Ultrasound (US) is used extensively in the management of soft tissue and musculoskeletal (MSK) conditions and its clinical utility has evolved with the development of portable, cheaper and high-quality US machines. In Primary Care and the Emergency Department it is an invaluable tool for all generalists in reaching timely diagnoses and determining appropriate management. This may include simple reassurance through to oral antibiotics or the need for urgent surgical intervention. MSK injuries may be diagnosed rapidly and accurately at the ‘pitch side’ and guide immediate management and intervention for elite athletes.