If you're living with persistent pain and don't know why, you're not alone. Many people see multiple practitioners, get conflicting opinions, and still don't get clear answers. That's exactly why I created this one-stop MSK assessment and diagnostic ultrasound service, so you get the answers and treatment you need in one visit.
What makes this assessment different?
Most patients are used to the slow, fragmented route: see a GP or physio, get referred for an ultrasound elsewhere, wait for results, then return for treatment, often weeks later. With my one-stop assessment, everything happens in a single, comprehensive session:
1 Full history & examination
I take time to understand how your symptoms began, how they affect you, and what has (or hasn't) helped so far.
2 Diagnostic ultrasound scan
Performed by me during your appointment using advanced high-resolution imaging.
3 Same-day diagnosis
You'll leave knowing exactly what's going on.
4 Treatment or injection
If appropriate, I can provide an ultrasound-guided injection or treatment plan there and then.
You'll also receive a detailed written report including your diagnosis, care plan and exercise recommendations. This integrated approach saves you time, money and frustration, and, most importantly, speeds up your recovery.
Why choose a one-stop clinic?
Traditional care can stretch over several weeks and multiple clinicians. In that time your symptoms may worsen and your confidence can fade. By combining clinical expertise with diagnostic imaging and treatment, my one-stop service offers:
- Rapid answers and reassurance, no more guessing what's wrong
- Personalised care, tailored advice, not generic exercises
- Convenience, assessment, scan and treatment in one visit
- Continuity, one experienced clinician guiding you from diagnosis to recovery
"Max is a highly trained, responsive and caring practitioner. He's helped me manage knee pain and arthritis for years, keeping me active and pain-free. I couldn't recommend him highly enough."
Understanding diagnostic ultrasound
Diagnostic ultrasound is a safe, non-invasive, radiation-free imaging technique that lets me see what's happening inside your muscles, tendons and joints in real time. Unlike X-rays or MRI, ultrasound shows structures as they move, I can watch tendons glide, muscles contract and joints move dynamically, which makes it invaluable for pinpointing problems like tendon tears, inflammation or impingement.
During your scan I apply a clear gel to the skin and move a small probe over the area. You may feel gentle pressure, but it isn't painful. I follow the British Medical Ultrasound Society (BMUS) guidelines to ensure the highest safety standards.
What can ultrasound identify?
Ultrasound is one of the most powerful diagnostic tools in musculoskeletal medicine, often detecting issues that static scans (X-ray or MRI) might miss because it shows your structures in motion. During your assessment I can diagnose or assess:
- Tendon problems, tendonitis, tendinopathy, partial or complete tears, ruptures, calcific tendonitis
- Ligament injuries, sprains, overstretching, partial or full tears
- Muscle injuries, strains, tears and soft-tissue damage
- Joint conditions, arthritis, effusions (fluid), synovitis or inflammatory disorders such as rheumatoid arthritis
- Nerve entrapments, carpal tunnel, cubital tunnel or tarsal tunnel syndrome
- Cysts & soft-tissue lumps, including ganglion cysts and lipomas
- Bursitis, shoulders, hips, knees and elbows
- Foreign bodies, splinters, glass or debris under the skin
- Stress fractures, visible in some cases even before they appear on X-ray, though MRI remains the reference standard
Your clinician: Maxence Legout or Gareth Evans
Your assessment and any injection are carried out personally by Maxence Legout, founder of Insight MSK, or by Gareth Evans, both advanced practice MSK physiotherapists and sonographers:
- Over 15 years' musculoskeletal physiotherapy experience each
- Specialist practice in diagnostic ultrasound and guided injections
- Thousands of ultrasound-guided procedures performed each year within the NHS
What sets our service apart is the combination of diagnostic imaging skill and physiotherapy expertise. We don't just interpret images, we assess how your body moves, identify why the problem started, and design a plan to stop it coming back. Read our full profiles →
Real results from my patients
"I came for an ultrasound thinking I had Achilles tendonitis. It turned out to be my plantaris tendon, a completely different issue. Max explained everything clearly, adjusted my training, and prevented further damage."
"After months of shoulder pain and a suspected rotator cuff tear, Max's scan showed the cuff was intact but severe osteoarthritis was the real cause. He treated it with an ultrasound-guided injection during the same session. Incredible difference."
Who is it for, and who isn't?
This service is ideal if you:
- Have pain or loss of movement and want to know exactly why
- Need a diagnosis before committing to further treatment
- Want your ultrasound interpreted by a clinical specialist, not a technician
- Prefer to avoid multiple appointments with different practitioners
- Value a comprehensive, same-day assessment and plan
This service may not suit you if you have long-standing, widespread pain in multiple joints; multiple swollen joints with a family history of inflammatory arthritis; a recent fracture needing orthopaedic management; mainly spinal or nerve-root pain (such as sciatica); or if you're under 10 years old.
I don't perform ultrasound scans for: the spine or spinal nerves, non-musculoskeletal problems (e.g. pregnancy, vascular or abdominal scans), or children under 10. If you fall outside these criteria, I'll gladly point you to the right specialist.
Do you actually need an ultrasound scan?
Not every problem requires ultrasound, sometimes a detailed physical examination gives the answer, and other times MRI or X-ray is more appropriate. If you're not sure whether it's the right test for you, we can talk it through first, I'd rather save you time and unnecessary expense than scan something that doesn't need it.
Pricing & value
Why this represents outstanding value
If you booked equivalent services separately, you'd typically pay:
| Service | Typical private cost (London) |
|---|---|
| Initial specialist appointment | £250–£300 |
| Diagnostic ultrasound scan | £150–£200 |
| Follow-up for results | £150–£250 |
| Injection or treatment | £180–£900 |
| Total elsewhere | £730–£1,650 |
With this one-stop MSK assessment you get everything in one visit, saving hundreds of pounds and weeks of waiting. See the full price list for all treatments.
After your assessment
You'll leave with a clear diagnosis and explanation, a treatment or rehabilitation plan if appropriate, advice to prevent recurrence, and follow-up guidance if needed. Within 24–48 hours you'll receive a detailed written report including findings, recommendations, and links to any relevant exercise videos or educational resources.