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BackTable / VI / Podcast / Episode #246

Ultrasound Guided MSK Interventions

with Dr. Jason Cox

In this episode, guest host Dr. Jacob Fleming interviews Dr. Jason Cox about musculoskeletal interventions and how he uses ultrasound for diagnosis and intervention in his full spectrum musculoskeletal practice.

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Ultrasound Guided MSK Interventions with Dr. Jason Cox on the BackTable VI Podcast)
Ep 246 Ultrasound Guided MSK Interventions with Dr. Jason Cox
00:00 / 01:04

BackTable, LLC (Producer). (2022, September 26). Ep. 246 – Ultrasound Guided MSK Interventions [Audio podcast]. Retrieved from

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Podcast Contributors

Dr. Jason Cox discusses Ultrasound Guided MSK Interventions on the BackTable 246 Podcast

Dr. Jason Cox

Dr. Jason Cox is the co-owner and attending musculoskeletal / diagnostic ultrasound radiologist at Ultrasound First in St. Louis.

Dr. Jacob Fleming discusses Ultrasound Guided MSK Interventions on the BackTable 246 Podcast

Dr. Jacob Fleming

Dr. Jacob Fleming is a diagnostic radiology resident and future MSK interventional radiologist in Dallas, Texas.


We begin by discussing Dr. Cox’s path to MSK intervention. During his interventional training at University of Missouri, the musculoskeletal radiology program was rebuilt, and ultrasound was incorporated heavily. He used his ultrasound skills from vascular intervention in IR to learn musculoskeletal anatomy on ultrasound. He was drawn to MSK radiology due to the mechanical aspect of MSK work and the integration of visual spatial awareness and hand eye coordination involved in MSK ultrasound.

He started out by learning steroid injections for sports injuries, commonly rotator cuff injuries. He now does around 20 diagnostic or interventional ultrasound procedures each day in his clinic. He opened his clinic with a partner, and did it slowly while still working at his prior job. He started working at his new clinic on his vacation days until he could build up the clientele to leave his prior job. One of the biggest challenges in opening his MSK radiology clinic was finding a sonographer able to do the complex MSK cases he was doing.

The most common procedure Dr. Cox does at his clinic is ultrasound guided carpal tunnel release. He also does tendon barbotage for hydroxyapatite deposition disease for the rotator cuff tendons. His practice has grown largely due to the number of patients that are referred because they cannot get an MRI. He reads his ultrasound exams like an MRI report, with a high level of detail, differential diagnosis and recommendations.


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Disclaimer: The Materials available on are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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