# OsteoNotes vs TherexRX

The clearest difference is monetization model: OsteoNotes at free with in-app purchases against TherexRX's subscription. OsteoNotes also leads on update cadence (every 2 weeks vs every 13 months). TherexRX's advantage is review sentiment (50% vs 33%) and device support (3 vs 1). On price, ads and in-app purchases there is nothing between them.

Both are free to download. OsteoNotes sells 1 one-off in-app purchase and TherexRX sells 2 in-app purchases, starting at $2.49 per month. Whichever you choose, the download price is not the number that matters.

OsteoNotes ships an update every 2 weeks, TherexRX every 13 months. The most recent releases landed on September 14, 2026 and August 12, 2026 respectively.

## The numbers

| Metric | OsteoNotes | TherexRX |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[3.4 (5 ratings)](https://appshunter.io/ios/app/therexrx/id1116781780/reviews)** |
| Number of ratings | — | **5** |
| Positive reviews | 33.3% of reviews | **50.0% of reviews** |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | **Every 2 weeks** | Every 13 months |
| Monetization | **Free with in-app purchases** | Subscription |
| Size | 8 MB | 65 MB |
| Requires iOS | 17.0 | **15.6** |
| Devices | iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [Sergio Pazzona](https://appshunter.io/developer/594653684) | [Clinically Relevant Technologies](https://appshunter.io/developer/329470523) |

## What reviewers say

### OsteoNotes

[App page](https://appshunter.io/ios/app/osteonotes/id594653681)

This app helps osteopaths manage patient clinical histories and session data. It allows for importing clinical reports, graphically recording notes, and organizing information in an effective database.

**Highlights:** Patient clinical history collection, Session data management, Import clinical report images, Graphical note recording, Effective database organization

**Features:** macOS Compatibility

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Unlimited Records | $8.99 | one-time |


### TherexRX

[App page](https://appshunter.io/ios/app/therexrx/id1116781780)

This app provides medical providers with a clinical reference for managing patients with musculoskeletal disorders. It offers evidence-based exercise recommendations, research summaries, and shareable patient handouts with instructional videos.

**Highlights:** Exercise and education handouts, Instructive video links, Evidence summaries for disorders, Research-based exercise dosing, Point-of-care clinical reference, Printable/shareable content

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Monthly Subscription | $2.49 | per month |
| Annual Subscription | $12.99 | per year |


## Frequently asked questions

### Is OsteoNotes free?

OsteoNotes is free to download, with in-app purchases available.

### Is TherexRX free?

TherexRX is free to download, with in-app purchases available.

### Do OsteoNotes or TherexRX have ads?

Neither OsteoNotes nor TherexRX shows ads.

### Which is updated more often, OsteoNotes or TherexRX?

OsteoNotes ships an update every 2 weeks, and TherexRX every 13 months. Most recently, OsteoNotes was updated on September 14, 2026 and TherexRX on August 12, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*