Before Surgery
$4,975For people who have not had surgery in the affected body region, whether surgery has been discussed or not.
Review details →Joint Pain Consultant
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
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
Both review levels include individual preparation, a private consultation, a personalized written report, and one scheduled follow-up.
For people who have not had surgery in the affected body region, whether surgery has been discussed or not.
Review details →For persistent symptoms after surgery or another surgery being considered in the same body region.
Review details →Prepared for your next healthcare conversation
The review summarizes where you feel pain, which movements reproduce it, what daily activities are limited, and what you hope to return to doing.
The findings described in your written imaging report are organized beside the structure and intended goal of the proposed procedure.
Your reported pattern is compared with painful positions, movements, changes in strength or function, and the response to prior care.
The report explains where your symptoms, painful motions, available records, and proposed surgical target appear consistent.
Unanswered questions, missing records, and parts of the reported pattern that may deserve further examination are clearly identified.
When supported by the available information, the review may prioritize up to three areas to discuss with an appropriate treating professional.
Focused questions are organized around the intended surgical target, expected benefit, recovery demands, and remaining areas of uncertainty.
The final section organizes the next conversations, records, or in-person evaluations that may help you continue the decision with your healthcare professionals.
Second Opinion
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
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
Imaging is most useful when it is considered alongside symptoms, function, and examination findings.
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
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.
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
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.
of adults with no back pain had a disc problem
Jensen et al., N Engl J Med, 1994 · citation
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.

Why this review
Reviews are personally provided by Bob Kwon, DC.
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
Review Twice. Decide Once.™
See Which Review Fits Your CaseNeck surgery, lumbar surgery, decompression, discectomy, and fusion.
View procedures →Shoulder, elbow, wrist, hand, rotator cuff, labral, and tendon procedures.
View procedures →Hip, knee, ankle, foot, replacement, ligament, meniscus, and tendon procedures.
View procedures →Questions & answers
Common questions about Over the Knife’s spine and joint reviews before or after surgery.
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.
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.
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.
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.
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.
Yes. You must be physically located in Texas at the time of the telehealth consultation.
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.
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.
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.
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.
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 payment may be permitted. Eligibility and reimbursement are determined by your plan administrator and are not guaranteed.
Focused Review total$4,975
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.
We review the radiologist’s written imaging report. We do not provide a formal reading or interpretation of the images themselves.
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.
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.
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.
No. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room.
Contact
Choose an administrative topic below. Medical questions and records are handled through the secure intake after scheduling.
The general information on this website is for educational purposes and is not a substitute for individualized care. A limited doctor-patient relationship is created only for a scheduled Texas telehealth consultation. It covers only the musculoskeletal evaluation and professional opinions described in this service. It does not include surgical clearance, surgical decision-making, medication prescribing, emergency care, or ongoing treatment unless separately arranged. If you have severe symptoms, progressive neurological weakness, loss of bowel or bladder control, unexplained weight loss, fever, trauma, chest pain, or other urgent symptoms, seek emergency medical care immediately.
Results vary. No specific outcome is guaranteed. Services are available only where legally permitted and only for patients located in Texas.
Patient Rights, Records & Complaints: how to request your health care records, contact the Texas licensing board for DCs, or file a consumer complaint (posted per Texas Health & Safety Code §181.105).
This notice is posted in accordance with Texas Health & Safety Code §181.105. It explains how to request your health care records, how to contact the licensing authority for chiropractic care in Texas, and how to file a consumer complaint.
You have the right to obtain a copy of the health care records Over the Knife maintains about you. To request your records:
If you have any difficulty with this process, contact us at info@overtheknife.com.
Chiropractic care in Texas, including chiropractic telehealth, is regulated by the Texas Board of Chiropractic Examiners (TBCE). You may contact the Board to verify a license, ask about a licensee, or raise a concern:
Texas Board of Chiropractic Examiners
1801 Congress Avenue, Suite 10.500, Austin, Texas 78701
Phone: (512) 305-6700 · Toll-free: 1-800-821-3205
Website: www.tbce.texas.gov
Dr. Kwon, DC, holds a Texas chiropractic license, which you can verify through the Board’s license lookup. A copy of his license and the Board’s mandatory notice to the public are available to you at every telehealth visit, as required by 22 Texas Administrative Code §75.10.
Complaints about chiropractic care or a chiropractor. You may file a complaint directly through the TBCE Complaint Portal, use the complaint information available on the Board’s website, or request assistance by phone at (512) 305-6700 or 1-800-821-3205. Complaints may be filed anonymously, although providing contact information helps the Board investigate.
Complaints about the privacy of your health information under Texas law. Consumer complaints under Texas Health & Safety Code Chapter 181 (the Texas Medical Records Privacy Act) may be filed with the Office of the Texas Attorney General. Information on your privacy rights and the complaint process is available at www.texasattorneygeneral.gov (Consumer Protection), or by phone at 1-800-621-0508.
Complaints about the privacy of your health information under federal law, when HIPAA applies. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, at www.hhs.gov/ocr.
You will not be retaliated against in any way for filing a complaint.
This page is provided for compliance with Texas Health & Safety Code §181.105 and TBCE rules. It is not legal advice. If any information here conflicts with a current statute, rule, or official Board form, the official source controls.
Effective Date: June 1, 2026 · Last Updated: August 7, 2026
Over the Knife, led by Bob Kwon, DC ("we," "our," or "us"), respects your privacy. This Privacy Policy explains how we collect, use, disclose, and protect information when you visit this website, contact us, request a musculoskeletal review consultation before or after surgery, or use links to third-party scheduling and telehealth platforms.
This website is intended for users located in Texas. By using this website, you agree to the practices described in this Privacy Policy.
Important: This website is for general information and scheduling access only. Do not submit emergency symptoms, detailed health history, Social Security numbers, payment information, or other sensitive information through general website forms. Over the Knife provides independent musculoskeletal review consultations and education before or after surgery. It does not replace your surgeon, treating physician, or emergency care.
We may collect information that you provide directly, including when you contact us, request information, click a scheduling link, or submit a website form:
Your detailed screening answers are processed locally in your browser and are not transmitted to Over the Knife. Only information you separately choose to submit through the contact or secure intake process is transmitted. When you request a guide, the limited contact, guide-selection, adult-confirmation, and consent information listed above is stored in our website database.
We may also collect certain information automatically when you visit the website, including:
We may use collected information to:
We do not use this website to provide emergency care, diagnose conditions, or, by itself, establish a doctor-patient relationship. A limited doctor-patient relationship is created only when you book and complete a Texas telehealth consultation, and only for the musculoskeletal evaluation and professional opinions described in that service.
Online appointment scheduling, payment processing, records, and telehealth video visits are handled through Carepatron, a third-party practice management and telehealth platform. Where required, protected health information handled through the platform is covered by applicable privacy and security agreements. Carepatron operates independently and is governed by its own privacy policy and terms of service.
When you click a third-party scheduling or telehealth link, you may leave this website and interact directly with that third party. Their privacy policies, terms, security practices, and data handling rules apply to the information you provide to them. We encourage you to review Carepatron’s privacy policy (carepatron.com/privacy-policy) before providing your information.
We are not responsible for the privacy practices, security, content, or availability of third-party websites or platforms. Nothing in this section limits Over the Knife’s own obligations under the Texas Medical Records Privacy Act, HIPAA when it applies, or other applicable law.
This website may use server logs or similar technologies to understand basic website traffic and maintain performance and security. No third-party analytics scripts, advertising pixels, or behavioral tracking tools are currently active on this website.
You may be able to disable cookies through your browser settings. Disabling cookies may affect website functionality.
We may share information with:
Cloudflare provides website hosting, bot protection, and database infrastructure for the limited guide-request information described above. Formspree currently provides guide-request and contact-form notifications. These providers process information to provide their services to us.
We do not sell personal information in the ordinary meaning of selling contact lists for money. Under the Texas Data Privacy and Security Act (TDPSA), certain data sharing arrangements may be defined more broadly as a "sale." If applicable, you have the right to opt out by contacting us using the information in Section 13.
We do not knowingly share personal information for targeted advertising. No advertising networks, retargeting pixels, or behavioral tracking are currently active on this website.
Over the Knife provides independent musculoskeletal review consultations before or after surgery. Reviewing your situation may involve discussion of your diagnosis, symptoms, imaging, treatment history, surgical recommendations when applicable, and recovery goals. This website itself is for general information and scheduling access only. Information submitted through general website forms may not be treated as protected health information unless and until it is received by a covered healthcare provider or business associate in a manner subject to HIPAA.
Do not use this website to send urgent medical concerns, detailed health history, diagnostic records, or emergency symptoms. Scheduling and intake for your consultation should be completed through the designated platform (Carepatron, for booking, intake, and telehealth visits), which maintains appropriate security measures for healthcare-related communications.
A review consultation through Over the Knife does not replace evaluation by your treating surgeon or physician, does not establish a new doctor-patient relationship for the purpose of providing or directing your surgical care, and is not a substitute for the judgment of the licensed provider who is treating you.
If you are experiencing a medical emergency, call 911 or seek emergency medical care immediately.
Over the Knife may electronically disclose protected health information for treatment, payment, health care operations, or as otherwise permitted or required by law. Other electronic disclosures may require a separate written authorization.
Depending on applicable law and whether this website or associated business meets statutory thresholds, Texas residents may have rights regarding their personal data, including rights to:
To make a privacy request, contact us using the information listed in Section 13 below. We may need to verify your identity before processing a request.
We use reasonable administrative, technical, and physical safeguards designed to protect personal information.
However, no website, email system, internet transmission, or electronic storage system is completely secure. You should avoid sending sensitive medical, financial, or identity information through unsecured website forms or email.
Nonclinical website and contact information is retained only as long as reasonably necessary for the purposes described in this Privacy Policy, unless a longer period is required or permitted by law.
Patient records created or maintained by Over the Knife are retained for at least six years after the date of service.
For a patient who was younger than 18 at the time of the last service, records are retained until the patient reaches age 21 or for at least six years after the last service, whichever period is longer.
Records may be retained longer when required by another law, contract, audit, investigation, claim, or legal proceeding.
Transfer of a copy of a record to another provider does not by itself shorten Over the Knife’s applicable retention obligation.
This website is not directed to children under 13, and we do not knowingly collect personal information from children under 13.
If you believe a child has provided personal information through this website, contact us at the email address listed in Section 13, and we will take reasonable steps to delete it.
This website may link to third-party websites, including scheduling platforms, maps, social media pages, or educational resources.
We are not responsible for the privacy practices, content, or security of third-party websites.
We may update this Privacy Policy from time to time. When we update it, we will revise the "Last Updated" date above.
Material changes to this policy do not replace any authorization, acknowledgment, or renewed consent required by law.
For questions about this Privacy Policy or to make a privacy request, contact:
Over the Knife · Bob Kwon, DC
Email: contact@overtheknife.com
Website: overtheknife.com
Service terms
Effective Date: August 7, 2026
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 to the original payment method. The refund will be initiated within 10 business days after that determination.
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.
After the patient timely provides the required records and attends the consultation, if Over the Knife does not deliver the consultation and written report described at checkout, the review fee will be refunded to the original payment method. The refund will be initiated within 10 business days after the delivery failure is confirmed.
If a Complex Review was purchased and the submitted records show that the patient has not had surgery in the affected body region, the service will be changed to the Focused Review and the price difference will be refunded to the original payment method within 10 business days after the determination.
Appointments may be canceled or rescheduled without a cancellation penalty before the scheduled start time. Please provide notice as soon as possible so the reserved appointment can be released.
A $500 missed-appointment fee applies only when a patient does not cancel and does not attend the scheduled consultation.
The missed-appointment fee does not apply when the appointment is canceled before its scheduled start time. It may also be waived for a documented emergency, a service-side technical failure, or another exceptional circumstance at the discretion of Dr. Kwon, DC.
This policy does not promise that a separate pain source, specific tissue, or conservative-care option will be identified. It does not guarantee a diagnosis, treatment result, provider availability, insurance coverage, surgical outcome, or that surgery can be avoided. A bank or payment processor may require additional time to post an issued refund.