or a prediction of your own? 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 Practice
    0:23 From Probe to Practice
    0:38 Episode 9: predictions for the next 10 years
    1:44 Robotic blood draws and AI needle guidance
    2:58 Will AI take my job? AI assisted diagnosis
    4:11 AI will make smart people smarter
    5:33 Will a robot replace the sonographer?
    6:12 Don't rely on AI 100 percent in image acquisition
    6:51 Who takes the liability for an AI read?
    7:15 More progress in 10 years than the last 200
    7:56 Predictions from the Global Summit speakers
    8:24 What will replace today's injections?
    9:14 If a robot can draw blood
    9:46 Regenerative medicine: a market driven future
    12:09 The future of point of care
    12:48 One appointment, all the answers
    13:54 An AI guided ultrasound delivered to your door
    15:05 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 years
    18:53 Same day diagnosis and treatment as the standard
    20:33 Corporate healthcare vs the independent practice
    21:08 Two things can be true
    22:21 The next decade is in your hands
    24:11 Coming up on the podcast
    24:44 summit.amsku.com: speakers from six continents
    27:21 Voices from the 2025 AMSKU Annual Global Summit
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    29 min
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