Sonographers are highly susceptible to work-related musculoskeletal disorders (WRMSDs). Injurious WRMSDs are inflammatory or degenerative processes that affect soft tissues, nerves, muscles, ligaments, and/or tendons and are a leading cause of workforce discomfort, pain, and disability. 1,2 It has been reported that at least 80% to 90% of sonographers scan in pain or have been diagnosed with an WRMSD. 3-6 A WRMSD and/or the pain experienced by a sonographer can limit the ability to obtain quality images and affect overall job performance. 7,8 Secondary effects of WRMSD pain, such as work absences, increased health care costs, and decreased productivity, are costly for both sonographers and employers. 7,9,10 Sonographers may also experience a decreased quality of life as they find it difficult to go about normal daily activities without pain. 4,8,11 It is estimated that 20% of sonographers change careers or seek early retirement because of a WRMSD. 4,6 Muscle strain, shoulder, arm, and back pain in sonographers were first reported by Craig 12 in 1985, but at that time, ultrasound equipment was large and cumbersome. Also, awareness and application of proper ergonomics was not well known. 13 Over the years, surveys highlighting sonographers' WRMSD experiences increased awareness and the need for ergonomic standards. 5,6,14 Research has shown administrative, equipment, environmental, patient, and sonographer factors are associated with WRMSD development. 7,9,15,16 However, even with improvements in technology; smaller, lighter ultrasound machines; greater awareness; and the development of ergonomic guidelines, the incidence of WRMSDs persists. Reportedly, only 10% to 20% of sonographers are pain free. 3,4 At the time of this publication, there are approximately 65,790 working sonographers in the United States, which means 52,632 are scanning in pain. 17 Sonographic procedures involve repetitive motions, forceful exertions, awkward postures, and static positions, which are reasons cited for WRMSD development. 7,18