MSK Services

Botulinum toxin has many uses in sports medicine and chronic pain. The toxin causes a temporary and reversible paralysis of muscle by blocking internal receptors. Botulinum toxin can be used to treat spastic paralysis, recurrent muscle spasms or functional compression of nerves/blood vessels. In sports medicine this can be used to help relax overactive muscles and return normal function.
This common condition, causing pain, tingling, and numbness in the hand and arm effects 1.2 million people every year. More than 650 thousand carpal tunnel release procedures are performed annually. Carpal Tunnel Release relieves pressure on the median nerve by transecting the transverse carpal ligament, creating more space for the nerves and tendons. This micro-invasive procedure can be done in our outpatient facility with the use of the Sonex Health SX-One Microknife and ultrasound guidance. The procedure takes minutes to complete, with a small wrist incision closed without sutures. Patients often find relief 24-48 hours post procedure and can return to activities they enjoy within 3-6 days.

Extracorporeal Shock Wave Therapy (ESWT) is an FDA-cleared, non-surgical, non-invasive, treatment that applies high energy acoustic energy to the tissue from the skin surface. ESWT is typically used to treat chronic tendinopathies such as plantar fasciitis, Achilles tendonitis, tennis elbow, and shoulder tendinitis. An ESWT session should last approximately 25 minutes and very little recovery time.

Corticosteroid Injections: Corticosteroid Injections are often used to treat pain and inflammation associated with osteoarthritis, tendinopathies and bursitis. Patients typically experience significant pain relief 5-7 days after a treatment. These injections are typically performed using ultrasound guidance to ensure precise placement of the medication.

Hydrodissection is the process of injecting fluid into the area with the use of ultrasound guidance to release specific anatomy from the surrounding tissue, potentially resulting in decreased pain.  This technique can be used to treat symptomatic scar tissue follow surgery as well as chronic local nerve pain.

McGinley Vascular Pressure Treatment is a patented procedure addressing functional vascular compression. Dr. McGinley is currently the only provider in the world offering this cutting-edge technique. With ultrasound and CT guidance, botulinum toxin is injected into a small segment of muscle that is compressing blood flow. The muscle is locally paralyzed allowing blood flow to resume normally. MVP Treatment is much less invasive than the traditional surgical remedies, has a much shorter recovery time and less associated risk. This procedure is performed in an outpatient office using only minimal local numbing medicine. The patient is able to walk out of the office immediately after the procedure is completed.

Platelet Rich Plasma (PRP) treatment is the injection of platelets, derived from your own blood, into the targeted area of an abnormality. The mechanism of PRP is growth factor stimulated healing. Platelets contain numerous growth factors critical to the natural healing process. PRP stimulates the healing response and reduces inflammation within soft tissues such as muscle, ligaments, and tendons. Over the last decade, PRP has been recognized for its potential in treating both chronic and acute musculoskeletal injuries and is popular with professional athletes with the goal of returning to competition as soon as possible.

The recovery time with PRP Treatment varies by patient, however depending on the injection site, crutches, a brace, or a sling may be required for the first three weeks. Increased activities should be possible in the subsequent three weeks.

Stem Cell Treatments involve the injection of adult stem cells collected from your own bone marrow into a targeted area with the use of ultrasound and/or CT guidance. The injected stem cells then initiate the body’s natural healing process at the site of abnormality to repair and regenerate damaged tissue.

Most Stem Cell Treatments require 30-45 minutes and are performed in an outpatient setting using only local anesthesia. Patients usually experience a steady decrease in their symptoms during the first 12 weeks with near complete symptom relief 6-12 months after the procedure.

MSK Services

Learn more about musculoskeletal (MSK) conditions from Dr. McGinley at McGinley Innovations