Ranching. Riding. Lifting. Working. When joint pain gets in the way, you need clear answers and a plan that takes your life into account.

Your work depends on your body. Your care should understand both.

At MSK GUIDE, our Bulls-eye approach combines physician expertise, advanced orthobiologic medicine, and real-time ultrasound guidance to deliver individualized treatments toward their intended anatomical targets.

What is pain keeping you from doing?

Climbing into the tractor. Finishing a shift. Swinging a rope. Keeping up with your family.

Those details matter. They help us understand what you need from treatment and what recovery will require in the real world. We start by listening, then evaluate the structures that may be contributing to your pain.

For people whose lives depend on staying active, regenerative medicine may offer a nonsurgical option focused on supporting the body’s repair response.

Your goals belong in the treatment plan from the beginning.

How It Works

At MSK Guide, we combine experienced physician care with advanced musculoskeletal (MSK) ultrasound technology to deliver precision-guided orthobiologic treatments.

Our signature Bullseye Approachbrings together physician expertise and specialized musculoskeletal ultrasonography to evaluate joint and soft tissue conditions, identify appropriate treatment targets, and guide the precise placement of orthobiologic therapies.

Using real-time ultrasound imaging, our collaborative team visualizes the treatment area and guides each injection toward its intended anatomical target. This targeted approach is designed to enhance placement accuracy while providing individualized care tailored to each patient's needs.

Our goal is to help patients manage pain, improve mobility, and support joint function through innovative, nonsurgical treatment options.

What to Expect

An MSK ultrasound is both quick and painless. Positioned comfortably in a chair or on a table, a transducer is passed over the surface of your skin to provide an image of the underlying structures.

Why Regenerative Medicine?

Regenerative medicine uses biological components from your own blood, including platelets and their growth factors, to support the body’s repair response. These growth factors help coordinate cellular activity involved in tissue healing.

At MSK GUIDE, we use real-time ultrasound to guide treatment to targeted joint and soft tissue areas. This nonsurgical approach may be an option for osteoarthritis, certain tendon and ligament injuries, and persistent musculoskeletal conditions. We operate with the goal of improving function, reducing pain, and supporting a better quality of life.

We understand your injury, we know your lifestyle.

With 20 years of experience performing over 10,000 ultrasound exams and needle guidance procedures, MSK GUIDE has proudly become the leading authority on MSK ultrasound. We combine detailed diagnostic imaging with precisely guided treatments to help identify the source of your pain and support your path forward. Our goal is to help you preserve your natural joints and get back to the work, activities, and everyday moments you love.

  • “The MSK GUIDE Bull’s-Eye™ Procedure has COMPLETELY CHANGED MY LIFE. I can rope all the steers I need, run the ranch and my shoulders just keep feeling better. I wish I would have done it sooner.”

    — Mike Rogers

  • "I couldn't lift my arm due to a calcified tendon. I'm self-employed and I had been out of work for two months. Rachel was able to pinpoint the exact location of the calcification. Three days later, I had about 80% movement restored and almost no pain!"

    — James Gilbert, Arizona

  • "I make a living on horseback and my hip and shoulder were making that unbearable. After my injections, I had instant relief in my shoulder, and my hip has only continued to get better as time goes on. Rachel and MSK GUIDE have been a God-send!"

    — Darren Canyon, Texas

  • "It was a very relaxed and down to earth experience in the clinic... the injection was over before I realized it had even begun. Now only can I finally sleep on my shoulder for the first time in 6 months, I am ready to get back to winning some team-ropings!"

    — Casey Milesville, South Dakota