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-Dr. Joseph C. McGinley, Runner's World March 2017

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The McGinley Approach

The McGinley Clinic is committed to redefining medicine through continuous research, problem solving and evidence-based medicine. The McGinley Clinic strives for excellence in patient care and safety. We utilize a unique model integrating cutting edge, advanced technologies with a patient-centered, problem-solving approach. Our focus is the specialized treatment of sports related injuries and other musculoskeletal related issues. We offer physician training to share the benefits of our approach with patients and athletes over the world. 

McGinley Approach


Stem Cell

prp treatment

carpal tunnel treatment

trigger finger


hyaluronic acid

Cubital Tunnel

eswt treatment

cortico-steroid injections

botulinum toxin injections


mvp treatment

Treatment Options
Contact Us

For specific treatment questions or more information about scheduling an appointment, please email

or call 1-866-678-4699 or

click below for more information.

If you are traveling to Casper to see

Dr. McGinley, here is information on travel, directions, accommodations, area attractions, and more. If you have other questions, don't hesitate to contact us.


Stem Cell Treatment

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 guidance. The injected stem cells 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.

  • Achilles Pain

  • Tendinopathy

  • Tennis Elbow

  • Partial Tears

  • Meniscal Tears

Stem Cells can treat:

  • Labral Tears

  • Arthritis

  • Fracture Non-Union

  • Rotator Cuff Tears

  • Plantar Fasciitis

  • Degenerative Disc Disease

For reference, read more about the research study on stem cells for the knees here, and for the spine here.


PRP Treatment

​​Platelet Rich Plasma (PRP) treatment is the injection of platelets, derived from your own blood, into the targeted area of 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 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 among professional athletes.

PRP can treat:

  • Baker's Cysts

  • Seromas

  • Ganglion Cysts

  • Overuse Injuries

  • Plantar Fasciitis

  • Rotator Cuff Tears

  • Achilles Pain

  • Tendinopathy

  • Tennis Elbow

  • Partial Tears

  • Meniscal Tears

  • Labral Tears

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Carpal Tunnel 

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.


Learn more about the Sonex Health SX-One Microknife, and its influence on the Carpal Tunnel Release Procedure below.







Read an article about Dr. McGinley’s innovative use of this technology in his clinic HERE.

Learn more about Dr. McGinley's approach using Augmented Reality and the Sonex Mircroknife by watching the "Carpal Tunnel Release Information Video".

To see clinical data and paper that was featured in Journal of Hand Surgery, click here:


Trigger Finger Release Treatment

“Trigger finger” syndrome is the common name for stenosing tenosynovitis, a painful condition caused by a progressive restriction of normal tendon motion which interferes with the ability to bend and straighten the fingers.  We are one of the first locations in the world to offer this innovative approach using real-time ultrasound guidance and Sonex Health's UltraGuideTFR. Real-time ultrasound guidance allows Dr. McGinley to see all critical anatomy prior to making an incision and enables him to guide the device while performing the procedure through a much smaller incision. Because this technique is less invasive, most patients are able to return to work and normal activities faster than those who undergo traditional TFR surgery.


Learn more about the Sonex Health UltraGuideTFR below.

To see clinical data regarding this procedure to treat Trigger Finger, click here:

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Cubital tunnel syndrome is a problem with the ulnar nerve, which passes through the inside of the elbow. It causes pain and can feel like you hit your "funny bone".  Cubital tunnel syndrome may happen when a person frequently bends the elbows, leans on their elbow a lot, or has an injury to the area.

        NEW PROCEDURE!       

In December 2023, Dr. McGinley successfully performed a unique, first-ever, minimally invasive approach for cubital tunnel release. The innovative procedure, performed with a small cutting device, and ultrasound guidance, allows patients to remain completely awake throughout the procedure using only local anesthesia.  There are no stitches and patients experience a faster recovery time. This marks a significant advancement in orthopedic medicine, offering a patient-friendly alternative to traditional surgery.

To see the official press release and photos, click here:


Another way to treat cubital tunnel syndrome is with Ulnar Nerve Hydrodissection. 

71% of McGinley Clinic patients reported significant decrease of symptoms.

To see patient data regarding this procedure to treat Cubital Tunnel, click here:

Cubital Tunnel Treatment

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.

Corticosteroids can treat:

  • Baker's Cysts

  • Seromas

  • Ganglion Cysts

  • Overuse Injuries

  • Plantar Fasciitis

  • Rotator Cuff Tears

  • Achilles Pain

  • Tendinopathy

  • Tennis Elbow

  • Partial Tears

  • Meniscal Tears

  • Labral Tears

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Corticosteroid Injections


Hyaluronic Acid

Hyaluronic acid works by acting as a cushion and lubricant in the joints and other tissues by trapping water inside tissue cells and joints.

Dr. McGinley injects joints for painful arthritis and other severe joint pain in specialized cases.

Hyaluronic Acid can treat:

  • Arthritis

  • Joint Pain


Bone Spur Removal

Bone spurs (osteophytes) are hard bumps of extra bone that form on the ends of bones, often around joints. The most common cause is damage from osteoarthritis or degenerative joint disease.

Bone spurs can be treated with a non-invasive technology, TENEX TXBone, that applies high frequency vibrations that remove the spur.

Bone Spur Removal can treat:

  • Painful Bone Spurs

  • Plantar Fasciitis

  • Shoulder Impingement

  • Achilles Spurs

  • Elbow Spurs

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Holding Hands

ESWT Treatment

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.

ESWT can treat:

  • Plantar Fasciitis

  • Tennis Elbow

  • Achilles Tendinopathy

  • Patellar Tendinopathy


Botulinum Toxin Injections

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.

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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.

Hydrodissection can treat:

  • Scar Tissue from Surgery

  • Chronic Nerve Pain

  • Tendon Pain & Inflammation

  • Ulnar Nerve Entrapment


MVP Treatment

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. The patient is able to walk out of the office immediately after the procedure is completed.


To see patient data regarding this procedure to treat Exertional Compartment Syndrome, click here:



Read how this procedure can treat arm pump, featured in Motocross Action & Dirt Bike Magazines.

You can also listen to the Inside Enduro podcast featuring Dr. Joseph C. McGinley called "A Cure for Arm Pump".

Or how it can treat Exertional Compartment Syndrome & PAES, featured in Runner's World and Women's Running Magazine.

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MVP Treatment
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