Learning, teaching
and patient care.

A clear explanation comes first.

“What would you like to get back to?” is more than an opening question. For Dr. Houle, understanding what pain has interrupted—work, golf, tennis, or everyday movement—helps put treatment choices in context.

His approach begins with connecting the symptoms, examination and imaging, then explaining what fits and what remains uncertain. Conservative treatment remains part of that conversation.

Training and practice.

Medical school

Boston University School of Medicine

Neurosurgical residency

Medical College of Georgia, Augusta

Board certification

American Board of Neurological Surgery

Practice

Cape Cod Healthcare Neurosurgery, Hyannis

Hospital affiliations

Cape Cod Hospital and Falmouth Hospital

His clinical work includes endoscopic and minimally invasive spine surgery. He has been affiliated with Cape Cod Hospital and Falmouth Hospital since 2002.

Learning abroad. Making the steps teachable.

Dr. Houle began performing endoscopic spine surgery in 2014. In 2015, he traveled to Germany and the Netherlands to study surgeons with established endoscopic practices. Seeing the work firsthand helped him decide to make endoscopy a substantial part of his own practice.

In 2016–17, he helped develop an eight-step approach to teaching transforaminal endoscopic surgery with joimax. The purpose was practical: give instructors and surgeons a consistent, reproducible way to work through the procedure.

In 2018, he studied at Wooridul Spine Hospital in South Korea, extending his learning to endoscopic approaches for the neck and mid-back. He continues to teach surgeons through his work with Arthrex.

An interest in getting back to the game.

An avid golfer, Dr. Houle pursued Titleist Performance Institute training as a way to better understand his patients’ goals. His writing for TPI connects spine care, movement and rehabilitation. His return-to-golf article credits physical therapist Catherine Hoell with development of the rehabilitation protocol.

Teaching and industry relationships.

Dr. Houle serves on Arthrex’s teaching faculty and as Chief Medical Officer for Accelus. These are professional relationships with medical-device companies.

Arthrex resources are labeled as manufacturer education. Clinical studies are listed separately so readers can see what a source is—and which procedure it actually studied.