# NYSORA Nerve Blocks vs EchoRef

NYSORA Nerve Blocks and EchoRef both sit at 4.9 stars, but that hides the real split: 100% of EchoRef's written reviews are positive against 56% of NYSORA Nerve Blocks's. EchoRef also leads on in-app purchases (none vs 2). NYSORA Nerve Blocks's advantage is update cadence (weekly vs every 2 months) and chart position (#11 vs unranked). On price, rating, ratings volume and ads there is nothing between them.

Both are free to download. NYSORA Nerve Blocks sells 2 in-app purchases, starting at $19.99 per month. EchoRef asks for nothing beyond the download.

On the App Store both sit at effectively the same score — 4.9 for NYSORA Nerve Blocks against 4.9 for EchoRef. Both are backed by a comparable volume of ratings — 1.1K and 1.4K respectively. Written reviews are what separate them: 56% of NYSORA Nerve Blocks's written reviews are positive against 100% of EchoRef's.

NYSORA Nerve Blocks ships an update weekly, EchoRef every 2 months. The most recent releases landed on October 18, 2026 and October 19, 2026 respectively.

## The numbers

| Metric | NYSORA Nerve Blocks | EchoRef |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.9 (1.1K ratings)](https://appshunter.io/ios/app/nysora-nerve-blocks/id912563749/reviews) | [4.9 (1.4K ratings)](https://appshunter.io/ios/app/echoref/id1434016053/reviews) |
| Number of ratings | 1.1K | **1.4K** |
| Positive reviews | 56.0% of reviews | **100.0% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Weekly** | Every 2 months |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#11** | — |
| Size | 69 MB | 104 MB |
| Requires iOS | **15.1** | 26.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 12+ | 17+ |
| Developer | [NYSORA inc.](https://appshunter.io/developer/1507388998) | [Rishi Kumar](https://appshunter.io/developer/1434016052) |

## What reviewers say

### NYSORA Nerve Blocks

[App page](https://appshunter.io/ios/app/nysora-nerve-blocks/id912563749)

**Currently charting:** #11 Top Grossing · Medical (US App Store)

This app serves as a comprehensive reference for ultrasound-guided regional anesthesia, aiding anesthesiologists and pain specialists. It provides structured guidance and clear anatomy for a wide range of nerve block procedures, supporting clinical preparation and learning.

**Highlights:** Ultrasound-guided regional anesthesia reference, Covers head, neck, extremities, thoracic, and abdominal blocks, Includes sonoanatomy and functional anatomy, Step-by-step preparation for procedures, Supports clinical decision-making, Developed by a global educational organization

**Features:** Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| FULL ACCESS SUBSCRIPTION | $19.99 | per month |
| FULL ACCESS SUBSCRIPTION | $129.99 | per year |

**What reviewers like**

- 📚 High-quality educational content and images
- 🎯 Clean, intuitive layout and user interface
- ✅ Comprehensive regional anesthesia reference
- 🔄 Regularly updated with current information
- 👨‍⚕️ Excellent for clinical practice and teaching

**What reviewers complain about**

- 💰 Expensive subscription pricing model
- 🐛 App crashes and won't open (frequent issue)
- 📱 Poor iPad/tablet support and landscape mode
- 🌐 Requires internet connection, no offline mode
- 🎥 Videos frequently fail to load or play

**Reported bugs**

- App won't open or stays on startup screen
- Blank page displayed on launch
- Videos fail to load or play
- Screen goes blank when accessing technique sections
- iCloud login authentication failures

**Requested features**

- Landscape orientation support for tablets and iPad
- Offline mode for accessing content without internet
- Additional language support (Russian, Turkish, Portuguese subtitles)
- Lifetime purchase option instead of subscription
- More regional anesthesia block techniques coverage


### EchoRef

[App page](https://appshunter.io/ios/app/echoref/id1434016053)

This educational reference app provides comprehensive information on point-of-care ultrasound (POCUS), echocardiography, and cardiac measurements. It includes lessons on interventional procedures and hemodynamic calculations for medical professionals.

**Highlights:** Point-of-care ultrasound (POCUS), Transthoracic echocardiography (TTE), Transesophageal echocardiography (TEE), Cardiac dimensions and valve measurements, Hemodynamic and ultrasound calculations, Interventional procedure lessons

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

**In-app purchases:** none


## Frequently asked questions

### Is NYSORA Nerve Blocks free?

NYSORA Nerve Blocks is free to download, with in-app purchases available.

### Is EchoRef free?

EchoRef is free to download, with no in-app purchases.

### Which has better reviews, NYSORA Nerve Blocks or EchoRef?

NYSORA Nerve Blocks and EchoRef are both rated 4.9 out of 5 on the App Store, from 1.1K and 1.4K ratings respectively.

### Do NYSORA Nerve Blocks or EchoRef have ads?

Neither NYSORA Nerve Blocks nor EchoRef shows ads.

### Which is updated more often, NYSORA Nerve Blocks or EchoRef?

NYSORA Nerve Blocks ships an update weekly, and EchoRef every 2 months. Most recently, NYSORA Nerve Blocks was updated on October 18, 2026 and EchoRef on October 19, 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.*