Shoulder Ultrasound: 10 most frequently asked questions

Author: Erik Versluis, Physiotherapist / Musculoskeletal sonographer
Published: July 22, 2025
⏳ Reading time: 5 minutes

What is a shoulder ultrasound?

A shoulder ultrasound is a diagnostic imaging procedure that uses high-frequency sound waves to create detailed images of the shoulder’s soft tissues. These include muscles, tendons, ligaments, and joints.

At Fysiotherapie Middenweg in Amsterdam East, ultrasound imaging is commonly used to evaluate persistent shoulder pain, swelling, stiffness, or injuries. The process is quick, painless, and does not require any preparation. Results are available immediately, making it a highly efficient diagnostic tool.

When is a shoulder ultrasound recommended?

Ultrasound is typically used when patients report ongoing shoulder pain, restricted movement, or discomfort following trauma (e.g., a fall). It can help identify:

• Rotator cuff tears (tendons)
• Tendinitis (inflammation of the tendons)
• Bursitis (inflammation of the bursa)
• Calcific tendinopathy
• Joint inflammation
• Fluid build-up or swelling

How should I prepare for a shoulder ultrasound?

No special preparation is needed. It is recommended to wear loose, comfortable clothing so that the shoulder is easily accessible.

Does a shoulder ultrasound hurt?

No, ultrasound is non-invasive and painless. A small amount of gel is applied to the skin, and a handheld device (called a transducer) is moved over the area to capture images. Mild pressure may be applied, which could feel slightly uncomfortable if inflammation or a tendon tear is present.

How long does a shoulder ultrasound take?

The examination typically takes between 5 and 10 minutes, depending on the complexity of the symptoms. Evaluation of the ultrasound findings and (optional) treatment plan will take about 10 minutes.

What can a shoulder ultrasound reveal?

Ultrasound imaging is excellent for visualizing soft tissue structures and can show:

• Partial or full-thickness tendon tears (e.g., rotator cuff)
• Tendon inflammation
• Bursitis
• Calcifications
• Joint effusion or arthritis-related changes

Is ultrasound accurate for diagnosing shoulder conditions?

Yes, especially for superficial soft tissues like tendons and muscles. However, deeper joint structures or bone damage may require an CT-scan, MRI or X-ray. The accuracy of the ultrasound depends heavily on the skill and experience of the clinician performing the scan.

At Fysiotherapie Middenweg, ultrasound is performed by a qualified physiotherapist Erik Versluis,  trained in musculoskeletal imaging.

Will I receive the results immediately?

Yes, at physiotherapy clinics like Fysiotherapie Middenweg, the physiotherapist performs the ultrasound and can discuss the results with you right away.

In hospital settings, the images are typically reviewed by a radiologist and results are shared later with the referring doctor.

What is the difference between ultrasound and MRI for shoulder imaging?

Ultrasound is quick, cost-effective, and ideal for evaluating soft tissues around the shoulder. It is usually performed within 10 minutes.

MRI offers a more comprehensive view of the joint and surrounding structures. It is often used as a follow-up when surgical intervention is considered, or when more detailed imaging is required. MRI takes longer (about 45 minutes) and is significantly more expensive.

Is a shoulder ultrasound covered by insurance?

In many cases, yes. When considered medically necessary, shoulder ultrasound is covered under the basic health insurance plan in the Netherlands, though the deductible may apply.

At Fysiotherapie Middenweg, there is no additional charge for ultrasound. It is included as part of the initial consultation and diagnostic process, and is covered by most supplementary physiotherapy insurance policies.

Want to learn more or book a shoulder ultrasound consultation in Amsterdam East?

Contact Fysiotherapie Middenweg for more information or to make an appointment.