Dr. Nicholas Goyeneche earned his medical degree from Louisiana State University School of Medicine in New Orleans. He completed a four-year residency in the specialty of physical medicine and rehabilitation at Louisiana State University Medical Center in New Orleans. This training program is recognized for an emphasis on conservative treatment of conditions affecting the musculoskeletal system (bones, joints, ligaments, tendons, and muscles). In this training, he also received expertise in treating a full spectrum of traumatic brain injuries, from severe injuries requiring inpatient care, to sports concussions.Following the completion of his residency training, Dr. Goyeneche was selected into a fellowship training program in musculoskeletal and sports medicine at The Andrews Institute for Orthopedics & Sports Medicine in Gulf Breeze, Florida. Here, he was able to work alongside and learn from innovative and world-renowned leaders in the field of orthopedics and sports medicine, including Dr. James Andrews, the current team physician of Auburn University and the Washington Redskins. Dr. Goyeneche also assisted in the care of NCAA student-athletes at The University of West Florida, as well as the Pensacola Blue Wahoos - the AA affiliate of the Minnesota Twins.Dr. Goyeneche's 12-month fellowship program exposed him on a daily basis to newer, minimally invasive treatments for conditions such as arthritis, tendon pain, and acute sports injuries. These treatments include the Tenex procedure for chronic tendon pain, cooled radiofrequency ablation for chronic knee, hip, and shoulder pain, and ortho-biologic injections such as platelet-rich plasma and mesenchymal stem cells to stimulate healing and tissue regeneration. Crucial to the success of these procedures is the appropriate use of musculoskeletal ultrasound to deliver the treatment to a precise location without causing injury to nearby tissue such as nerves and blood vessels. Dr. Goyeneche received rigorous daily training in the use of musculoskeletal ultrasound by Dr. Joshua Hackel, a nationally recognized leader and instructor in the field. Dr. Goyeneche uses ultrasound extensively in his practice, both to diagnose conditions and deliver treatment to precisely targeted areas. He has authored textbook chapters and scientific journal articles within the field of musculoskeletal ultrasound. He has also served as an ultrasound instructor at national courses and is actively involved in the teaching of medical students and residents from the University of Queensland and LSU physical medicine and rehabilitation respectively.Dr. Goyeneche is board certified by The American Board of Physical Medicine and Rehabilitation (ABPMR) with a certificate of added qualifications (CAQ) in sports medicine, and The American Registry for Diagnostic Medical Sonography. He is a member of The American Medical Society for Sports Medicine, The American Academy of Physical Medicine & Rehabilitation, The American Institute of Ultrasound in Medicine, and The American Association of Neuromuscular & Electrodiagnostic Medicine.Dr. Goyeneche's clinical interests include the non-operative management of:â€¢ Knee painâ€¢ Shoulder painâ€¢ Elbow painâ€¢ Wrist and hand painâ€¢ Hip painâ€¢ Ankle and foot painâ€¢ Peripheral nerve injuryâ€¢ Carpal tunnel syndromeâ€¢ Sports injuriesâ€¢ Sports concussionâ€¢ Electromyography (EMG)/nerve conduction studiesFor more information on the non-operative philosophy of the specialty of physical medicine rehabilitation, click here. For more information on the Tenex procedure, click here. For more information on the cooled radiofrequency ablation procedure, click here. For more information on the use of ultrasound, click here.