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Home > Services > Ultrasound Guided Musculoskeletal Interventions

Mark D. Muilenburg, M.D.

Orange City Area Health System is excited to offer new and emerging technologies in the care of musculoskeletal problems.  Dr. Mark Muilenburg has been expanding his sports and musculoskeletal medicine practice over the past several years.  He is a Board Certified Family Physician who has also completed his Certification of Added Qualification in Sports Medicine.  Over the last five years he has received training at the University of Michigan and the Mayo Clinic in the application of high resolution ultrasound for the care of acute and chronic musculoskeletal disorders.  His practice is now eligible for accreditation by the American Institute of Ultrasound Medicine.

Ultrasound allows the imaging of nerves, tendons, ligaments, and joints to precisely deliver therapeutic agents to the site of injury or chronic pain.   Common applications of musculoskeletal ultrasound include:

Cortisone Injection
Therapeutic injection of cortisone into joints, tendon sheaths, and around nerves. (Learn More)

Percutaneous Needle Tenotomy
Percutaneous needle fenestration (tenotomy) of diseased tendons to accelerate healing. (Learn More)

Platelet Rich Plasma
Injection of Platelet Rich Plasma for the treatment of chronic tendonitis. (Learn More)

Calcium Aspiration
Percutaneous disruption and aspiration of painful calcifications in the rotator cuff and other tendons.(Learn More)

Carpal Tunnel
Ultrasound-guided percutaneous release of the carpal tunnel. (Learn More)


“These new procedures are the most promising interventions in the treatment of difficult musculoskeletal problems in many years.” Dr. Muilenburg, 2011.