Yes, you can have a dynamic ultrasound with cine-loop and power doppler color shift performed before hand. Because the ultrasound is to help find a very specific injury/tissue disruption, you need to make sure it is done by an experienced radiologist (MD) and NOT by a technician. I learned this the hard way when I went to my local hospital initially and had a technician do it - nothing found. When I went to a larger university hospital and asked that only a radiologist do the exam, BINGO...he found the defect right away. So, lesson learned...it DOES matter who is performing the ultrasound. I never went to Boyarsky but have spoken to many that have. He mimics the exam that Muschaweck gives, primarily because she trained him on what to look for. He is not looking for a bulge but a weakness on the posterior inguinal wall. While bearing down, the pressure of that maneuver actually collapses the posterior wall of the inguinal canal and there is compression. If he says there is a 'bulge', then it is pretty cut and dry, you have a traditional hernia. With the sports hernia, a la Muschaweck sytle, there is no external or internal tissue bulge, just severe displacement and nerve compression. I will make this even more simpler, because I have been constantly researching my condition ever since my original injury in 2008. A sports hernia (posterior inguinal wall weakness) is an incipient hernia. An incipient hernia is the beginning of a true hernia - what Muschaweck likes to call a pre-hernia. I have learned that people who have a traditional actually go through the stage of having an incipient hernia first. Many people that go this route never experience any pain because the collapse of their posterior inguinal canal misses compressing specific nerves that also pass through the canal. In our cases, we have been unlucky to have the collapse of the canal directly occur at the point where a nerve is passing through.
On a more personal note (and these are just my observations) - overall, my view of Muschaweck and Meyers now is that they are both rather arrogant. They are both convinced that their way of treating the problem is the ONLY way to go about it. You will NEVER hear either say that they believe you have the "other" kind of sports hernia and that you should go see that specialist. They both will convince you, or at least try, that they will be able to correct the problem. (That's provided that they see something in their imaging test - which both use something different) From all of my interactions and communications with various people, both healed and not healed, both doctors tend to have a rather hands-off approach once they have operated on you. Oh sure, they will email with you and entertain calls for a short period after the surgery if you are having a rough go of the healing immediately following the operation, but if it goes beyond 4-6 months, you will quickly get the "heave-ho" from them. You will hear that they both treated you and that the operation went smoothly. All word games! Of course the operation went smoothly...you lived, right? you didn't bleed to death on the OR table, right? Am I being jaded? Possibly...but this is also what I heard from others that continued to have healing problems after the surgery. I'm not sharing this to scare anybody, but I do encourage people to ask A LOT of questions when visiting any doctor about this condition. The added irony to all of this is that if you ask Meyers about the possibility that you may have the other kind of sports hernia - the posterior inguinal wall deficiency, you will get a big fat "NO" from him. And if you ask Muschaweck about the possibility of having the other kind of sports hernia - torn muscles from the pelvic insertion point, you will get a big fat "NO" from her. This is why I say they are arrogant. They are so prideful of what they believe to be the only diagnosis that they will not even consider that you have the other kind of injury. And that, to me, is too much arrogance. I'm there to get healed, not to allow your swollen ego to get in the way of finding the appropriate treatment for my condition.
Just be mindful of what is being told to you and do trust your gut instinct. If you hear things that don't sit well with you or you feel that your questions are not being answered directly, listen to that inner voice and start asking even more questions or look for another doctor to evaluate your condition. I listed several other doctors that diagnose and do sports hernia repairs at the North Penn Hernia Institute forums. Just do a search for the 'sports hernia' thread. I hope this information helps as you search for a treatment that will bring some peace back into your life.