Dear Readers,

Musculoskeletal ultrasound (MSK-US) has become an indispensable tool in rheumatology, offering real-time, point-of-care imaging that enhances diagnostic accuracy and aids in monitoring treatment response. We are delighted to present the March 2025 issue of the IRA e-Newsletter, featuring the buzzing theme: “Musculoskeletal Ultrasound in Rheumatology.” This edition brings together thought-provoking articles that explore MSK-US beyond routine applications— covering large vessel imaging, ultrasound-guided procedures, and the integration of artificial intelligence in musculoskeletal imaging.

However, as MSK-US gains prominence, it also raises medico legal challenges for rheumatologists, particularly in India. Training requirements, interdisciplinary boundaries, and liability concerns form a complex and evolving landscape. To shed light on these crucial aspects, we spoke with Dr. Lt Gen Ved Chaturvedi, who shares invaluable insights into the legal, and practical dimensions of performing MSK-US in rheumatology practice.

Another key highlight of this issue is fibromyalgia— a disease that is nobody’s baby. The onus usually falls on us rheumatologists to manage it. In an engaging conversation with Dr. B. G. Dharmanand, we explore practical strategies, insights, and challenges in day-to-day clinical practice.

Our quarterly reviews on basic and clinical science summarize the most impactful studies from the past three months, keeping you up to date with the latest advancements. The image challenge section features unique and thought-provoking cases that promise to sharpen our clinical acumen. And for those eager to put their knowledge to the test, the Ultimate Rheumatology Quiz will definitely “flare” up your expertise! For young rheumatologists seeking MSK-USG training programs or guidance on purchasing an ultrasound machine, we have curated a dedicated section to help you make informed choices.

We are particularly excited about our “Life beyond Rheumatology” feature. This edition explores life lessons through trekking and the therapeutic joy of expressing oneself through paintings—a refreshing reminder of the importance of unwinding and rejuvenation.

We extend my heartfelt gratitude to all the authors who contributed to this issue. A special thanks to Dr. Vinod Ravindran and the whole IRA eNewsletter editorial board for entrusting us with this responsibility.

Happy reading!