Opening December 1, 2027 · Now scheduling new patients
Knee, shoulder, back, hand, or foot pain? The fellowship-trained physicians at Propel Sports and Orthobiologics find the source with in-office ultrasound, then treat it with regenerative medicine, advanced procedures like Tenex, and shockwave therapy, so surgery is rarely the first answer.
Mayo Clinic and Stanford fellowship-trained physiciansPhysician assistants for faster access
Pick where you hurt to see the common causes, when to see an orthopedic doctor, and how we treat it, usually without surgery.
Our physicians trained at Mayo Clinic, Stanford, Georgetown, and Walter Reed, and hold board certifications in physical medicine and rehabilitation, sports medicine, and pain medicine.
Fellowship-trained physicians lead every plan and perform every procedure. Physician assistants help you get seen sooner and keep your recovery on track.
Orthopedic care, without the operating room.
Interventional orthopedics treats tendon, joint, ligament, hand, and spine problems with precise, image-guided procedures instead of open surgery. Recovery is usually faster, and most treatment happens right here in the office.
Needles and small instruments guided to the exact injured structure: tenotomy, releases, hydrodissection, and nerve procedures.
Learn moreOrthobiologics such as PRP, bone marrow aspirate concentrate, and Lipogems that harness your body's own ability to heal.
Learn moreFocused sound-wave pulses, with no needles or downtime, to restart healing in chronic tendon and heel pain.
Learn moreThe problems that most often keep people from each activity, and how we treat each one.
Ultrasound shows tendons, ligaments, joints, and nerves in real time, often while you move, so a diagnosis can come at your first visit. The same probe then guides every injection and procedure to its exact target.
Carpal tunnel and trigger finger releases through a tiny incision or needle, plus ultrasound-guided injections and orthobiologics for thumb arthritis and tendon pain. No general anesthesia, and most people use the hand for light tasks within days.
Releases the ligament pressing on the median nerve through a tiny incision under live ultrasound, without open surgery.
Releases the pulley that catches a locking finger, through a needle under ultrasound.
Office-based injections placed under live ultrasound, so the medicine reaches the exact structure that hurts.
A concentrate of platelets from a small draw of your own blood, placed precisely under ultrasound to calm pain and support tendon and joint healing.
Extracorporeal shockwave therapy (ESWT) sends focused sound-wave pulses through the skin to restart healing in stubborn tendon and heel pain. No needles, no anesthesia, and no downtime: a course is a few short office sessions, paired with a strengthening plan.
41 treatments, from orthobiologics and shockwave to office procedures and nerve care. See them all.
Four steps from your first visit to doing what you love again.
A real conversation about what hurts and what you want back, then a hands-on exam.
In-office ultrasound shows the tendon, joint, or nerve involved, often at the first visit.
Guided procedures, orthobiologics, shockwave, or rehab: the least invasive option that can work.
A strength-first plan with clear milestones gets you back to training, work, and sport.
Less time on the sidelines, more time doing what you love.
Hear from a patient treated for stubborn tennis elbow, and read what patients say about our physicians on Google.
“Dr. Gruner has performed procedures over the last year on my hands to cure trigger finger on 4 different fingers. He employs a needle/knife tool to perform a minimally invasive 20 minute or so procedure that heals in 3-4 days as opposed to using a scalpel employed by most hand doctors to rectify trigger finger that makes an incision that takes 2+ weeks to heal. He is one of only a few hand doctors in the DC area that use a needle/knife to rectify trigger finger. I highly recommend Dr. Gruner for rectifying trigger finger which is so common, particularly among older adults.”
Robert K. · Google review of Dr. Gruner at his current practice
“The experience of seeing Dr. Gruner was one the most positive interactions I have had with a medical professional. He was personable and provided a clear diagnosis based on evidence. He outlined various treatment options, their respective timeline, and comparative likelihood of resolving the issues. He was thoughtful in response to questions and was interested in making sure I understood what we discussed.”
Brian B. · Google review of Dr. Gruner at his current practice
“This was my first visit with Dr. Gruner. He was friendly, professional and easy to talk to about my knee problems, including past issues. He thoroughly explained all available options to address my pain and answered my sometimes repetitive questions. His assistant, Mary Kate, also was very helpful during the appointment and procedure. Hope to work with them both during follow-ups. Overall, I was completely satisfied.”
Jerry P. · Google review of Dr. Gruner at his current practice
“I was given an ultrasound cortisone shot in my hip on Monday, Feb 16. At that time i was not able to walk upstairs one foot after the other. On Friday morning, Feb 20 - 4 days later - I could walk upstairs one foot after the other! Now, two weeks later, I continue to be able to use both legs while climbing stairs and have regained much of my previous muscle use; long walks with even slight inclines are a challenge - but a minor one! I also made contact with Sally Miller, of Limberhealth, whom I was strongly encouraged to use by Dr Gruner. Ms Miller did a terrific job of orienting me to the PT materials. Today in the Bethesda office, Mary Kate did an excellent job in orienting us as we awaited Dr Gruner.”
Marita H. · Google review of Dr. Gruner at his current practice
“I’ve been dealing with knee pain for over 2 years, and I finally got it checked out with Dr. Gruner under the ultrasound. He immediately saw what’s going on without me needing to go do an MRI, and he suggested me to do a PRP with him. The PRP was really simple and pain free, and he regularly checked up on me to make sure I was doing okay. I am now pain free and really excited to get back to playing sports again!”
Richard Q. · Google review of Dr. Gruner at his current practice
Opening December 1, 2027
We are scheduling new patients now. Book an evaluation to find out what is causing your pain and how to treat it.
Monday – Friday, 8:00 AM – 5:00 PM
Free parking available!
