When it comes to joint pain and musculoskeletal injuries, the hardest part is often not “what treatment should we do?”—it’s getting the diagnosis and target right.
The Arthrex NanoScope™ is a next-generation needle arthroscopy imaging system designed to give us something no scan can fully replicate: direct, real-time visualization inside the joint. Arthrex+1
In other words, instead of making decisions based only on images about the joint, NanoScope allows us to see what is actually happening within the joint space—helping you get a clearer plan, faster.
NanoScope is a compact arthroscopy system that uses a needle-sized camera (about 1.9 mm) and chip-on-tip imaging technology to visualize joint structures through a very small portal. Arthrex+2Synergy Arthrex+2
This system was designed to support a minimally invasive arthroscopy experience and is often discussed in the context of:
It’s important to know: NanoScope doesn’t replace every imaging tool. MRI and ultrasound remain excellent tools. NanoScope is most valuable when you need direct answers inside the joint—especially when symptoms and imaging don’t perfectly match.
Many pain conditions are “invisible” until you look at the tissue up close.
A joint is not just bone—it’s a living system made of:
MRI gives an incredibly useful indirect picture. But needle arthroscopy provides direct visualization—meaning we can see subtle cartilage changes, synovial irritation, or intra-articular irregularities in real time.
Peer-reviewed reviews of in-office/outpatient needle arthroscopy describe it as a tool that can augment the diagnostic process and may offer benefits such as timeliness, cost efficiency, diagnostic confidence, and a more visually impactful patient-centered consultation, while also acknowledging that the overall evidence base is still emerging and varies by joint and indication. ScienceDirect+1
At The Longevity Center FL, we don’t believe in one-size-fits-all orthopedics.
Some patients truly need conservative care and time. Some need regenerative injections. Others need a clearer diagnosis before any next step makes sense. Our job is to put you on the right path—not the most common path.
NanoScope needle arthroscopy can be a game-changer when the goal is:
You deserve a team that blends advanced tools with careful clinical judgment.
Led by Dr. Benjamin Kosubevsky, we bring an evidence-informed approach to musculoskeletal and regenerative care—pairing precision diagnostics with personalized treatment planning.
We’ll explain what we see, what it means, and what your options are—clearly and without pressure.
Accuracy is everything in musculoskeletal care.
We often use ultrasound guidance to place injections precisely. But ultrasound doesn’t always show the inside of a joint the way arthroscopy does.
NanoScope adds another layer of precision: direct visualization.
Arthrex describes the NanoScope system as offering direct image-guided visualization of injections—which matters when an injection target is small, deep, or when “close enough” isn’t good enough.
Every case is different, but the process typically looks like this:
1. Consultation & evaluation
We review symptoms, history, movement patterns, and prior imaging.
2. Determine candidacy
If NanoScope needle arthroscopy is appropriate, we discuss setting, expectations, risks, and recovery.
3. Procedure day
In select cases, needle arthroscopy can be performed with local anesthesia in a procedure setting; in other cases, an operating room setting may be more appropriate depending on the joint, the complexity, and what needs to be done. ScienceDirect+1
4. Clear next steps
The goal is not simply “to scope.” The goal is a better plan—whether that means a targeted rehabilitation strategy, a regenerative injection plan, or a referral when needed.
As with any invasive procedure, there are risks (including infection, bleeding, swelling, pain flare, and injury to surrounding structures). We review these in detail during your consult.
NanoScope needle arthroscopy is most often considered when patients have persistent symptoms and need more diagnostic clarity, especially for intra-articular conditions.
It has been discussed and studied across multiple joints, including the knee, shoulder, ankle, wrist, elbow, and hip. J Arthroscopy & Sports Medicine+1
Examples of concerns we commonly evaluate include:
Regenerative medicine works best when two things are true:
NanoScope needle arthroscopy can help us refine both.
When appropriate, we may discuss combining direct visualization with a broader regenerative strategy such as:
This is where patients often see the biggest value: not just “getting a cool technology,” but using that technology to build a plan that is more precise, more individualized, and more likely to make sense long-term.
Dr. Benjamin Kosubevsky combines medical expertise with a patient-centered approach to deliver high-integrity care. You can expect:
If you’ve been living with unresolved joint pain—or you’re tired of “maybe” answers—NanoScope needle arthroscopy may help us get the clarity needed to move forward with confidence.
Schedule your consultation today and take the next step toward a stronger, more functional body.
Give Us a Call: +1 (561) 210-4033
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Schedule your appointment today and take the first step toward a healthier, more balanced life.
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