FAQ

[VIDEO] Ultrasound on the Field Gives Elite Athletes an Edge

It’s no surprise that Dr. Yahira Castillo-Mendoza, MD is actively engaged in supporting elite athletes since graduating from medical school. A former CrossFit champion who has twice held the title of Fittest Woman in the Dominican Republic, she knows firsthand what it takes to stay in top physical condition and avoid injuries.

Dr. Castillo has been actively participating as a medical team member in high-profile sports and rehabilitation events in the European Union and the Middle East. She is enthusiastic about using ultrasound for sports medicine on and off the field.

Recently, she has been working with Dr. Kenneth Vincent and using the Clarius L15 HD ultrasound to assess elite athletes before and after their training to establish a baseline for each individual’s anatomy, and to understand how much an athlete should train for optimal performance.

Read “How Elite Speed Skating Athletes Are Using Wireless Ultrasound in Training for the Winter Games” to learn more about Clarius for elite athletes.

Recommendations for Using Clarius Ultrasound for Sports Training

1. Pre training scans to asses muscle integrity and quality before a workout
2. Post training scans to see the changes in anatomy
3. Evaluating outcomes of rehabilitation treatments
4. Assessing injuries in the field

We recently had the opportunity to interview Dr. Castillo about her experience with Clarius. Watch her video, recorded in Spanish and subtitled in English to learn what she had to say.

Clarius in Action With Olympian Athelete

During the session, Dr. Vincent recorded educational videos using the Clarius L15 for Clarius Classroom. It’s important for sports medicine specialists to know what’s happening in the joints of their athletes at baseline and after training or competition. Watch how Dr. Kenneth Vincent uses ultrasound to image the knee of a high-performance European speed skater and to obtain a baseline study of the anterior knee.

Handheld Ultrasound for MSK Clinicians 

Ideal for MSK anatomy down to 7 cm, the Clarius L15 HD high-frequency ultrasound scanner is available with an optional Advanced MSK Package for diagnostic and interventional procedures.

Clarius offers four ultrasound scanners that are suitable for MSK applications. Learn more about which Clarius Handheld Ultrasound scanner is right for your practice. Or contact us today to request an ultrasound demo.

[VIDEO] Clarius Ultrasound Classes for Medical Aesthetics

At Clarius, we envision a future where better patient care is enabled by medical imaging in every clinical setting. That’s why we deliver affordable, high-performance ultrasound systems that are designed to suit every medical specialty. And it’s also why we partner with expert instructors to deliver free video tutorials and webinars.

Thank you to Dr. Steven Weiner, Dr. Stella Desyatnikova, and Dr. Ines Verner who found time in their busy schedules this year to share their skills and expertise.  Following is a round-up of the webinars, video tutorials, and articles on ultrasound guidance for facial aesthetics.

On-Demand Webinars: Ultrasound Guidance for Facial Aesthetics

Dr. Stella Desyatnikova, MD
Dr. Steven F. Weiner, MD

Facial Aesthetic Complications: Using Ultrasound to Dissolve Fillers and Reverse Vascular Occlusions

Dr. Weiner and Dr. Desyatnikova teach how to:

  • Clearly visualize patient anatomy and characterize filler complications in real-time
  • Identify nodules, malar edema and other irregularities associated with fillers
  • Use ultrasound to accurately guide injections and dissolve hyaluronic acid fillers
  • Identify normal and abnormal blood flow and reverse a vascular occlusion

► Watch Now


Dr. Steven F. Weiner, MD

Ultrasound in Facial Aesthetics: Vascular Mapping, Evaluating Fillers and Complications

Dr. Weiner explores:

  • The real dangers of blind injections and how to eliminate them
  • Vascular mapping to confirm the location, size and depth of arteries
  • How to identify and characterize previously placed fillers
  • Guiding injections to dissolve HA fillers and placing steroids in granulomas

► Watch Now


Clarius Classroom: Video Tutorials for Facial Aesthetics 

Clarius Classroom videos for facial aesthetics are available on our website and on the Clarius App. Watch Dr. Ines Verner visualize the facial, superficial, and inferior labial arteries. High-definition vascular imaging using Color Doppler allows her to visualize the locations and avoid intervascular injections.

Blog: Articles on Ultrasound Guidance for Facial Aesthetics

Why Ultrasound Is the New Breakthrough in Aesthetic Dermatology Internationally

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Plastic Surgeon Resolves 10-Year-Old Filler Complication Using Clarius Ultrasound

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How 3 Clinicians are Using Clarius Handheld Ultrasound for Safe Cosmetic Facial Injections

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We’d love to hear from you!

If you’re a Clarius customer, thank you! We welcome any feedback you have on our products or educational content. We would also be delighted to hear any of your ideas for more education or if you would like to partner with us on developing new content. Please email us at marketing@clarius.com.

If you’re interested in joining our growing community of users, please visit our ultrasound for aesthetics page to learn more about which Clarius scanner is right for your practice. Or contact us to speak with one of our ultrasound experts.

[VIDEO] Clarius Ultrasound Classes for Veterinary Medicine

Over 20,000 doctors of veterinary medicine registered for our new educational webinar series this year! We’re thankful to have had the opportunity to meet many of you during the five webinars we hosted with Dr. Camilla Edwards, Dr. Soren Boysen, and Dr. Serge Chalhoub.

We share in Dr. Boysen’s enthusiasm for the life-saving difference that point-of-care ultrasound is making in veterinary medicine.

“Point-of-care ultrasound has become an essential piece of the puzzle when it comes to managing veterinary patients. We can actually, right there at the cage side, gain a very rapid evaluation of what’s causing that patient to have respiratory difficulty or a cough within 30 to 60 seconds,” says Dr. Boysen. “That first-line evaluation with the point-of-care ultrasound, right there when the patient comes in, is hugely impactful when it comes to comforting the owners, figuring out where we’re going to go, and discussing prognosis, costs, etc. It makes a huge difference on how we manage those patients.”

In case you missed these highly rated live events, here’s a round up of the on-demand webinars and recorded tutorials. Watch them at your convenience to level up your ultrasound skills for the new year!

On-Demand Webinars: Veterinary Ultrasound Best Practices


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Dr. Camilla Edwards, DVM, CertAVP, MRCVS – Peripatetic Veterinary Ultrasonographer | Educator | FOVU
Practical Small Animal Ultrasound: Scanning the Pancreas and Adrenals for Common Pathologies

Dr. Edwards explores:
> Imaging landmarks for identifying and scanning the adrenal glands
> Using POCUS best practices to systematically examine the pancreas
> Recognizing and diagnosing pathology in the pancreas and adrenals
> Honing interpretation, taking measurements and building quality reports

Watch now!
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Dr. Soren Boysen, DVM, DACVECC
Dr. Serge Chalhoub, BSc, DVM, DACVIM (SAIM)
Differentiating Primary Cardiac from Pulmonary and Pleural Space Diseases


Drs. Boysen and Chalhoub show how to:
> Rapidly scan the lung and pleural space for pathology of cardiac origin
> Assess the heart to determine if furosemide is indicated to explain respiratory distress
> Tailor furosemide dosage based on serial POCUS cardiac and lung findings
> Interpret “dry lung” findings in patients presenting with respiratory distress

Watch now!
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Dr. Camilla Edwards, DVM, CertAVP, MRCVS
Practical Small Animal Ultrasound: AFAST Scanning Techniques

Dr. Edwards teaches how to:
> Abdominal FAST exam best practices with live canine scanning
> Four exam positions to systematically approach the trauma patient
> How to recognize free fluid and avoid common pitfalls
> Understanding the fluid scoring system and how it can help your patient

Watch now!
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Dr. Soren Boysen, DVM, DACVECC
Dr. Serge Chalhoub, BSc, DVM, DACVIM (SAIM)
Veterinary Point-of-Care Pleural Space and Lung Ultrasound (PLUS) for Everyday Practice!


Dr. Boysen and Dr. Chalhoub explore:
> Pro tips you can use daily for performing PLUS exams with mobile ultrasound
> Diagnosing causes of cough, including pulmonary edema, in just one minute
> Differentiating pleural space diseases, including pneumothorax and pleural effusion
> The advantages of point-of-care ultrasound for every veterinary practice

Watch now!
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Dr. Camilla Edwards, DVM, CertAVP, MRCVS
Practical Small Animal Ultrasound: Diagnosing Pathology with Intestinal, Gallbladder & Spleen Exams

Dr. Edwards explores:
-How to improve care with first opinion ultrasound on the first visit
-Performing ultrasound exams to rapidly identify the presence of abnormalities
-Ultrasound techniques for characterizing masses, sludge and free fluid
-Honing interpretation, taking measurements and building quality reports

Watch now!

Clarius Classroom: Video Tutorials for Veterinary Medicine

Clarius Classroom videos are now available on our website and on the Clarius App to quickly hone your ultrasound skills. Here are our two latest veterinary entries.

We’d love to hear from you!

If you’re a Clarius customer, thank you! We welcome any feedback you have on our products or educational content. We would also be delighted to hear any of your ideas for more education or if you would like to partner with us on developing new content. Please email us at marketing@clarius.com.

If you’re interested in joining our growing community of users, please visit our veterinary ultrasound page to learn more about which Clarius scanner is right for your practice. Or contact us today to book a demo with one of our ultrasound experts.

[VIDEO] Clarius Ultrasound Classes for Pain Management

2021 was a banner year for ultrasound education at Clarius. We worked closely with a number of ultrasound experts from various medical specialties to create a series of Clarius Classroom videos and free one-hour webinars. These educational resources are now available on-demand.

Dr. David Rosenblum, Director of Pain Management at Maimonides Medical Center and prolific ultrasound educator, was one of our key contributors and had this to say about his experience with Clarius:

“I’m creating a lot of good content for pain management doctors who want to learn ultrasound. Clarius has accelerated educational activities dramatically and has helped me communicate with other physicians and to teach them.”

A big thank you Dr. Rosenblum for all of your educational contributions! We’d also like to extend our warmest gratitude to Dr. Alan Hirahara and Dr. Gregory Hickman for sharing their master tips with us as well.

Here’s a round-up of the training offered this year to help you perform safe and effective pain management procedures using ultrasound guidance.

Got an hour? Watch one of these pain management ultrasound webinars on-demand!

David Rosenblum, M.D. – Interventional Pain Management

Clear Solutions for Neck and Shoulder Pain: Ultrasound-Guided Brachial Plexus and Suprascapular Injections

You’ll learn to:

  • Identify the brachial plexus and cervical nerve roots
  • Treat shoulder problems with little to no steroid
  • Manage central nerve radicular complaints without a fluoroscope
  • Visualize the superficial cervical plexus, facet joint, stellate ganglion region

► WATCH NOW


Dr. Alan M Hirahara, MD, FRCSC – Orthopeadic Surgeon

Visualize Your Needle: Ultrasound for Painless and Accurate MSK Injections

Dr. Hirahara teaches:

  • Identify the brachial plexus and cervical nerve roots
  • Treat shoulder problems with little to no steroid
  • Manage central nerve radicular complaints without a fluoroscope
  • Visualize the superficial cervical plexus, facet joint, stellate ganglion region

► WATCH NOW


Gregory Hickman, M.D. – Regional Anesthesia & Acute Pain Medicine

The Mobile RA – Using Handheld Ultrasound to Guide PECS and Supraclavicular Blocks Plus Intra-Articular Injections

Dr. Hickman explores:

  • How to use handheld ultrasound to optimize patient safety
  • 3 RA injections best performed under ultrasound guidance
  • Strategies for maximum pain relief and infectious control
  • Pro-tips for today’s busy regional anesthesiologist

► WATCH NOW


David Rosenblum, M.D. – Interventional Pain Management

Practical Pandemic Pain Remedy: Ultrasound-Guided Occipital, Erector Spinae & Tendon Sheath Injections

Dr. Rosenblum shares:

  • Pro-tips for treating 3 common pain conditions during the pandemic
  • How to optimize needle placement for accuracy and patient safety
  • How to deliver maximum neck, back, and hip pain relief
  • ow to modify your injection procedures for best infectious control

► WATCH NOW


Got 5 minutes? Check out these Clarius Classroom tutorials to hone your ultrasound skills for guiding safe pain management procedures!

This year, Drs. Rosenblum, Hirahara and Hickman all contributed short video tutorials to our Clarius Classroom. Using real patient cases, they share their step-by-step instructions for a variety of pain management procedures. Watch their Clarius Classroom videos on our website and in the Clarius App to help you quickly hone your ultrasounds skills.

We would love to hear from you! 

If you’re a Clarius customer, thank you! We welcome any feedback you have on our products or educational content. We would also be delighted to hear any of your ideas for more education or if you would like to partner with us on developing new content. Please email us at marketing@clarius.com

If you’re interested in joining our growing community of users, please visit our wireless ultrasound for pain management page to learn more about which Clarius scanner is right for your practice. Or contact us today to book a demo with one of our ultrasound experts. 

[VIDEO] Clarius Ultrasound Education for Obstetrics

The emergence of ultra portable handheld ultrasound systems with high-definition imaging is enabling more obstetricians to use point-of-care ultrasound at the bedside of expectant mothers as an extension of the physical examination.

“The Clarius systems have been ideal for improving first visits with patients at seven to eight weeks of pregnancy,” says Dr. Shaunie Keys, MD, an obstetrician and gynecologist. “Rather than sending my patients to see a sonographer first, I like to do these first exams myself as it is a great opportunity to connect with patients and their spouses.”

Dr. Fred Ushakov, an expert in Fetal Medicine and Echocardiography credits ultrasound technology for the ability to detect fetal abnormalities early. He foresees a future where handheld ultrasound systems like Clarius will be the standard of care for all OB/GYN clinicians once the right training is in place for physicians and midwives. 

“When I started working on ultrasound machines, they were huge and they didn’t have a lot of capabilities,” Dr. Ushakov recalls. “Now I can fit a whole ultrasound machine in my pocket and I have small pockets. I can walk to a patient and start scanning with Clarius and my phone in a minute.”

We recently co-hosted a one-hour webinar with Dr. Ushakov, which is now available to watch at your convenience.

On-Demand Webinar: Second Trimester Obstetric Scans

Dr. Fred Ushakov, MD

Second Trimester Obstetric Scans: Essential Point-of-Care Ultrasound Exams for Real-Time Answers

Dr. Ushakov teaches how to: 

  • Locate the placenta and fetal position in seconds
  • Confirm fetus viability and heart health
  • Take accurate BPD measurements and head circumference
  • Determine the level of amniotic fluid to indicate pathological circumstances

► Watch Now

Clarius Classroom: Video Tutorials for Obstetrics

A dozen Clarius Classroom videos are now available on our website and on the Clarius App, with more to come. Watch Dr. Fred Ushakov, Dr. Oron Frenkel, and sonographer Esther Donohue perform OB examinations using their Clarius HD scanners!

We’d love to hear from you! 

If you’re a Clarius customer, thank you! We welcome any feedback you have on our products or educational content. We would also be delighted to hear any of your ideas for more education or if you would like to partner with us on developing new content. Please email us at marketing@clarius.com.

If you’re interested in joining our growing community of users, please visit our OB/GYN specialty page to learn more about which Clarius scanner is right for your practice. Or contact us today to book a one-on-one virtual demo with one of our ultrasound experts.

World Champion Inline Speed Skater Daniel Greig on Using Clarius Ultrasound to Image Athletes Performing at the Winter Games

Daniel Greig represented Australia in the 2018 Winter Games at PyeongChang. He is still today’s reigning world champion for inline skating. Competing since he was six years old, the South-Australian won two gold medals for inline speed skating at the Junior World Championships.

Having recovered from severe injuries sustained four years ago, you now find Greig coaching elite athletes to help them reach their full potential by applying new technologies to their training programs. We caught up with Greig while working with Dr. Craig Kenneth Vincent and high-performance EU speed skaters in preparation for the 2022 Winter Games. Greig shared his excitement about the use of Clarius HD wireless ultrasound for sports medicine.

“Clarius can be very useful for coaches and athletes because it allows you to immediately assess an athlete, even a muscle, at the moment that an adverse incident occurs,” explains Greig.

While ultrasound is commonly used to assess MSK injuries after they happen, Greig is perhaps most excited about the regular use of high-definition ultrasound to predict and prevent injuries before becoming detrimental to athletes.

“I’ve been aware of using medical grade instruments to do assessments of potential adverse effects and risk factors, but this was an entirely new application that’s really activated my imagination. It’s actually possible to assess the acute inflammation level that occurs in tendons and joints post exercise, and compare that to baseline values in order to determine whether an athlete might be at risk of a later more serious pathology.”

Daniel Greig’s Three Recommendations for Using Handheld Ultrasound During Sports Training.

  1. Take a baseline of important structures prior to exercise.
  2. Check for changes in tissue structures post exercise.
  3. Uncover risk factors in athletes before they occur.

See Clarius in Action

During the session, Dr. Vincent recorded educational videos using the Clarius L15 for Clarius Classroom. In this video, Dr. Kenneth Vincent performs an ultrasound of a Daniel’s knee immediately following a 30 minute high-intensity skate. He stresses the importance of having access to ultrasound to look for pathological changes in the anterior knee compared to baseline study.

Handheld Ultrasound for MSK Clinicians

Ideal for MSK anatomy down to 7 cm, the Clarius L15 HD high-frequency ultrasound scanner is available with an optional Advanced MSK Package for diagnostic and interventional procedures.

Clarius offers four ultrasound scanners that are suitable for MSK applications. Learn more about which Clarius Handheld Ultrasound scanner is right for your practice. Or contact us today to request an ultrasound demo.

Is Clarius HD the Best Handheld Ultrasound for Sports Medicine?

Dr. Kenneth Craig Vincent, DPM, has been a big fan of the Clarius handheld ultrasound system since he started using the Clarius L15 HD in 2019. He uses ultrasound to see how muscles are activating and joints and structures are moving to determine a course of treatment for athletes and then to monitor results.

“Clarius is a great fit for sports medicine,” he asserts. “The versatility, the image quality is for me second to none, the real-time interactive ability for the clinician, the athlete, the coaches and team in real life is invaluable.”

Dr. Vincent responds without hesitation when asked about comparing Clarius to other portable ultrasound systems for sports medicine.

“I have used other handheld portable devices. However, they are not totally wireless. They have some form of cable attachment to a tablet or to a smartphone. Whereas the Clarius is totally wireless and works with an Android phone, an Apple phone or a tablet. You don’t have to deal with the clutter of wire connections.”

We recently caught up with Dr. Vincent with a camera crew during a session with Winter Games skating athletes in the EU. Watch our video interview to hear more of what he had to say. Or read our Q&A below.

Why do you use the Clarius Handheld Ultrasound system for your sports medicine practice?

“I use Clarius for real-time imaging on my patients in my clinic and on the field. The biggest advantage of using a Clarius is the image quality, the weight, the image processing time on the platform, as well as the battery life and the affordability. I also like the various options such as power doppler and needle enhance. The software presets are very helpful. It’s easy to select the elbow, knee or ankle for the initial settings, which I can then adjust if necessary.”

What are the key advantages of using a handheld ultrasound system for sports medicine?

“I find doing procedures with Clarius simple. It’s straightforward to set up. It’s easily transportable. It’s lightweight. It doesn’t take up too much space in the office. I can’t speak enough about its versatility, transportability and availability at any time. I just pick it out of a bag or my pocket. I can conduct real-time scans. And it’s great when you’re doing sports because it’s different. The muscles, the joints are warmed up. You get to assess physiology as well as pathology in real time.

Infection control is also important and it’s easy to disinfect Clarius, which is an added advantage. And another thing is the flexibility of being able to position the tablet according to the position of the anatomy I’m examining.”

Would you advise someone who is starting a sports medicine practice to purchase an ultrasound system?

“Anyone starting a new practice would be able to easily afford Clarius because of the price point and it’s not going to burden them with the stresses of having to recover large capitals.

By performing the ultrasound exam, instead of referring, clinicians can establish a better relationship with the patient. When you have a device like Clarius, it shows that you’re interested in what you do. It shows that you’re investing in health, your professional self, as well as your patients.

Clarius allows me to confirm what I am suspecting or seeing in my everyday assessment routine. However, the greatest form of confidence is because I’m able to then interact with my patients so clearly that they can share the clinical experience with me.”

How did COVID-19 impact your business?

“COVID-19 has impacted everybody, and certainly, we saw a significant downtrend in terms of patient load. Clarius certainly helped us in coping with COVID-19 because it shortened the requirement or reduced the requirement to go to a different facility for scanning needs. A patient was confident that if they came to see us and required sonographic imaging, they could get it in-house.”

See Clarius in Action

During the session, Dr. Vincent recorded educational videos using the Clarius L15 for Clarius Classroom. In this video, Dr. Kenneth Vincent uses ultrasound to assess the knee of a European Masters athlete. He describes the importance of distinguishing between pathology and adaptive changes often seen at this level of athlete.

Handheld Ultrasound Designed for MSK Clinicians

Getting detailed ultrasound images of musculoskeletal anatomy to make a confident diagnosis has never been easier. Ideal for MSK anatomy down to 7 cm, the Clarius L15 HD high-frequency ultrasound scanner is available with an optional Advanced MSK Package for diagnostic and interventional procedures.

Clarius offers several ultrasound scanners that are suitable for MSK applications. Learn more about which Clarius Handheld Ultrasound scanner is right for your practice. Or contact us today to request an ultrasound demo.

How Elite Speed Skating Athletes Are Using Wireless Ultrasound in Training for the Winter Games

Earlier this year, Dr. Craig Kenneth Vincent, DPM, who specializes in treating elite athletes, invited us to a training session with speed skating athletes and coaches in the EU. Dr. Vincent demonstrated how to use Clarius to examine athletes before, during and after their workouts.

Watch our interview with Dr. Vincent during the event. We also had the opportunity to interview the coaches/sports scientists about their impressions of Clarius. Here’s what they had to say.

Harold Gartner, Sports Scientist and University Lecturer, commented on the subject of sports medicine and rehabilitation and gave his impression of Clarius HD wireless ultrasound.

“As a sports scientist, I don’t usually work with ultrasound but I was interested in how Dr. Vincent uses handheld ultrasound in the field with athletes,” says Harold. “I wanted to see it in action. What I saw today with Clarius is really fantastic for the people that work on the field, because what we did today was a real data study.”

Harold was able to observe the anatomy of an athlete at rest before a workout and then after to see changes. He was excited about the implications for everyday training.

“You can really see structures changing during the session. You can understand if the training parameters, such as volume or intensity, are right for the athlete, or if you need to adjust those parameters. This is important information for the head coach, or the person who is in charge of taking care of the athlete.”

Harold Gartner’s Four Recommendations for Using Handheld Ultrasound During Sports Training.

  1. Rehabilitation of an injured athlete – When the athlete returns to practice, perform a before and after exam to monitor structural response to the training. Make adjustments to prevent re-injury.
  2. Prevention of overuse injuries – Monitor athletes over the course of two weeks to see if the volume of training is detrimental to physical structures.
  3. Measure the impact of practice and competition – Examine athletes in the field to see changes before and after exertion.
  4. Early warning of potential injury – Athletic trainers can learn to see a problem as it develops and refer the athlete to an expert for timely diagnosis.

See Clarius in Action

During the session, Dr. Vincent recorded educational videos using the Clarius L15 for Clarius Classroom. Watch how Dr. Kenneth Vincent walks us through a knee ultrasound of a former world champion speed skater and current world champion in-line skater. He establishes what is “normal” for this athlete before beginning his training regime.

Handheld Ultrasound for MSK Clinicians

Ideal for MSK anatomy down to 7 cm, the Clarius L15 HD high-frequency ultrasound scanner is available with an optional Advanced MSK Package for diagnostic and interventional procedures.

Clarius offers four ultrasound scanners that are suitable for MSK applications. Learn more about which Clarius Handheld Ultrasound scanner is right for your practice. Or contact us today to request an ultrasound demo.

Why Ultrasound Is the New Breakthrough in Aesthetic Dermatology Internationally

Dr. Ines Verner is an Aesthetic Dermatologist based in Tel-Aviv with more than 20 years of experience performing aesthetic procedures. She is a renowned speaker at industry conferences and is considered a key opinion leader in her field. Dr. Verner was a member of the international scientific committee and advisory board for AMWC 2021, held in Monaco, where she presented on the popular topic of “Ultrasound mapping to prevent filler complications.”

We recently had the good fortune to interview Dr. Verner about her experience with Clarius ultrasound, which she has been using for about a year. Watch her video interview or read the highlights from our conversation below.

What are your observations about the growing use of ultrasound for aesthetic procedures?

“It’s a breakthrough in the field. We’ve learned quite a lot in recent years about the anatomy of the face, of the neck, also of the body and we’re doing more and more aesthetic treatments. And we’ve been doing them blindly. So, we inject blindly nearly all the time. And I think that once we have the ultrasound, we can inject knowing where we’re going and also not to inject where we don’t want to inject. It’s a game-changer for the industry.”

When do you think ultrasound is indicated for aesthetic procedures?

“There are actually three main indications:

1. To visualize the filler or to visualize if the patient is coming with a problem. Some patients don’t remember where they’ve had fillers. Sometimes the filler can actually move from one area to another.

2. To prevent intravascular injections, because the biggest risk when we are injecting is to go intravascular. This can lead to blindness. This can lead to skin necrosis. This can lead to emboli. This is a very, very dangerous complication. So, this can actually be prevented by visualizing the vessels.

3. To treat a problem with a filler. So, for instance, if we have filler granuloma, or if a filler is injected not properly, or even if it is injected intravascularly, then we can actually use the ultrasound as a guidance to actually treat this complication. And we can see where it is. We can see where the filler is located and we can actually treat it accordingly and precisely where we need to be.”

Is ultrasound becoming standard practice for aesthetic professionals?

“I do see ultrasound becoming a standard for aesthetic procedures. I think it will take some time for doctors to accept it and for us to learn how to do it. We need to have exact protocols for the aesthetic clinics, because every doctor who will use the ultrasound needs to know what they have to do, what exactly needs to be visualized, what needs to be measured, and how it needs to be approached, and what needs to be checked.”

How do your patients react when you use ultrasound?

“Patients are very excited and amazed when we use ultrasound. It impresses them when we can show them what we’re doing, where their vessels are and how the filler is injected. It also makes patients feel safer and they feel they’re in a high-end clinic. For example, when patients come in with complications from other doctors and they have a nodule or something on their forehead or on their mid-face, then we do the ultrasound and they are excited we can diagnose the issue. They feel safe and that they’re in good hands.”

When did you start using ultrasound at your clinic?

“I started using ultrasound in my clinic about a year ago. I started with the Clarius L15 HD to check the subcutaneous area because we were doing some studies on energy-based devices and we wanted to actually see the effect on fat. Then I learned about the Clarius L20 HD, and I bought it for injections.”

Why did you choose Clarius HD?

“I purchased the Clarius scanner mainly because it’s wireless. I like it that I can carry it. I like it that it’s small. I can take it with me if I need to go somewhere and check things out. We have many rooms in the clinics and I can move from one room to another. Also, I like it that there is a cloud storage where you can actually check out the pictures and see what you need to do and evaluate things afterwards.”

Was image quality a factor?

“… the image quality is very, very good. And this is due to the frequency that this ultrasound has. It has a 20-megahertz frequency, which actually gives the possibility to have very, very good image quality up to four centimeters in depth.”

How do you find performing procedures with Clarius?

“I find doing procedures with the Clarius quite easy. I have to say there was a learning curve. Now I’m really fast with it and can easily do the mapping and capture images in five minutes. I’m getting better all the time. The wireless connection is very fast and there are no wires to get in the way.”

What treatments do you use Clarius for at your clinic?

“At our clinic, we use it for filler injections to prevent intravascular injection. Secondly, to treat complications of fillers, that we did a lot because you can really visualize the problem. Also, we’ve been using it for energy-based device treatment of the fat. For instance, when we are doing lipolysis, it can really visualize what is happening in the fat tissue. And finally, we’ve just started using it with radiofrequency technologies to really evaluate the effect on the skin.”

What about disinfection? Has that been an issue, especially with COVID-19?

“The device is really easy to clean. You just take some alcohol and you clean it. It’s perfect. The disinfection is easy to do. We had no problem using it all the time, even when we had a surge of patients coming back after the shutdowns.”

Do you think Clarius is good value?

“From my perspective, it is good value for money. And actually, I have two in the clinic for now. So yes, I think it’s good value. I think doctors can buy multiple devices and I don’t think the price is a limiting factor for a clinic. Mainly for an aesthetic clinic, it’s really not a limiting factor.”

After a year using Clarius, why do you think it’s a good fit for aesthetics?

“Clarius is a good fit for aesthetics, because it’s easy to use, the image quality is good. We can really see what we need to see. I think the new Clarius L20 HD is a very good technology for the aesthetic clinic. The transducer head is quite small, so we can use it in different areas of the face.”

Interested in learning more about Clarius Ultrasound for Aesthetic Procedures?

Watch our recent on-demand webinar with Dr. Steven Weiner and Dr. Stella Desyatnikova to learn how to treat filler complications like a pro: Facial Aesthetic Complications: Using Ultrasound to Dissolve Fillers and Reverse Vascular Occlusions.

More aesthetic clinicians are using Clarius HD handheld ultrasound every day to ensure safer procedures and better results. Dr. Verner uses the Clarius L20 HD for injections. It’s the world’s first high-frequency ultrasound in a handheld scanner, with exceptional superficial imaging for facial aesthetics.

Contact us today or request an ultrasound demo to see how high-definition imaging can help you improve safety and deliver consistent patient outcomes in your aesthetic practice!

Ultrasound Guidance for New Orthopaedic Treatment Options Like PRP Injections

A trail-blazing orthopaedic surgeon, Dr. Alan Hirahara has been using ultrasound for procedure guidance for more than 10 years. With the emergence of new treatment options including orthobiologics, like PRP, he believes ultrasound guidance is more important than ever.

“Corticosteroids have a lot of risks and I’m appalled that I don’t hear doctors talking to their patients about it because we know these risks exist,” says Dr. Hirahara. “They soften and damage cartilage and weaken or rupture tendons. That’s why you can never put a corticosteroid into a tendon, into an area where you’re going to damage the structure, and actually cause it to have an increased risk of rupture and tear. Ultrasound helps us ensure we place the injection in the right place.”

Dr. Hirahara recently presented a one-hour webinar on using ultrasound for accurate and painless MSK injections. Watch his webinar or read on for some highlights including a video case study and his thoughts on new treatment options.

The Risks of Corticosteroids 

“We never want to put corticosteroid into a tendon as it softens and damages cartilage, weakens or ruptures tendons.

There’s also increased risk of AVN, thinning of the bone, increased risk of infection, which can diminish the activity of the immune system, temporary increase blood sugar with diabetics, soft tissue fat atrophy, crystal deposition, steroid flare, hypopigmentation, and thinning of the skin. All this can occur and will even affect us surgically.

We now have numerous studies that show a negative effect of preoperative cortisone on rotator cuff outcome with increased risk of revision. It can occur with just one injection. It increases the time to surgery because you want to make sure there is no risk that the surgery will fail due to a previous cortisone treatment.

PRP Is No Longer Experimental

PRP, which was first described in the literature in 1969, has become very prominent in the past decade or two. More studies started to emerge in the 80’s and it was FDA approved for use in 1999. So why in 2021, do we still consider PRP experimental?

There’s plenty of basic science research that has been showing that it augments proliferation of tenocytes, osteoblast myocytes, diminishes inflammation, diminishes pain, augments HA secretion, and augments stem cell migration proliferation. There is a ton of data now that shows that this is what happens, and really, we shouldn’t be surprised. Because how do you think our body heals? The body doesn’t heal by fairy dust; our body has platelets as the first step in our process from injury to healing. It doesn’t do all the work; it’s a whole process. And our goal is to understand the process and intervene with those products, with those things that our body has to use in the treatment of disease and injury.

Making the proper diagnosis, understanding what’s wrong, and then applying that biologic in the manner it’s needed to the problem will help us get a better outcome.

There is level one evidence that PRP is very effective in DJD, superior to HA, superior to placebo, and superior to cortisone. Level one evidence that PRP is better in patellar tendinopathy and partial rotator cuff tears. PRP promotes stem cell migration and proliferation because that’s its job. Platelets, with their release of alpha granules, promote proliferation and migration of the stem cells, which do the work.

Treating Achilles Tendinopathy with an Ultrasound Guided PRP Injection

Here’s an example of an achilles tendinopathy. And this is near and dear to my heart because this is my achilles. My achilles in 2018 was in really bad shape. And you can see the hypoechoic area in the tendon. You can see that my tendon was six millimeters wide. Normal thickness is three millimeters.

Here is my Achilles six weeks after injecting PRP into the defect. There’s a big difference. Was it normal? It still wasn’t normal. 3.7 is a big difference from 6; and the pain level was significantly different.

I can tell you that today, three years later, I have no pain. My ultrasound looks absolutely normal as if nothing had ever happened. The point is that I know as a client that these treatments do work, and using ultrasound is important to get it to the exact spot.

Video: An Intra-Tendinous PRP Injection Using the Clarius L15 to Bring Pain Relief

Watch Dr. Hirahara perform an intra-tendinous PRP injection using ultrasound guidance to bring pain relief to a patient suffering from lateral epicondylitis.

About Dr. Hirahara

Dr. Hirahara is board certified in both orthopaedic surgery and orthopaedic sports medicine in both the United States and Canada. He was recently appointed to the NCAA committee on Competitive Safeguards and Medical Aspects of Sports and is currently involved with the Health and Safety Committee for the Big Sky conference. He’s the medical director and team physician for California State University, Sacramento athletics and head team physician for the Sacramento River Cats and a triple A affiliate of the San Francisco Giants.

Handheld Ultrasound for Orthopedic Surgery

Dr. Hirahara uses the Clarius L15 for his practice. Visit our orthopaedic surgery specialty page or contact us for to learn more about adding handheld ultrasound to your practice.

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