MSK LOGIC

Better reasoning. Better decisions. Better MSK care.

Practical MSK education for clinicians who want to understand why, make better clinical decisions, and build stronger practices.

Jeremy Girmann, DO, RMSK

Founder & Educator

Get The MSK Logic Brief Why MSK Logic

Why MSK Logic exists

MSK care is complex.Most training is fragmented.

Clinical reasoning was never made explicit.
Many clinicians were taught what to do, but not how to reason from anatomy, biomechanics, and first principles.
Procedure training often skips the details that matter.
Positioning, approach, needle and syringe selection, injectate, and workflow are what make a technique reproducible.
Ultrasound remains a barrier.
Without confidence in sonoanatomy and image acquisition, diagnostic and treatment options remain limited.
The field moves faster than clinicians can follow.
New evidence and regenerative options such as PRP and BMAC are difficult to track, interpret, and apply.
Knowledge does not automatically become a practice.
Clinical skill alone does not teach someone how to build an effective outpatient MSK model.
MSK practice can feel isolated.
Providers need trusted peers to discuss cases, ask questions, compare approaches, and grow together.

The MSK Logic response

MSK Logic exists to bring these fragmented pieces together through practical education that connects clinical reasoning, anatomy, imaging, procedures, emerging evidence, and the realities of outpatient practice.

It begins with The MSK Logic Brief: a concise weekly publication designed to help providers deepen their understanding, make better clinical decisions, and strengthen their MSK practices.

Inside the MSK Logic Brief

Different subjects.A consistent standard.

Each issue may take a different form, but the editorial approach remains the same.

01Clinical grounding

Start with a real question

Grounded in clinical care, not content created merely to fill a schedule.

02Reasoning

Make the reasoning visible

Examine why something works, when it matters, and where common assumptions may break down.

03Judgment

Treat uncertainty honestly

Distinguish established evidence, clinical experience, emerging ideas, and unanswered questions.

04Practical value

Leave with something useful

A clearer framework, practical detail, or worthwhile question to carry into practice.

From the clinic

Built from the questions that come up in real MSK practice.

I am a board-certified PM&R physician and the founder of Inertia Medical. My work spans nonsurgical orthopedics, image-guided procedures, MSK ultrasound, regenerative medicine, and the realities of building an outpatient practice.

I write each issue from the perspective of an active clinician, focusing on the questions, tradeoffs, and practical details that are easy to miss in formal training.

Jeremy Girmann, DO, RMSKFounder, MSK Logic

Board-certifiedPhysical Medicine & Rehabilitation

RMSKMusculoskeletal sonography

50,000+MSK and image-guided procedures

Built deliberately

Let the most useful questions shape what comes next.

The Brief creates an ongoing conversation about the problems clinicians encounter in real MSK practice. Recurring questions, reader feedback, and the subjects that prove most valuable will help guide future practical MSK courses and opportunities for clinician collaboration.

Start with the Brief

Available nowThe MSK Logic Brief

Weekly clinical perspective for thoughtful MSK providers.

In developmentPractical MSK courses & clinician community

Built around recurring clinical questions, practical skill gaps, and the needs readers identify.