In many muscle-tendon problems, documenting the pain is not always possible; considering that (thankfully), the symptom pain may not be necessarily linked to a specific anatomical alteration, the use of color-power doppler often can document inflammatory alterations clinically evident. This is the case for example of elbow enthesopathies, where we can find very inhomogeneous tendons, but totally asymptomatic or conversely tendons that under B-mode ultrasound examination seem perfect, but clinically very painfull.

Proximal insertion of common extensor tendon: B-mode US scan

Proximal insertion of common extensor tendon: Same scan with Power-Doppler

Proximal insertion of common flexor tendon: B-mode US scan

Proximal insertion of common flexor tendon: same scan with Power-Doppler