Foundation Skills for Carpal Tunnel and Trigger Finger Sono-Surgery Procedures

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Wed 15 May - Wed 22 May 2024

CPD: This course provides 4 CPD credits in accordance with the CPD Scheme of The Royal College of Radiologists

Course Objectives

  • Understand how an ultrasound image is created - Physics of ultrasound.
  • Identify and locate basic anatomic structures including bone, muscle, blood vessels, nerve.
  • Demonstrate and use fundamental scanning techniques to identify structures and visualise needles.
  • Visualise and guide a needle into a target within a gel phantom using in plane and out of plane ultrasound guidance technique.

What's Included?

  • Each course delegate has their own POD TOOLBOX for the duration of the course. This contains a Sonon 300L ultrasound system and gel phantom. Ultrasound gel and wipes.
  • 2 x 2hrly live teaching sessions with lectures demonstrations and interactive guided scanning practice. Weekly homework with feedback. The aim of having the POD toolbox is for delegates to practice becoming proficient at recognising structures under ultrasound (nerves and vessels as well as needles) before progressing to the next level surgical procedure session.
  • CPD certificate on completion.

Click here for course programme

This course is aimed at developing the foundation knowledge and skills that underpin the use of ultrasound guidance in percutaneous release of the transverse carpal ligament or flexor retinaculum in carpal tunnel syndrome, or percutaneous release of annular pulley(s), in particular the A1 pulley, with or without adjacent ganglion in trigger finger using the Spirecut product from Sovereign Medical.

The course is intended for clinicians and practitioners with little or no previous ultrasound scanning experience. It will deliver understanding of the physics and controls of medical ultrasound, to assist use of ultrasound imaging during this innovative new procedure. The course does not end in an exam or any form of competency assessment but has been independently assessed for CPD accreditation.

The format is a 2-week home-based programme of instruction and practical assignments to demonstrate and practice the skills of ultrasound needle guidance, facilitated by provision of an appropriate ultrasound scanner to each delegate.

The interactive video conference sessions and accompanying practice exercises have been specifically designed to develop understanding of the principles of scanning and its application to guide the identification and assessment of musculoskeletal structures and skills in recognising a needle under ultrasound guidance.

The course enables all delegates to practice the skills of needle guidance under ultrasound prior to the surgical procedure face to face day which will consolidate the learning.

Delegates are provided an Orca POD Toolbox containing a Sonon 300L portable ultrasound, a gel phantom, ultrasound gel and clinical wipes all of which are provided for the duration of the course. The POD Toolbox contains all elements necessary to enable acquisition of knowledge and skills through home-based practice. The programme is delivered through a combination of interactive lectures and practice exercises which equip delegates with the essential skills necessary for the surgical procedure.

There is an assignment at the end of each session which helps the delegates to revise the concepts learned during each session and to provide a framework for practising those skills.

Capacity is limited to 15 delegates per course to ensure maximum machine to delegate ratio.

Established in 2000, Sovereign Medical Ltd is one of the UKs Specialist Suppliers of innovative and contemporary Orthopaedic Products.

For over twenty years, we have been recognised as one of the UK’s providers of Hand, Foot, and Regenerative Solutions.

Keeping up to date with the world’s top manufacturers of Orthopaedic products enables us to provide the best possible clinical options.

We work closely with Meshworks, Groupe Lepine, IBI SA, Scaffdex, Novastep, Syntellix, Gra Medica and BTI.

Our team is committed to unparalleled Service and Support to deliver the best solutions for both patients and surgeons.

To find out more visit

Stewart Kerr

Stewart Kerr

Advanced Practice Physiotherapist

Trained as a Physiotherapist, Sonographer and Injection Therapist, Stewart specialises in diagnostic ultrasound scanning and ultrasound-guided injections of the upper and lower limbs. Combining his skills, he can provide a specialised service involving detailed clinical examination, ultrasound scanning, joint and soft-tissue injections and rehabilitation advice for joint, soft tissue and nerve conditions of the upper and lower limbs.

Stewart holds degrees in Sport and Exercise Science (BSc Hons) and Physiotherapy (MSc) as well as obtaining a Post Graduate Certificate in Medical Ultrasound and a Post Graduate Diploma in Musculoskeletal Injection Therapy. As a Physiotherapist of over 13 years, he commonly sees both simple and complex conditions of the upper and lower limbs in his practise. He has had a longstanding sub-specialist interest in shoulder problems and continues to enjoy this aspect of his clinical work.

Stewart is the Clinical Director at Life Fit Wellness and enjoys teaching Nationally on ultrasound education. As a former international badminton player, he is delighted to be involved with the Badminton World Federation Research Commission, where he is actively involved in injury prevention research.

Stewart is passionate about how ultrasound can enhance patient care if used appropriately and is interested in the training process, clinical education and competency.  He is also involved with research both as an independent researcher and as part of the Badminton World Federation Research Commission.


Kaldau, Niels Christian; Kerr, Stewart; McCaig, Steve; Holmich, Per.
Training and injuries among world elite junior badminton players – Identifying the problems.
Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology: October 2021 – Volume 26 – pp. 21-26.

Bradley, John; Kerr, Stewart; Bowmaker, David; Gomez, Jean-Francois
A Swim-Specific Shoulder Strength and Conditioning Program for Front Crawl Swimmers Strength & Conditioning Journal: August 2019 – Volume 41 – Issue 4 – pp. 1–17. Conditioning.1.aspx

Bradley, John; Kerr, Stewart; Bowmaker, David; Gomez, Jean-Francois.
Review of Shoulder Injuries and Shoulder Problems in Competitive Swimmers.
American Journal of Sports Science and Medicine: 2016 – Vol. 4, no. 3 – pp. 57-73.

Douglas Ogg

Douglas Ogg

Director Orca Medical Ltd, Lecturer on underlying physical principles of ultrasound

BSc Comparative Physiology (1983), MSc Information Science (1984), Medical device industry 1985present. Invited lecturer on numerous programs teaching underlying physical principles of ultrasound and optical technologies.

Technology application expertise specialising in ultrasound imaging, endoscopy, and minimally invasive therapies. Involved from the industry side in the development and adoption into clinical use of various image guided applications including Endoscopic Ultrasound (EUS) – guided FNA, Endobronchial Ultrasound (EBUS) – guided FNA, Laser fetoscopy for treatment of Twin-Twin Transfusion syndrome (named author on first report of use), Interstitial image guided laser therapies, HIFU for treatment of prostate ca. Member of technical application teams at Olympus leading introduction of Narrow Band Imaging into gastroenterology, urology and surgery.

Session 1 - Zoom

Principles of Scanning and Normal Appearance of Structures

Time Topic Speaker/Presenter
19:00 - 19:15 Welcome and introduction. Stewart Kerr and Douglas Ogg
19:15 - 19:45 Basic Physics of Ultrasound Probe orientation. Douglas Ogg
19:45 - 20:00 Break.
20:00 - 20:20 Alignment of probe with structure. Stewart Kerr and Douglas Ogg
20:20 - 20:30 Normal appearance of MSK tissues (muscle, bone, tendon, and nerve). Stewart Kerr and Douglas Ogg
20:30 - 20:50 Practical. Stewart Kerr and Douglas Ogg
20:50 - 21:00 Q&A. Stewart Kerr and Douglas Ogg

Session 2 - Zoom

Needle Guidance Under Ultrasound

Time Topic Speaker/Presenter
19:00 - 19:10 Review of session 1 and assignments. Stewart Kerr and Douglas Ogg
19:10 - 19:30 Needle guidance technique.
In plane technique.
Stewart Kerr
19:30 - 19:50 Out of plane technique. Stewart Kerr
19:50 - 20:00 Practice. Stewart Kerr and Douglas Ogg
20:00 - 20:15 Break.
20:15 - 20:35 Structures of the hand and wrist anatomy revision (recognising blood vessels and the medical nerve). Stewart Kerr and Douglas Ogg
20:35 - 20:50 Practice and troubleshooting tips. Stewart Kerr and Douglas Ogg
20:45 - 21:00 Q&A. Stewart Kerr and Douglas Ogg

How do I know whether a course is suitable for me?

The programme for each course is formulated by the course director and a description of the content and intended learning objectives is provided.

Who are the course directors?

The biographies for the Course directors of each course are provided so that you can see their experience.

Does this course qualify me to perform ultrasound guided injections in my workplace?

In order to perform image guided injections in your workplace you must conform to your local guidelines and competency requirements.

Do I need to have scanned before in order to attend a course?

Our Foundation courses are specifically designed for people who have no previous scanning experience.

What about if I want to keep my SONON at the end of the course?

There are options available to buy, rent or lease these and other ultrasound products that we sell. If you are interested please inform a member of our training staff or email us at

How will I receive my Orca POD?

When you have registered you'll be asked to fill out a form which gives us your preferred delivery details. Your Orca POD will be shipped to you via DHL Express. You get to keep and use the Orca POD for the entire duration of the course and we'll arrange the collection after the last session/assessment.

How will I be able to operate the SONON Ultrasound on my own?

We provide pre-course technical support to help you from the time you receive your Orca POD. Our team is available for one-on-one meetings before and between sessions to support you.

What if I cannot make one of the sessions?

When someone is unable to attend a session a colleague can attend in their place.

What's included in the price?

The Course Fee includes the rental of the equipment for the entire duration of the course as well as the tutor's fee, shipping, CPD points and certificate.

I'm interested in a very specific area. How will I know if your course covers that?

If you would like more information about any of our courses then please contact us on

What do I do if I am unable to attend the next course or it is fully booked?

If you would like to book a future course or enquire about future dates please contact us on

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Price: £699.00

Week 1: Wednesday 15 May 2024
Week 2: Wednesday 22 May 2024

Note: Bookings close on Tuesday 14 May 2024

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