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Accurate Diagnosis of Chronic Injuries

TENDON: Ultrasound is more specific in diagnosing tendon disease than MRI- especially for ankle, hand & rotator cuff areas.
This is the preferred diagnostic tool for tendinitis and tears because:
a) The patient points towards the pain and may take the probe and personally guide it to the injured areas
b) The exam is real time; images are immediately observed and the sonographer can see pathology instantaneously even in moving children, avoiding sedation
c) MRI has 1mm resolution while high frequency ultrasound can provide 0.2mm images

MUSCLE: Strains may be separated from more serious muscle ruptures. Hematomas and fibrous scarring may be documented over time. Abnormal motion of muscle and tendon tracking is observable. Under sonogram guidance, a needle is often placed into the patient's tender bleeding site to remove the blood and hasten recovery.

BONE: Two dimensional xrays often miss fractures on the curved or rounded areas. Occult fractures of the pelvis, ribs, hips, shoulder, fingers and ankle missed by conventional x-rays may be detected. Stress fractures and shin splints show up 2 weeks earlier than on regular x-rays. Targeted scans detect five times as many rib fractures as conventional radiographs.

JOINTS: Fluid collections diagnosed and aspirated under US guidance. Cartilage erosion monitored. Loose fragments from bone and cartilage and pannus (inflamed joint lining) are imaged more clearly than with MRI scans. A common surgical emergency is a blood clot to the lung from the damaged veins in the back of the knee (deep venous thrombosis). 98% of the time, calf tenderness is caused by a benign cyst in the joint which we diagnose and remove immediately by aspiration of the fluid using sonogram guidance.


Robert L. Bard, MD, PC, DABR, FASLMS is internationally recognized as a leader in the field of 21st Century 3-D ULTRASONOGRAPHIC VOLUMETRIC DOPPLER IMAGING. Dr. Bard specializes in advanced 3D sonography to detect evident and hidden musculoskeletal injuries. Dr. Bard’s imaging solutions are also are used to accurately guide biopsies, target therapy and provide focused follow-up after treatment.

Dr. Bard’s medical career began as a diagnostic radiologist and evolved into the practice of non-invasive 3D imaging with ultrasound, MRI and laser technologies. He has served in the military, been the head Radiologist at several leading hospitals, and published a multitude of textbooks and scientific papers. He presents articles worldwide, teaches at International Conferences and is on the Editorial Review Board of National and International Medical Journals. Holding medical licenses in several states, he holds Board certification from the American Board of Radiology (1974) and Fellowship in the American Society of Lasers in Medicine and Surgery (2014)

Dr. Bard is committed to improving non-invasive diagnostics and developing minimally invasive image guided technologies. The Biofoundation for Angiogenesis Research and Development. In his role as director of BARD CANCER DIAGNOSTICS, he lectures at Mt. Sinai Medical Center, NYU Medical Center and leading international hospitals in England, France, Spain and the Netherlands. He has written two textbooks on prostate cancer imaging.

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