For the past five years on AuntMinnie.com, coach Mark Roozen and sonographer Doug Wuebben have offered advice to sonographers on how they can correct the movement problems that lead to job-related pain and discomfort. We've collected their years of wisdom into a single downloadable resource that is available for free to AuntMinnie.com members.
The series starts with an article on tips for rest, regeneration, and recovery, and concludes with the 10 Sonography Sins that can lead to pain and the simple exercises and basic stretches that alleviate these problems. In between, you'll find articles on the importance of setting priorities in your career, and thoughts on future job growth in the field. To download the PDF, click here.
About the authors
Doug is a national speaker and internationally published author on the subjects of exercise/ergonomics, pediatric telemedicine, and lab accreditation. One of his passions at the moment is educating and helping sonographers extend their careers by using simple exercise and ergonomic techniques.
Mark, also known as "Coach Rozy," has worked with teams from high school to the professional ranks as a sports coach and strength and performance coach, most recently with the Cleveland Browns of the National Football League (NFL) on their strength and conditioning staff. He is also an author with numerous articles, books, training manuals, DVDs, and other video productions.
Mark is the owner and director of Coach Rozy, LLC, a training and consulting company, and is co-owner of 911 Tactical Performance, which works with first responders and tactical athletes. He is also co-founder of LIVE PAIN FREE, which works with groups, teams, and corporations to help their staff and employees achieve peak levels of health, wellness, and performance.
![Examples of ultrasound findings and techniques. (A) Images in a 39-year-old male patient with a mass in the left thigh. The mass is heterogeneous on the B-mode US image (compared with the patient in D) and showed increased microvascularity (superb microvascular imaging [SMI]) and shear-wave elastography (SWE) values. Undifferentiated pleomorphic sarcoma was diagnosed at biopsy (with pleomorphic rhabdomyosarcoma in surgical specimen). (B) Images in an 18-year-old male patient with a mass in the left leg. The mass is hypoechoic on the B-mode image, with no other findings suggestive of malignancy. The lesion is in contact with the cortex of the tibia, which is slightly irregular. CT revealed a doubtful anteromedial tibial erosion. The microvascular study demonstrated high vascularization, suggestive of malignancy. Periosteal Ewing sarcoma was diagnosed with both histologic and immunohistochemical confirmation. (C) Images in a 69-year-old female patient with a lump growing on the outside of the left leg. Multiple SWE examinations were performed (please note the high values obtained in the measurements, whereas the color map highlights the stiffness relative to adjacent tissues). SMI showed areas of increased vascularization to target for sampling. Undifferentiated spindle cell sarcoma was diagnosed at biopsy, with residual leiomyosarcoma in the surgical specimen after neoadjuvant therapy. (D) Images in a 56-year-old female patient with a mass in the right thigh. The mass is heterogeneous at both B-mode ultrasound (similar to patient A) and MRI (coronal T2-weighted spectral attenuated inversion recovery [SPAIR]; T1-weighted pre-contrast and postcontrast imaging), which even shows uptake after the administration of paramagnetic contrast material, which is traditionally suggestive of malignancy. Low values at SMI and elastography are suggestive of benignity. Spindle cell lipoma was diagnosed at biopsy, with atypical spindle cell lipomatous tumor in the surgical specimen.](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/08/images-radiol250278fig2.APCFLSvX6p.jpg?auto=format%2Ccompress&dpr=2&fit=crop&h=167&q=70&w=250)
