Thermal Imaging for Musculoskeletal Assessment in Primary Care

Musculoskeletal injuries are one of the most common reasons people seek healthcare, yet access to imaging and specialist assessment can be delayed. This project is exploring whether infrared thermal imaging could provide a rapid, non-invasive and accessible addition to routine musculoskeletal assessment in primary care. By identifying patterns of skin temperature associated with inflammation and injury, the research aims to understand whether thermal imaging can support clinical decision-making, improve patient pathways and bring assessment technology closer to the point of care.

Research developments

Initial feasibility work at the University of Derby’s Sports Therapy and Rehabilitation Clinic involved 34 participants and demonstrated that thermal imaging could be incorporated successfully alongside standard musculoskeletal assessment. The next phase, supported through EPSRC EMERGE funding, is moving the research into a real-world primary care setting. Patients presenting with musculoskeletal injuries will undergo thermal imaging alongside routine clinical assessment, with measures including pain, range of movement and strength. The study will also examine patient and clinician acceptability, usability, workflow integration and data completeness. This feasibility work will inform the design of a larger study evaluating the clinical utility and cost-effectiveness of thermal imaging within NHS musculoskeletal pathways.

Research impacts

The longer-term aim is to develop a more accessible and efficient approach to musculoskeletal assessment, particularly in communities where access to diagnostic services may be limited. Thermal imaging is portable, non-invasive and comparatively low cost, meaning it could potentially support clinicians in identifying patients who require further investigation while reducing unnecessary referrals. The project will also generate evidence on patient acceptability, clinical workflow and potential health-economic benefits. Early modelling suggests that integrating thermal imaging into primary care could generate savings through more targeted referral and imaging pathways. Ultimately, the research aims to support earlier assessment, more informed clinical decision-making and more equitable access to musculoskeletal care.

Funders

Engineering and Physical Sciences Research Council (EPSRC) through the EMERGE RehabTech programme.

Researchers

Dr Jack Parker (Principal Investigator), Dr Jack Ashby, Dr Yoon Irons and collaborating primary care clinicians, supported by the Clinical Exercise and Rehabilitation Research Centre.