In-home orthopaedic care, built around the people who find clinics hardest to reach

The model

Mobile Therapeutics is a direct-to-patient practice. There is no clinic building, no front desk and no waiting room, because there does not need to be one. Everything required to evaluate and treat most non-surgical joint problems — a trained clinician, a portable diagnostic ultrasound and a sterile field — fits in a case that comes through your door.

Eric Goddeyne, PA-C is the treating clinician for every visit. He has more than 12 years in orthopaedic surgery and nine years of iovera° cryoneurolysis experience, spanning thousands of treatments. The person who examines your knee is the person who treats it and the person who answers when you call back with a question.

Why in-home orthopaedic care exists

Non-surgical orthopaedics is unusually well suited to the home. An ultrasound-guided knee injection takes minutes. The examination that precedes it needs a chair and good light. What makes it hard for many patients is not the procedure — it is everything around it.

A patient using a walker may need two people to get to the car. A resident of an assisted living community may need staff time, a transport van and a family member's afternoon. A caregiver may have to choose between their parent's appointment and their own shift. When that friction wins, joint pain goes untreated, mobility drops, and falls become more likely.

Three missions

1. Seniors in assisted living and at home

Residents of assisted living, independent living and memory care communities are the people the traditional orthopaedic clinic serves worst. Getting them to an appointment consumes staff, transportation and family time, and the trip itself can be genuinely destabilizing for someone with dementia. We bring the visit to the building. Communities we partner with see fewer transfers out for musculoskeletal complaints, and residents get treated closer to when the pain actually started.

2. Busy professionals

The second group is the opposite end of the age range: people still working, still lifting children, still on their feet, who have a shoulder or a knee that has hurt for a year, and who have never scheduled the appointment because it would cost a half day. An evening or weekend visit at home removes that cost entirely. Appointments are available seven days a week.

3. Patients preparing for joint surgery

The third mission is pre-surgical. Patients with a scheduled total knee replacement can have iovera° cryoneurolysis performed at home in the weeks before surgery, which the manufacturer's published clinical data associates with reduced post-operative pain and opioid use.* We coordinate timing with your surgeon's office and do the visit at your kitchen table.

The shoulder is the other half of this mission and one of the most common reasons patients come to us for iovera°: treatment before a total shoulder replacement, a reverse total shoulder replacement or a rotator cuff repair, where early passive range-of-motion work makes post-operative pain control matter more than almost anywhere else. See iovera° before shoulder surgery.

Alongside all of this we manage non-emergent, non-surgical fractures — ordering or coordinating imaging on site and carrying the follow-up. Fall prevention is a focus of the practice too: treating the pain and weakness that make someone unsteady, and checking that the walker or cane in the corner is the right device and correctly fitted. A more formal fall prevention program, including a pharmacist-led review of medications that raise fall risk, is in development and not yet live. Both are described on the assisted living partners page.

* Reported reductions in post-operative pain and opioid use after total knee replacement come from iovera° clinical efficacy data published by the manufacturer: ioverapro.com/tka-clinical-efficacy-data. Individual results vary, and no treatment guarantees complete or permanent relief.

What we are not

We are not an emergency service, an urgent care or a surgical practice. We do not perform surgery, we do not manage long-term opioid therapy, and we do not treat diabetic peripheral neuropathy with iovera°. If what you need is imaging beyond ultrasound, an operating room or an emergency department, we will tell you plainly and help point you there.

If you are having a medical emergency, call 911.

Individual results vary. No treatment guarantees complete or permanent relief, and every plan starts with an examination and a conversation about your goals.