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Dr. McGinley will be hosting an informative webinar
on November 2nd at 6:00 pm MST. 

In this webinar, Dr. McGinley will discuss treatment options and their effectiveness, the inaccuracies of pressure testing, and his unique treatment method using botulinum toxin (commonly known as Botox).

Spots are limited.  Register today.

Can't make it?  You can learn more here.

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Patient Spotlight
Submitted by Koby Kelley (Paige's father)


"Our experience at The McGinley Clinic was amazing. During Paige’s junior year of basketball, she began having leg/calf cramps in both legs. By her senior year, Paige could only sprint a couple times up the court and would have to stop. One game went into overtime and both legs locked up, she couldn't walk and had to be helped off the court.

We went to local doctor, physical therapist, supplements, pain meds and nothing helped. Finally, somebody told us about compartment syndrome. December 24th, 2019, we went to an orthopedic surgeon and Paige underwent the very painful compartment testing confirming her compartment syndrome diagnosis. On March 20, 2020, Paige had a fasciotomy on both legs.  In July 2020, she was released to sprint and return to basketball training. She immediately started hurting again in the exact same location. We went back to the surgeon and he said Paige could can have another surgery but he didn't think it would work.

Desperate for a solution, I extensively searched the internet for a treatment, and I found Dr. McGinley's website. On a Wednesday afternoon, I blindly called and reached his staff. They patiently answered every question. Within a couple weeks, we were scheduled for treatment. After the imaging process, we met with Dr. McGinley and his staff. Dr. McGinley explained in great detail where the problem was, explained the treatment process and then treated Paige with Botox injections. 

Prior to treatment, my daughter could only run for 90 seconds straight. The day the treatment took effect, she ran 8 minutes with zero pain.

Fast forward to today, Paige has gone to college, averaged 35 minutes per game and has yet to have any leg pain. It has been nearly 9 months and still zero pain. The staff contacts us regularly to check in on Paige to evaluate her need for a repeat treatment but Paige hasn’t had to return. I can't speak for any other family, but we were at the end of our rope. Finding Dr. McGinley and his treatment gave my daughter back her love and ability to play basketball at the collegiate level.

I would like for other patients to hear our story. My family is blessed to come across Dr. McGinley and his staff."

Your story matters! Submit your own testimonial so others can learn from and be inspired by your story. 


Patients come from all over the world to seek treatment at The McGinley Clinic. Patients from 49 states, 17 countries and 1 US Territory have travelled to Casper, Wyoming to get patient-centered care.  When you visit The McGinley Clinic, you can put a pin on our map to join the many others who have visited from around the world!


MVP Treatment for Arm Pump


While most patients seek treatment for CECS and PAES in their calves, the condition can occur in the forearm as well. Forearm exertional compartment syndrome, otherwise known as “arm pump”, is a common problem in athletes that ride or race motorcycles. That said, it can occur in others who do not ride. Arm pump is when the intensity of tightness and pressure increases in the forearm with exercise. It can impede the ability to grip handlebars and remain competitive. The only remedy is to relax and back off activity. “Arm pump is an inflow/outflow problem of blood in the forearm muscles. The forearms are made up of several groups of muscles responsible for the gripping motion of the finger and hands. The forearm muscles are arranged in groups separated by a tight layer called “fascia”. As pressure builds, the muscles press against the fascia causing pain and pressure,” Dirt Bike Rider Magazine. “Arm pump is caused by restriction of blood leaving the forearm. As the forearm muscles contract, they become enlarged and engorged. The contracting muscles compress the veins causing pressure in the muscles,” reports Dr. McGinley. Most riders experience arm pump at some point. Only when symptoms are severe does it require treatment.  Dr. McGinley developed a patent procedure called the MVP Treatment to address arm pump with a minimally invasive procedure. Just like in the calves,  Dr. McGinley uses advanced MRI, ultrasound and CT imaging to identify the exact site of compression. He then injects botulinum toxin (commonly known as BOTOX) 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 traditional surgical remedies, has a much shorter recovery time and less associated risk,”  Motocross Action Magazine. The patient is able to walk out of the office immediately after the procedure is completed. You can learn more about the MVP treatment in this podcast with Enduro Racer - James Stearns.

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Construction and renovation continues at The M Building.  In the last month we have transformed the landscaping with fresh rock, evergreen turf, new planters and customizable lighting.  For a time-lapse video of the progress, click here.  Last week, we finally got our building sign up!  This fall and winter will bring big changes to the interior of the building. 




Greg Foremny, MD has joined The McGinley Clinic as a Musculoskeletal Interventional Radiology Fellow through June 30, 2022. He will see patients at The McGinley Clinic, perform interventional orthopedic procedures and oversee research projects.

Dr. Foremny was born and raised in Miami, FL. He graduated with a Bachelor's Degree from the University of Florida, a Master's Degree from Georgetown University, and a Doctor of Medicine degree from Florida International University Herbert Wertheim College of Medicine.

He spent his internship in Internal Medicine at Mount Sinai Medical Center in Miami. Then for the following 4 years, he was a Diagnostic Radiology resident at the University of Miami/Jackson Memorial Hospital. For his Fellowship, Dr. Foremny was a Musculoskeletal Radiology Fellow at the Hospital for Special Surgery in New York, NY.

The McGinley Clinic is excited to have this highly qualified physician on our staff to provide excellent, patient-centered orthopedic care.

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Silver Fox Steakhouse is a favorite here in Casper.  

40 years ago, two men had a vision. Chef Bernard Ambrosino and his friend/mentor Bill Armor wanted to create a restaurant that felt like coming home. Since 1980, that’s exactly what the Silver Fox restaurant has been. From their early days as Casper’s premiere fine-dining establishment right up to the more casual, comfortable restaurant that our employees love.

Try the Bacon Knots, a Dr. McGinley favorite!

Check out their menu and make a reservation!


Wyoming is a beautiful, scenic place to visit.


This edition's highlight is: 
Historic Trails Museum 

The National Historical Trails Interpretive Center is a must-see destination while visiting Casper. Not only does it have historical information relevant to Wyoming but has a fantastic view of Casper. During your visit, you will be able to explore exhibits related to names that are truly legendary in Western history, and on the Oregon, California, Mormon and Pony Express Trails. Through these hands-on exhibits, they capture the real-life drama that over 400,000 pioneers experienced as they followed these trails between 1841 and 1868.


The McGinley Clinic is 2nd in the world to have this latest technology! Patients can now step into the HiRise™ standing CT and receive the most accurate diagnosis for their injuries or conditions. In the HiRise™, the patient is weight bearing allowing Dr. McGinley to evaluate alignment and position of structures. "Having an accurate diagnosis the first time is critical in ensuring the most effective, least invasive treatment. Many patients have complicated histories and are looking for answers. The standing CT helps me to give then those deserved answers and provide a treatment that will improve their quality of life." This unique technology assesses leg alignment, length discrepancies, arthritis, rotation issues and provides more accurate fracture and injury evaluation. 



Carpal Tunnel Release


This treatment 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.

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

Watch as Dr. McGinley walks patients through an actual procedure here.

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