Musculoskeletal Care 3.0

Ultrasound is Changing the Game

At OSSO HEALTH, we believe in innovation rooted in experience — and there's perhaps no better example of this than the evolving role of ultrasound-guided, minimally invasive procedures in treating common musculoskeletal conditions.

Recently, Dr. Adam Pourcho at AOCPMR25, one of the leading experts in the field shared powerful data, techniques, and outcomes from over 20 years of clinical and procedural experience. Here's what you need to know about how this next generation of care is reducing pain, avoiding surgery, and helping patients get back to life — faster.

Why Ultrasound-Guided Procedures Matter

Many procedures once reserved for the operating room — like carpal tunnel release, trigger finger release, and treatment of chronic tendon injuries — can now be safely performed in-office using high-resolution ultrasound guidance. This precision minimizes risk and maximizes recovery.

Key Advantages:

• Smaller incisions

• Local anesthesia only

• Faster return to work and activity

• Fewer complications and lower infection risk

• Minimal post-procedure downtime

1. Ultrasound-Guided Carpal Tunnel Release

• Over 450,000 carpal tunnel surgeries are performed annually in the U.S., with high costs and downtime.

• With ultrasound, patients returned to activity in 3–5 days on average.

• Local anesthetic only. No tourniquet, no sutures.

• Pillar pain, a common post-surgical complication, was minimal or avoided entirely.

2. Trigger Finger and De Quervain’s Release

• Quick in-office procedure using a needle or device to release the affected tendon sheath.

• Performed under real-time imaging to avoid nerve injury.

• High satisfaction, even in postpartum moms and manual laborers. Most return to activity within 48 hours.

3. Ultrasound-Guided Tendon Debridement

• Ideal for chronic tendinopathies (tennis elbow, Achilles tendon, plantar fascia, hamstrings).

• Uses ultrasonic energy to precisely remove degenerated tissue without open surgery.

• Studies show a 90%+ improvement in function with fewer complications than traditional surgery.

• Common conditions treated:

  • Lateral epicondylitis

  • Patellar and Achilles tendinopathy

  • Plantar fasciitis

  • Rotator cuff partial tears

Understanding Tendon Failure

The speaker challenged an outdated term — "tendinitis" — highlighting how most tendon pain isn’t caused by inflammation, but by tissue breakdown and microtears. This helps explain why corticosteroids, while providing short-term relief, often lead to long-term tendon damage and rupture.

Instead, evidence supports orthobiologic therapies like:

• Platelet-Rich Plasma (PRP)

• A2M or IRAP protein injections

• Ultrasound-guided tendon scraping

When done precisely, these therapies stimulate healing, reduce pain, and avoid the long recovery times of surgery.

OSSO HEALTH’s Approach

At OSSO HEALTH, we’re proud to offer these leading-edge, minimally invasive options as part of our Spine | Sports | Pain | Wellness model. From elite athletes to active adults, our focus is on helping you move better with:

• Evidence-based techniques

• Ultrasound precision

• Personalized recovery plans

• Avoidance of unnecessary surgery

Final Takeaway

Whether you're struggling with carpal tunnel, chronic plantar fasciitis, or a nagging elbow or shoulder pain, there are safer, faster options than traditional surgery — and OSSO HEALTH is here to deliver them.

Schedule a consultation today with Dr. Amir Mahajer to see if ultrasound-guided treatment is right for you.

Let’s move better — together.