Tweet 2 🔍 What USG shows in arthritis: • Synovial hypertrophy •Joint effusion •Power Doppler (blood flow = inflammation) •Bone erosions 👉 Real-time look at inflammation.

Tweet 3 ✨ Advantages of USG in Rheumatology: 1. Bedside, no radiation 2. Dynamic — see movement 3. Guides aspiration & injections 4. Detects subclinical synovitis (before X-ray/clinical exam)

Tweet 4 📌 Key uses in Arthritis: •Diagnosis of early RA •Assessing disease activity •Differentiating synovitis vs effusion •Monitoring treatment response

Tweet 5 🎯 Scoring systems: •OMERACT defines synovial hypertrophy & Doppler grades •Helps standardize reporting •Increasingly used in trials & treat-to-target

Tweet 6 (Final) ✅ Take-home: Ultrasound = stethoscope of modern rheumatology. It bridges the gap between exam & imaging, helping us treat arthritis earlier & better.

@Rheumat_Aravind @IhabFathiSulima @DrAkhilX @CelestinoGutirr @Janetbirdope @Lupusreference @threadreaderapp unroll

@Rheumat_Aravind @IhabFathiSulima @DrAkhilX @CelestinoGutirr @Janetbirdope @Lupusreference How will you report cost to the benefit . Cost of procuring an USG machine and licenceing compliance with additional yearly costs. Over that a carefully done clinical examination reveals almost every thing bearing no additional costs.

@Rheumat_Aravind @IhabFathiSulima @DrAkhilX @CelestinoGutirr @Janetbirdope @Lupusreference Unroll @threadreaderapp

@Rheumat_Aravind @IhabFathiSulima @DrAkhilX @CelestinoGutirr @Janetbirdope @Lupusreference Currently working on Ultrasonography finding in patients with TMD. Promises to be very interesting ? What is your take on the role of timing in the usage of ultrasound as a diagnostic tools in TMD for detection of inflammation and effusions.