The aim of this study is to review the technical considerations for performing MRS in the musculoskeletal system, focusing on proton MRS, and to discuss its potential roles in musculoskeletal tumor imaging and the assessment of muscle physiology and disease. On the basis of the physiological composition of the cell magnetic field is generated and is measured on MR spectroscopy . MR spectroscopy can be used as a measure to diagnose the primary case as well as can be used to check the progress of the disease and the credibility of the disease treatment . MATERIAL AND METHODS :– Clinical MRS was performed at 1.5T . MRS was performed with an intermediate TE of 130–150 ms Preliminary anatomic images are acquired for localization of the voxel, prior to the administration of intravenous contrast. For quantification purposes, water–suppressed in addition to water–un–suppressed scans are performed for the determination of metabolite concentration using a point–resolved single–voxel spectroscopy sequence. Proton MRS can be performed with either a single voxel technique or a multi voxel technique (MRSI). Advantages of MRSI include the ability to analyze the entire lesion and surrounding tissue, as well as the potential to analyze multiple lesions at once. The patient were referred form the orthopaedics OPD and were subjected MRI on advice by the orthopaedician . Patient has been explained about the procedure and the written consent has been taken for the same by explaining the patient in the language they understand.