Our physician discusses the diagnosis so the nature of the injury is clear, taking whatever time is needed to make sure our patients understand and every question is answered. Since every injury is unique, so is every treatment plan and approach.


At MSK GUIDE, our Bull’s-Eye™️ approach places orthobiologic medicine, under the precise guidance of ultrasound, directly to the source of pain that is causing your symptoms. Every single needle that’s placed at MSK GUIDE hits the ‘Bull’s Eye’ because we can see the needle with exquisite clarity. That’s our specialty.

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 the treatment and what the recovery looks like so you can plan accordingly. We start by listening, then evaluate the structures that may be contributing to your pain.

We start by listening then evaluate the joints and soft tissue structures using real-time ultrasound imaging which gives  us eyes beneath the surface of the skin. We can see with such great clarity how the joint is moving, where it locks up, if a tendon or ligament is torn and if it’s holding on by one single tendon fiber. No other imaging does what MSK ultrasound can do.

Regenerative Medicine is caps-offers non-surgical treatment that kicks up the body’s response mechanism to repair itself. There have been many falls and injuries we’ve sustained through our lives that we don’t run to the doctor for, in time, the body heals itself up. That is the same mechanism we are putting on overdrive so you heal quicker and can get back to doing what you do.

Your goals belong in the treatment plan from the beginning.

Full cycle of care,
handled in one visit.

At MSK GUIDE, we use MSK ultrasound to see what’s going on and guide your care. Your orthopedic evaluation and treatment are all handled in one place, during one visit.

How It Works

At MSK GUIDE, a specialized sonographer uses musculoskeletal ultrasound to assess your joint or soft tissue concern. If treatment is right for you, live ultrasound helps guide the injection to the targeted area. That’s our Bull’s-Eye™️ Approach: clear imaging, focused care, and a plan tailored to you.

We offer nonsurgical treatment options that are intended to help manage pain and support mobility and joint function.

What to Expect

You’ll sit or lie comfortably while a small handheld device glides over your skin with gel. The ultrasound creates live images beneath the skin. The scan is usually quick and painless.

If an injection is warranted, we make sure they are done with the patients comfort as a priority; making the injection experience as efficient as possible.

Why Regenerative Medicine?

Regenerative medicine uses components from your own blood, including platelets and growth factors, as part of treatment. These components are intended to support the body’s natural repair processes.

At MSK GUIDE, physicians use real-time ultrasound to see the treatment area and guide injections to the targeted joint or soft tissue. Our nonsurgical treatments are intended to help manage pain, improve function, and support quality of life for people with osteoarthritis, certain tendon or ligament injuries, and other musculoskeletal conditions.

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