# Neuromuscular Ultrasound Essentials

## Metadata
- Content type: Course
- Canonical URL: https://123sonography.com/neuromuscular-ultrasound-essentials
- Published: March 24, 2023
- Last updated: October 14, 2025
- Category: MSK Ultrasound
- Course Type: Essentials

## Overview
Welcome to the exciting world of neuromuscular ultrasound! In this online Foundations of Nerve Ultrasound – Level 1, presented by key-opinion-leader Nens van Alfen, you will learn all the necessary basics of nerve ultrasound of the upper and lower extremity through 59 short videos. With interactive lessons, hands-on simulations, and real-life case studies, this course provides a comprehensive and engaging learning experience in the field of nerve ultrasound.

## Media
![123sonography](https://123sonography.com/sites/default/files/2024-04/screenshot_2024-04-27_at_10.46.19.png)

## Snapshot
- Duration: 9.6 hours
- Total CME credits that can be earned: 8.5
- Chapters: 12
- Lectures: 62
- Quizzes: 11

## Intended Audience
- Neurologist
- Radiologists
- Sonographers
- Physiotherapists
- Physicians
- Nurses
- Medical Students
- Health Care Professionals

## Faculty
- [Dr. Nens van Alfen](/speaker/170) - Neurologist; Radboud UMC Nijmegen
- [Marc Schmitz, MSc](/speaker/57) - Trainer; Founder & CEO SonoSkills
- [Ferd Serton, MSc](/speaker/65) - Physiotherapist & Hand Therapist; Senior Trainer, SonoSkills
- [Dr. Alexandra Borchert](/speaker/171) - Neurologist
- [Dr. Juerd Wijntjes](/speaker/172) - Neurologist

## Learning Objectives
- Understand the basic anatomy and physiology of the human neuromuscular system and how it relates to ultrasound imaging.
- Learn the principles of ultrasound physics and instrumentation as they pertain to musculoskeletal imaging.
- Become proficient in the scanning techniques used in nerve ultrasound, including the proper positioning of the patient and transducer, as well as image optimization.
- Develop the skills necessary to accurately interpret and diagnose common nerve disorders and injuries using ultrasound imaging.
- Gain a comprehensive understanding of the clinical applications of nerve ultrasound in various specialties, including neurology, sports medicine, physical therapy, and rehabilitation.

## Topics
- Radiology
- Physiotherapy / Sports Medicine
- Orthopedics & Rheumatology
- Other (please specify)

## Pricing Options
- Supported currencies: AED, CLP, COP, EGP, EUR, INR, MXN, PEN, QAR, USD

### Half-Year Access
- Payment type: One-time payment
- Price: €630
- Currency: EUR
- Access duration: 6 months
- Add to cart: /add-to-cart/109/454
Our shortest option for very fast learners. Ideal for people who have plenty of time to learn.

You get:

- 6 months access to our course
- Ability to complete quizzes and earn CME credits

### One-Year Access
- Payment type: One-time payment
- Price: €882
- Currency: EUR
- Access duration: 12 months
- Add to cart: /add-to-cart/109/456
Our most recommended access duration to dive deep into the course. Save 30% on the 6-month option.

You get:

- 12 months access to our course
- Ability to complete quizzes and earn CME credits

### Two-Year Access
- Payment type: One-time payment
- Price: €1512
- Currency: EUR
- Access duration: 24 months
- Add to cart: /add-to-cart/109/458
If you want to take your time learning, this option is perfect for you. Save 40% on the 6-month option.

You get:

- 24 months access to our course
- Ability to complete quizzes and earn CME credits

### One-Month Access
- Payment type: Monthly subscription
- Price: €115
- Currency: EUR
- Access duration: 1 month
- Add to cart: /add-to-cart/109/460
Take the most flexible route with a monthly subscription.

You get:

- Cancellation possible anytime after 4 months minimum run time
- Ability to complete quizzes and earn CME credits

## CME Information

### Introduction

The goal of this activity is to provide online education for the course in Neuromuscular Ultrasound Essentials.

This activity is intended for neurologists, sonographers, physiotherapists, physicians, nurses and medical residents, and students.

### Financial disclosures

Prof. Dr. Nens van Alfen does not have any relevant financial relationship with ineligible companies to disclose; Marc Schmitz, MSc does not have any relevant financial relationship with ineligible companies to disclose; Ferd Serton does not have any relevant financial relationship with ineligible companies to disclose; Dr. Alexandra Borchert does not have any relevant financial relationship with ineligible companies to disclose; Dr. Juerd Wijntjes does not have any relevant financial relationship with ineligible companies to disclose; Staff at Siyemi Learning and 123 Sonography do not have any relevant financial relationship with ineligible companies to disclose.

This course is certified for CME, further information on how to claim your CME credits can be found below.

### CME information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Siyemi Learning and 123 Sonography. Siyemi Learning is accredited by the ACCME to provide continuing medical education for physicians.

Siyemi Learning designates this enduring material for a maximum of 8.5 *AMA PRA Category 1 Credits™*. Physicians should claim only the credits commensurate with the extent of their participation in the activity.

![](https://legacy.123sonography.com/profiles/sono/modules/custom/sonocertificates/resources/accme.png) ![](https://legacy.123sonography.com/profiles/sono/modules/custom/sonocertificates/resources/siyemi.png)

### How to earn your CME credit

In order to earn credit, you must watch the videos, take the quiz (pass mark 75%), and complete the evaluation on your dashboard. While you can claim CME certificates as you work through each chapter, if you prefer (e.g. if you are only able to use full credits because you are based in Europe) you can claim a single certificate for your total activity in this course. It will be available to download on your dashboard after you have completed all quizzes and evaluated all chapters.

An ultrasound device for this activity was provided by Canon as In-kind support.

Release date: April 2023

Expiry date: April 2026

## Curriculum

### Free lectures
- Chapter content: 3 lectures and 0 quizzes
- Lecture: [Free lecture 1](/neuromuscular-ultrasound-essentials#sg_course_lecture_2368) (Duration: 00:09; Free) - Enjoy the first lecture of this three-part mini-course in Neuromuscular Ultrasound that will introduce you to the topic. Dr. Nens van Alfen will tell you more about it!
- Lecture: [Free lecture 2](/neuromuscular-ultrasound-essentials#sg_course_lecture_2369) (Duration: 00:05; Free) - In part 2 of the Neuromuscular Ultrasound Essentials free lecture series Dr. Nens van Alfen will demonstrate ulnar nerve in the elbow area for ulnar neuropathy at the elbow!
- Lecture: [Free lecture 3](/neuromuscular-ultrasound-essentials#sg_course_lecture_2370) (Duration: 00:14; Free) - The last lecture of this three-part mini-course in Neuromuscular Ultrasound deals with sural nerve. Dr. Nens van Alfen and Dr. Alexandra Borcher will tell you more about it!

### Introduction to nerve ultrasound
In this chapter, we'll introduce you to the world of ultrasound and specifically neuromuscular ultrasound.
- Chapter content: 8 lectures and 1 quizzes
- Chapter CME credits that can be earned: 1
- Lecture: [First Introduction](/neuromuscular-ultrasound-essentials#sg_course_lecture_2134) (Duration: 00:09)
- Lecture: [Technology you need](/neuromuscular-ultrasound-essentials#sg_course_lecture_2135) (Duration: 00:09)
- Lecture: [Setting up your examination](/neuromuscular-ultrasound-essentials#sg_course_lecture_2136) (Duration: 00:11)
- Lecture: [Measuring nerves: CSA, diameters and ratios](/neuromuscular-ultrasound-essentials#sg_course_lecture_2137) (Duration: 00:06)
- Lecture: [Indications and limitations of neuromuscular ultrasound](/neuromuscular-ultrasound-essentials#sg_course_lecture_2138) (Duration: 00:07)
- Lecture: [Diagnostic value](/neuromuscular-ultrasound-essentials#sg_course_lecture_2139) (Duration: 00:09)
- Lecture: [Ultrasound and electrodiagnosis: best practice test strategies](/neuromuscular-ultrasound-essentials#sg_course_lecture_2140) (Duration: 00:07)
- Lecture: [Clinical case examples](/neuromuscular-ultrasound-essentials#sg_course_lecture_2141) (Duration: 00:07)
- CME Quiz: NUE - Introduction to nerve ultrasound (CME: 1)

### Anatomical tissues in ultrasound
In this chapter, we'll take a look at the appearance of various anatomical tissues with ultrasound.
- Chapter content: 6 lectures and 1 quizzes
- Chapter CME credits that can be earned: 1
- Lecture: [Introductory ultrasound physics](/neuromuscular-ultrasound-essentials#sg_course_lecture_2142) (Duration: 00:09)
- Lecture: [Scan angle, grayvalues, anisotropy](/neuromuscular-ultrasound-essentials#sg_course_lecture_2143) (Duration: 00:11)
- Lecture: [Peripheral nerves](/neuromuscular-ultrasound-essentials#sg_course_lecture_2144) (Duration: 00:13)
- Lecture: [Muscle](/neuromuscular-ultrasound-essentials#sg_course_lecture_2145) (Duration: 00:13)
- Lecture: [Anatomical context: fascia, subcutis, vessels, bones](/neuromuscular-ultrasound-essentials#sg_course_lecture_2146) (Duration: 00:15)
- Lecture: [Dealing with unexpected findings](/neuromuscular-ultrasound-essentials#sg_course_lecture_2147) (Duration: 00:08)
- CME Quiz: NUE - Anatomical tissues in ultrasound (CME: 1)

### Qualitative scanning
In this chapter, we'll discuss the proper technique to create qualitative scanning using the scanning checklist.
- Chapter content: 5 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.5
- Lecture: [Handling the transducer](/neuromuscular-ultrasound-essentials#sg_course_lecture_2148) (Duration: 00:05)
- Lecture: [Scanning Checklist: Operator](/neuromuscular-ultrasound-essentials#sg_course_lecture_2149) (Duration: 00:04)
- Lecture: [Scanning Checklist: System](/neuromuscular-ultrasound-essentials#sg_course_lecture_2150) (Duration: 00:05)
- Lecture: [Scanning Checklist: Transducer](/neuromuscular-ultrasound-essentials#sg_course_lecture_2151) (Duration: 00:04)
- Lecture: [Transducer manipulation language](/neuromuscular-ultrasound-essentials#sg_course_lecture_2152) (Duration: 00:13)
- CME Quiz: NUE - Qualitative scanning (CME: 0.5)

### Median nerve
In this chapter, we'll cover the median nerve, the most scanned nerve in the world! We'll refresh the anatomy and show how to scan this nerve and where to look for pathology.
- Chapter content: 5 lectures and 1 quizzes
- Chapter CME credits that can be earned: 1
- Lecture: [(Sono)anatomy of the median nerve](/neuromuscular-ultrasound-essentials#sg_course_lecture_2153) (Duration: 00:07)
- Lecture: [Median nerve in the wrist and forearm for carpal tunnel syndrome](/neuromuscular-ultrasound-essentials#sg_course_lecture_2154) (Duration: 00:13)
- Lecture: [(Sono)pathology of the median neuropathy-wrist](/neuromuscular-ultrasound-essentials#sg_course_lecture_2155) (Duration: 00:09)
- Lecture: [Sonopathology of the median nerve - Part 1](/neuromuscular-ultrasound-essentials#sg_course_lecture_2156) (Duration: 00:10)
- Lecture: [Sonopathology of the median nerve - Part 2](/neuromuscular-ultrasound-essentials#sg_course_lecture_2157) (Duration: 00:15)
- CME Quiz: NUE - Median nerve (CME: 1)

### Ulnar nerve
In this chapter, we'll discuss the ulnar nerve, we'll look at the anatomy, sonoanatomy, demonstrate the scan technique and show interesting pathology cases of the ulnar nerve.
- Chapter content: 7 lectures and 1 quizzes
- Chapter CME credits that can be earned: 1
- Lecture: [(Sono)anatomy of the ulnar nerve](/neuromuscular-ultrasound-essentials#sg_course_lecture_2158) (Duration: 00:11)
- Lecture: [Ulnar nerve in the elbow area for ulnar neuropathy at the elbow](/neuromuscular-ultrasound-essentials#sg_course_lecture_2159) (Duration: 00:05)
- Lecture: [Ulnar nerve in the wrist and forearm for entrapment in Guyon's channel](/neuromuscular-ultrasound-essentials#sg_course_lecture_2160) (Duration: 00:02)
- Lecture: [(Sono)pathology of ulnar neuropathy—elbow](/neuromuscular-ultrasound-essentials#sg_course_lecture_2161) (Duration: 00:10)
- Lecture: [(Sono)pathology of ulnar neuropathy—wrist](/neuromuscular-ultrasound-essentials#sg_course_lecture_2162) (Duration: 00:09)
- Lecture: [Sonopathology of the ulnar nerve - Part 1](/neuromuscular-ultrasound-essentials#sg_course_lecture_2163) (Duration: 00:11)
- Lecture: [Sonopathology of the ulnar nerve - Part 2](/neuromuscular-ultrasound-essentials#sg_course_lecture_2164) (Duration: 00:09)
- CME Quiz: NUE - Ulnar nerve (CME: 1)

### Radial nerve
In this chapter, we'll cover the radial nerve, we'll look at the anatomy and sonoanatomy. Next, we'll demonstrate the proper scanning technique and lastly, show interesting pathology cases of the radial nerve.
- Chapter content: 7 lectures and 1 quizzes
- Chapter CME credits that can be earned: 1
- Lecture: [(Sono)anatomy of the radial nerve](/neuromuscular-ultrasound-essentials#sg_course_lecture_2165) (Duration: 00:08)
- Lecture: [Radial nerve from humeral sulcus for Saturday night palsy](/neuromuscular-ultrasound-essentials#sg_course_lecture_2166) (Duration: 00:03)
- Lecture: [Radial nerve in the elbow and proximal forearm region for PIN entrapment](/neuromuscular-ultrasound-essentials#sg_course_lecture_2167) (Duration: 00:05)
- Lecture: [Radial neuropathy - PIN entrapment](/neuromuscular-ultrasound-essentials#sg_course_lecture_2168) (Duration: 00:11)
- Lecture: [Sonopathology of the radial nerve](/neuromuscular-ultrasound-essentials#sg_course_lecture_2169) (Duration: 00:12)
- Lecture: [Sonopathology of the radial nerve (real patient 1)](/neuromuscular-ultrasound-essentials#sg_course_lecture_2170) (Duration: 00:09)
- Lecture: [Sonopathology of the radial nerve (real patient 2)](/neuromuscular-ultrasound-essentials#sg_course_lecture_2171) (Duration: 00:17)
- CME Quiz: NUE - Radial nerve (CME: 1)

### Fibular nerve
In this chapter, we'll look at the fibular nerve, we'll refresh the anatomy and look at the sonoanatomy. We'll demonstrate the scanning technique and show interesting pathology cases of the fibular nerve.
- Chapter content: 5 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.75
- Lecture: [(Sono)anatomy of the fibular nerve](/neuromuscular-ultrasound-essentials#sg_course_lecture_2172) (Duration: 00:07)
- Lecture: [Fibular nerve in the knee and proximal lower leg for entrapment at the fibular head](/neuromuscular-ultrasound-essentials#sg_course_lecture_2173) (Duration: 00:04)
- Lecture: [(Sono)pathology of fibular neuropathy - fibular head](/neuromuscular-ultrasound-essentials#sg_course_lecture_2174) (Duration: 00:11)
- Lecture: [Sonopathology of the fibular nerve - Part 1](/neuromuscular-ultrasound-essentials#sg_course_lecture_2175) (Duration: 00:11)
- Lecture: [Sonopathology of the fibular nerve - Part 2](/neuromuscular-ultrasound-essentials#sg_course_lecture_2176) (Duration: 00:07)
- CME Quiz: NUE - Fibular nerve (CME: 0.75)

### Tibial nerve
In this chapter, we'll cover the tibial nerve, we'll look at the anatomy and sonoanatomy. Next, we'll demonstrate the proper scanning technique and lastly show interesting pathology cases of the tibial nerve.
- Chapter content: 5 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.5
- Lecture: [(Sono)anatomy tibial nerve](/neuromuscular-ultrasound-essentials#sg_course_lecture_2177) (Duration: 00:06)
- Lecture: [Tibial nerve in the distal calf and medial ankle region for tarsal tunnel syndrome](/neuromuscular-ultrasound-essentials#sg_course_lecture_2178) (Duration: 00:03)
- Lecture: [(Sono)pathology of the tibial neuropathy - ankle](/neuromuscular-ultrasound-essentials#sg_course_lecture_2179) (Duration: 00:09)
- Lecture: [Sonopathology of the tibial nerve - Part 1](/neuromuscular-ultrasound-essentials#sg_course_lecture_2180) (Duration: 00:11)
- Lecture: [Sonopathology of the tibial nerve - Part 2](/neuromuscular-ultrasound-essentials#sg_course_lecture_2181) (Duration: 00:06)
- CME Quiz: NUE - Tibial nerve (CME: 0.5)

### Sural Nerve
In this chapter, we'll discuss the sural nerve, we'll look at the anatomy, sonoanatomy, demonstrate the scan technique and show interesting pathology cases of the sural nerve.
- Chapter content: 5 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.75
- Lecture: [(Sono)anatomy sural nerve](/neuromuscular-ultrasound-essentials#sg_course_lecture_2182) (Duration: 00:06)
- Lecture: [Sural nerve in the calf for selecting an optimal biopsy site](/neuromuscular-ultrasound-essentials#sg_course_lecture_2183) (Duration: 00:03)
- Lecture: [(Sono)pathology of the sural nerve - vasculitis](/neuromuscular-ultrasound-essentials#sg_course_lecture_2184) (Duration: 00:09)
- Lecture: [Sonopathology of the sural nerve - Part 1](/neuromuscular-ultrasound-essentials#sg_course_lecture_2185) (Duration: 00:14)
- Lecture: [Sonopathology of the sural nerve - Part 2](/neuromuscular-ultrasound-essentials#sg_course_lecture_2186) (Duration: 00:09)
- CME Quiz: NUE - Sural Nerve (CME: 0.75)

### Muscle
In this chapter, we'll discuss the muscles and their relation to nerve ultrasound, we'll look at common variants in nerve and muscle anatomy and how a normal and diseased muscle looks like.
- Chapter content: 4 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.75
- Lecture: [Common variants in nerve and muscle anatomy](/neuromuscular-ultrasound-essentials#sg_course_lecture_2187) (Duration: 00:05)
- Lecture: [Normal and diseased muscle](/neuromuscular-ultrasound-essentials#sg_course_lecture_2188) (Duration: 00:08)
- Lecture: [Muscle denervation: hyperechogenicity, atrophy and spontaneous activity](/neuromuscular-ultrasound-essentials#sg_course_lecture_2189) (Duration: 00:05)
- Lecture: [Sonopathology of muscles](/neuromuscular-ultrasound-essentials#sg_course_lecture_2190) (Duration: 00:21)
- CME Quiz: NUE - Muscle (CME: 0.75)

### How to bring it into practice?
In this final chapter, we'll share some tips and tricks on how to incorporate neuromuscular ultrasound in clinical practice.
- Chapter content: 2 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.25
- Lecture: [How to perform safe exams](/neuromuscular-ultrasound-essentials#sg_course_lecture_2191) (Duration: 00:09)
- Lecture: [Reporting nerve ultrasound results](/neuromuscular-ultrasound-essentials#sg_course_lecture_2192) (Duration: 00:08)
- CME Quiz: NUE - How to bring it into practice? (CME: 0.25)