Currently there are a wide variety of subspecialties pursuing ultrasound point-of-service MSK care.


Users of the USAOP™ tools should have mastered sonoanatomy (at least in a given anatomic region), and should be skilled with “needling” and hydro-dissection techniques.  From that point, it is the practitioner’s decision to pursue a tissue modifying procedure with clear goals such as, to transect the transverse carpal ligament or to cut the ECRB near the lateral epicondyle and then debride its footprint.  USAOP can assist practitioners to develop the best surgical practice for their patient population.


General categories of surgeries within minimally invasive (keyhole) procedures span an array of elective to emergent conditions which include:

  • tunnel surgeries (carpal, cubital, tarsal and others),
  • decompression surgeries (tumors, infection/abscess, hematoma, issues of necrosis, line/drain placement, volar/dorsal wrist ganglion),
  • subdermal/subfascial cutting (trigger finger, ECRB tendonitis, compartment syndrome)
  • boney debridement such as symptomatic spurs/osteophytes and shoulder outlet syndrome),
  • major soft tissue debridement (calcific tendonitis of supraspinatus or patella/quadriceps tendon etc.) and
  • joint irrigation/intervention

These point-of-care based surgeries can eliminate traditional operating room fees, shorten recovery time and eliminate the need for post-operative therapy thereby incentivizing insurers to reward physicians for improving care.  Patients benefit from faster recovery times, less visible scarring, substantially decreased out-of-pocket expenses, and by receiving a concierge-styled surgical experience.  Physicians/Surgeons will enjoy their patients progress and the ability to provide advanced treatments in a comfortable setting of choice.


Beneficiaries of these keyhole methodologies also include major insurance companies and acute care organizations (ACOs). Insurance companies stand to save unprecedented money by having their client’s needs addressed largely through the practitioner’s office from diagnosis through recovery (and physicians in turn would become favored practitioners for the insurer). With USAOP surgical strategies ACOs now have a new concept of cost-effectiveness and patient management by substantially reducing costs for needed surgeries in the high expense MSK surgical arena instead of the worn strategy to withhold care at some degree.

Revolutionary Results
  • Faster recovery
  • Less invasive
  • More precise and accurate interventional procedures
  • Increase in ability to perform procedures without hospitalization