Joint Pain Consultant

Do the findings
match what you feel?

Over the Knife compares your written imaging report with the symptoms you feel, the movements that hurt, and the care you have already tried.

Let’s look it Over
before you go Under.

Review Twice. Decide Once.™ · Texas telehealth · Not surgical clearance

Dr. Kwon, DC, does not determine surgical necessity or replace your surgeon.

Before the next major decision

Test the assumptions behind the plan.

MRI findings do not always explain symptoms. And joint pain may have more than one origin.

Over the Knife compares your written imaging report with your symptoms, painful movements, treatment history, and available records to organize what appears to fit, what remains unclear, and what may deserve another look.

A review for where you are now

See the scope and price before you schedule

Both review levels include individual preparation, a private consultation, a personalized written report, and one scheduled follow-up.

Focused Review

Before Surgery

$4,975

For people who have not had surgery in the affected body region, whether surgery has been discussed or not.

Review details →
Complex Review

Persistent Symptoms After Surgery

$14,975

For persistent symptoms after surgery or another surgery being considered in the same body region.

Review details →
Your Written Deliverable See What a Review Looks Like Illustrative sample shown below
OVER THE KNIFE

Personalized Written Review

Prepared for your next healthcare conversation

Illustrative sample
Review PathwayBefore Surgery
Body RegionShoulder
Proposed ProcedureRotator Cuff Repair

Primary Symptoms and Functional Concerns

The review summarizes where you feel pain, which movements reproduce it, what daily activities are limited, and what you hope to return to doing.

Written Imaging and Procedure Context

The findings described in your written imaging report are organized beside the structure and intended goal of the proposed procedure.

Pain Pattern and Painful Motions

Your reported pattern is compared with painful positions, movements, changes in strength or function, and the response to prior care.

What Appears to Fit

The report explains where your symptoms, painful motions, available records, and proposed surgical target appear consistent.

What Remains Unclear

Unanswered questions, missing records, and parts of the reported pattern that may deserve further examination are clearly identified.

Areas for Focused Evaluation

When supported by the available information, the review may prioritize up to three areas to discuss with an appropriate treating professional.

MuscleTendonFascial painNerve-pain mimicMovement pattern

Questions for Your Surgeon

Focused questions are organized around the intended surgical target, expected benefit, recovery demands, and remaining areas of uncertainty.

Suggested Next Steps

The final section organizes the next conversations, records, or in-person evaluations that may help you continue the decision with your healthcare professionals.

Sample format for illustration only. This is not a real patient case, diagnosis, treatment recommendation, or determination of surgical necessity.
Optional comparison Second Opinion vs. Over the Knife Open the two-card comparison

Second Opinion

“What does another peer think?”

Another specialist reviews your case.

Looks at your diagnosis and treatment choices.

May agree or disagree with the first recommendation.

Helps you get another peer’s opinion.

Over the Knife

“Do the assumptions behind your pain fit?”

I rebuild the musculoskeletal picture of your pain from the ground up.

I look at relevant research, written imaging reports, symptoms, painful movements, history, and prior care.

I examine whether the pieces supporting the current direction fit together.

I help uncover questions or additional pain contributors that may still deserve evaluation.

You may need one. You may need both.

A second opinion asks:“Would another doctor make the same recommendation?”

Over the Knife asks:“How well does your pain match up with the evidence?”

Before choosing between opinions, sometimes it helps to check what those opinions are built on.

Research in context

Why Looking Beyond the Scan Can Matter

Imaging is most useful when it is considered alongside symptoms, function, and examination findings.

85.7%

of patients in one study who had pain after low back surgery had muscle/fascial pain identified during evaluation

Teixeira et al., Rev Assoc Med Bras, 2011 · citation

Study context

Investigators evaluated 56 patients with persistent pain after lumbar surgery and identified a myofascial pain component in 48 patients. This descriptive study does not establish that the same percentage applies to all patients with pain after surgery.

61%

of people with meniscal tears on MRI had no knee pain, aching, or stiffness in the prior month

Englund et al., N Engl J Med, 2008 · citation

Study context

This population study obtained right-knee MRI scans from 991 ambulatory adults ages 50 to 90. The 61% describes participants with a meniscal tear who reported no knee pain, aching, or stiffness during the previous month. It does not establish that every meniscal tear is unrelated to symptoms.

64%

of adults with no back pain had a disc problem

Jensen et al., N Engl J Med, 1994 · citation

Study context

This MRI study examined 98 adults without back pain. Sixty-four percent had at least one lumbar disc bulge, protrusion, or extrusion. The study describes imaging prevalence in an asymptomatic sample and does not determine whether a finding is relevant in an individual case.

That is why Over the Knife looks at the whole pattern, not the scan alone.

Dr. Bob Kwon, DC

Why this review

Bob Kwon, DC

Reviews are personally provided by Bob Kwon, DC.

  • More than nine years of musculoskeletal evaluation and rehabilitation experience.
  • More than 4,600 individual patient assessments.
  • Experience working with patients before and after orthopedic and spine procedures.
Read Bob’s backgroundclick to expand

Bob Kwon, DC, has spent more than nine years evaluating and helping manage muscle, joint, spine, fascial, and nerve-like pain patterns.

His interest in difficult musculoskeletal cases became personal after watching his mother live with debilitating pain for years without a clear path forward. That experience shaped his commitment to helping patients better understand their symptoms and make choices that best suit their lifestyle.

Dr. Kwon, DC, developed a structured musculoskeletal review process that looks beyond imaging alone, considering where symptoms occur and which movements, positions, and activities make them better or worse. The process is designed to complement the work of surgeons, physical therapists, and other rehabilitation professionals.

His experience includes work in an affiliated physical therapy setting, where he performed patient examinations, rehabilitation planning, and post-surgical care, and worked with patients considering orthopedic or spine procedures.

Affiliation detail. Total Wellness Physical Therapy was affiliated with United Memorial Medical Center Hospital System in Sugar Land, Texas.

Structured review process. Dr. Kwon, DC, developed the Joint Pain Referral Review Framework, a method for comparing symptoms, movement findings, and possible musculoskeletal contributors to pain. It is not a laboratory, imaging, or independently validated diagnostic test and does not replace an appropriate in-person examination.

Before the next major decision

Make sure the pieces fit.

Review Twice. Decide Once.™

See Which Review Fits Your Case

Questions & answers

Frequently Asked Questions

Common questions about Over the Knife’s spine and joint reviews before or after surgery.

What is a before-surgery review?

answer

It is a structured musculoskeletal telehealth consultation with Bob Kwon, DC. The review brings together your symptoms, function, treatment history, written imaging reports, and any proposed procedure. You can use it before surgery has been discussed or while a first surgery is being considered.

Is this a surgical second opinion, or will you tell me whether to have surgery?

answer

No. A surgical second opinion asks whether another doctor would make the same recommendation. Over the Knife asks how well your pain pattern, painful movements, written imaging report, prior care, and available evidence fit together.

Dr. Kwon, DC, does not determine surgical necessity or replace your surgeon.

Where can I get a second opinion on surgery in Texas?

answer

A formal surgical second opinion comes from a physician or surgeon, often in the same specialty as the doctor who made the recommendation. Your health plan may help you locate a participating specialist.

Over the Knife provides a separate musculoskeletal review that can help you organize your pain pattern, records, and conservative-care history before your next healthcare conversation.

Who is the consultation for?

answer

Over the Knife is designed for Texas adults with chronic or subacute spine or joint pain. It can be used before surgery has been discussed, while a first surgery is being considered, or when symptoms remain after surgery.

What procedures or conditions do you review?

answer

Over the Knife reviews chronic or subacute spine and joint pain across the body, including neck and back, shoulder, elbow, wrist and hand, hip, knee, and foot and ankle. The review may be used whether surgery has not been discussed, is being considered, or has already occurred. See the Conditions section for the full list by body area.

Do I need to be located in Texas?

answer

Yes. You must be physically located in Texas at the time of the telehealth consultation.

Are there any location or existing-care limitations?

answer

Yes. Over the Knife does not currently accept clients who live in Spring, Texas.

Current patients receiving care from Bob Kwon, DC, through another practice are not eligible for Over the Knife services.

Do you take insurance?

answer

No, Over the Knife is cash-pay and does not bill insurance. On request we can provide an itemized receipt you may submit for possible out-of-network reimbursement or use with an HSA/FSA if your plan allows; eligibility and reimbursement are not guaranteed. See Insurance & Payment below for details.

Insurance & Payment

answer

Over the Knife is a cash-pay service with a defined fee before the review begins. We do not bill insurance.

On request, we can provide an itemized receipt for possible out-of-network reimbursement or HSA/FSA use. Your plan determines eligibility and reimbursement.

You will receive written expected-charge information when you schedule. Exceptionally large, duplicative, or unrelated submissions may require scope confirmation before the review begins.

Scope-Fit and Delivery Policy

answer

If Dr. Kwon, DC, determines that the case is outside the advertised scope of the service, or that the available information is insufficient to complete the review, the review fee will be refunded. If the submitted records show that a purchased Complex Review belongs in the Focused Review because there was no prior surgery in the affected body region, the price difference will be refunded.

After you timely provide the required records and attend the consultation, if Over the Knife does not deliver the consultation and written report described at checkout, the review fee will be refunded.

This policy does not promise that a separate pain source, specific tissue, or conservative-care option will be identified. Records should be reasonably relevant to the selected body region and surgical question. Exceptionally large, duplicative, or unrelated submissions may require scope confirmation before the review begins.

Read the full refund and scheduling terms.

Turnaround and provider information

answer

Turnaround: Your written review is delivered within 24 to 48 hours after the consultation and receipt of all required records.

Provider information: When appropriate and available, Dr. Kwon, DC, may identify providers in major Texas metropolitan areas who offer services relevant to the areas for further evaluation discussed.

Over the Knife does not accept referral fees, advertising payments, commissions, or anything else of value from providers identified to patients. Any provider identified is independent and is responsible for conducting their own examination and determining whether treatment is appropriate. Inclusion does not guarantee availability, insurance participation, or a particular result.

HSA or FSA may apply

answer

HSA or FSA payment may be permitted. Eligibility and reimbursement are determined by your plan administrator and are not guaranteed.

How the Focused Review fee is allocated

answer
Scope review $0
Preliminary review of the screening responses, record inventory, and selected body region. The case is accepted after Dr. Kwon, DC, confirms that it is within service scope and the required materials are available.
Case preparation $500
Begins after acceptance and receipt of the required materials. It includes an organized review of relevant history, prior care, written imaging reports, and submitted clinical records.
Consultation $3,000
A private video or phone consultation covering symptoms, painful movements, prior care, available records, and the questions the review is designed to address. The scheduled appointment length and format are stated in the secure scheduling materials and written estimate.
Written report $500
A personalized report organizing the information reviewed, relevant musculoskeletal patterns, uncertainty, areas that may warrant in-person evaluation, and questions for treating professionals. Delivery is within 24 to 48 hours after the consultation and receipt of all required records.
Follow-up $975
One scheduled video or phone follow-up for questions about the written review and preparation for conversations with treating professionals. Its scheduling window and allotted time are stated in the secure scheduling materials.

Focused Review total$4,975

Your Right to a Good Faith Estimate

answer

Over the Knife is a self-pay service. Uninsured patients and patients who choose not to submit a claim to insurance have the right to receive a written Good Faith Estimate of expected charges when health care services are scheduled or requested.

The estimate will describe the expected service and charges. It is not a contract and does not require you to receive the service.

Good Faith Estimates are provided through the secure scheduling process and are also available upon request.

Read the federal Good Faith Estimate information →

Do you read my actual MRI or X-ray images?

answer

We review the radiologist’s written imaging report. We do not provide a formal reading or interpretation of the images themselves.

What do I need to provide before the consultation?

answer

Provide your available written imaging reports, relevant treatment records, and a summary of your symptoms and treatment history. If surgery has been discussed or completed, also provide the surgical recommendation, surgeon’s notes, or operative report when available.

Can you recommend specific treatment or exercises?

answer

When the review organizes an area for further evaluation, Dr. Kwon, DC, can discuss options within his professional scope and, where appropriate, communicate suggestions to your treating physical therapist or healthcare professional. Care decisions should be coordinated with the professional who examines and treats you.

Is Muscle-Map Pain-Pattern Review™ a diagnostic test?

answer

No. Muscle-Map Pain-Pattern Review™ is the name of the structured musculoskeletal review process developed by Dr. Kwon, DC. It is not a laboratory, imaging, or independently validated diagnostic test and does not replace an appropriate in-person examination.

Is this emergency care?

answer

No. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room.

Contact

Contact Over the Knife

Choose an administrative topic below. Medical questions and records are handled through the secure intake after scheduling.

This form is for administrative questions only. Symptoms, diagnoses, imaging, and records are collected through the secure intake after scheduling.

[citations] Cited works show all references
  1. Brinjikji W, Luetmer PH, Comstock B, et al. Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR Am J Neuroradiol. 2015;36(4):811–816.
  2. Englund M, Guermazi A, Gale D, et al. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med. 2008;359(11):1108–1115.
  3. Jensen MC, Brant-Zawadzki MN, Obuchowski N, et al. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. 1994;331(2):69–73.
  4. Chou R, Fu R, Carrino JA, Deyo RA. Imaging strategies for low-back pain: systematic review and meta-analysis. Lancet. 2009;373(9662):463–472.
  5. Lawrence RL, Moutzouros V, Bey MJ. Asymptomatic rotator cuff tears. JBJS Rev. 2019;7(6):e9.
  6. Register B, Pennock AT, Ho CP, et al. Prevalence of abnormal hip findings in asymptomatic participants: a prospective, blinded study. Am J Sports Med. 2012;40(12):2720–2724.
  7. Teixeira MJ, Yeng LT, Garcia OG, et al. Failed back surgery pain syndrome: therapeutic approach descriptive study in 56 patients. Rev Assoc Med Bras. 2011;57(3):282–287.
  8. Wadekar S, et al. The morbidity of greater trochanteric pain syndrome versus that of patients awaiting total hip replacement. Orthopedics. 2024;47(4):205–210.
  9. Ablin JN, Berman M, Aloush V, et al. Effect of fibromyalgia symptoms on outcome of spinal surgery. Pain Med. 2017;18(4):773–780.
  10. Capogna BM, Shenoy K, Youm T, Stuchin SA. Tendon disorders after total hip arthroplasty: evaluation and management. J Arthroplasty. 2017;32(10):3249–3255.
  11. Bateman EA, Fortin CD, Guo M. Musculoskeletal mimics of lumbosacral radiculopathy. Muscle Nerve. 2025;71(5):816–832.
  12. Moseley JB, O'Malley K, Petersen NJ, et al. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med. 2002;347(2):81–88.
  13. Sihvonen R, Paavola M, Malmivaara A, et al. Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med. 2013;369(26):2515–2524.
  14. Katz JN, Brophy RH, Chaisson CE, et al. Surgery versus physical therapy for a meniscal tear and osteoarthritis. N Engl J Med. 2013;368(18):1675–1684.
  15. Beard DJ, Rees JL, Cook JA, et al. Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel-group, placebo-controlled, three-group, randomised surgical trial. Lancet. 2018;391(10118):329–338.
See Which Review Fits Your Case