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Opening December 1, 2027 in Bethesda, MD · Now scheduling new patients

Propel Sports and Orthobiologics
Request an Appointmentfrontdesk@propelsportsortho.com

Neurologic rehab and limb loss · Bethesda, MD

Neurologic rehab and limb loss care in Bethesda, MD

We treat spasticity after stroke or brain injury, amputation and prosthetic rehabilitation, and phantom and residual limb pain.
Request an AppointmentCommon causesNeurologic Rehab and Limb Loss services

Email frontdesk@propelsportsortho.com or call (301) 200-9025

What causes neurologic rehab and limb loss?

Spasticity can make limbs stiff, painful, and hard to use. Targeted botulinum toxin and chemoneurolysis, guided by ultrasound and nerve stimulation, relax specific overactive muscles.

After limb loss, pain in the missing limb or around the residual limb is common and treatable with nerve-focused procedures, medications, and therapy.

When to see an orthopedic doctor for neurologic rehab and limb loss

  • Muscle stiffness or spasms that limit movement or care
  • Pain in a missing limb or around a residual limb
  • Trouble with prosthetic fit or skin breakdown
  • Loss of function after a neurologic injury

Get urgent care instead if you have

  • Sudden new weakness, numbness, or trouble speaking (call 911)
  • Signs of infection at an amputation site: redness, warmth, drainage, fever

Common causes of neurologic rehab and limb loss

Each page covers symptoms, how we diagnose it, and your treatment options.

SpasticityMuscle stiffness and tightness after stroke, brain injury, or spinal cord injury.Limb Loss RehabilitationRecovery and function after losing one or more limbs, including multiple-limb amputation.Phantom and Residual Limb PainPain felt in a missing limb, or in the remaining part of the limb.

Neurologic rehab and limb loss treatment options

Nerve ModulationNerve ModulationNerve blocks and stimulators, including peripheral nerve and spinal cord stimulation, that quiet the nerves carrying pain so rehab can move forward.Nerve AblationUltrasound-Guided Nerve AblationUses controlled heat or pulsed energy to quiet the small sensory nerves carrying chronic joint or tendon pain.PNSPeripheral Nerve Stimulation (PNS)A thin lead placed near a nerve delivers mild electrical pulses that reduce chronic nerve or musculoskeletal pain.CryoneurolysisCryoneurolysisUses targeted cold to temporarily quiet a painful nerve.ChemoneurolysisChemoneurolysisMedication placed at a nerve to calm overactivity or pain.Botulinum ToxinBotulinum Toxin InjectionsRelaxes overactive muscles or reduces nerve-related pain in spasticity, exertional compartment syndrome, neuropathy, and ischiofemoral impingement.Rehab PlanningRehabilitation and Return-to-Activity PlanningA strength-first plan, coordinated with your physical therapist, that sets clear milestones for getting back to training, work, and sport.

Questions about neurologic rehab and limb loss

What is a physiatrist?
A physiatrist is a physician specializing in Physical Medicine and Rehabilitation, focused on restoring function after injury or illness.
Can phantom limb pain be treated?
Yes. Options include medications, nerve blocks, peripheral nerve stimulation, and procedures for painful neuromas, combined with therapy.
How is spasticity treated?
Stretching and therapy, medications, and targeted botulinum toxin or chemoneurolysis injections guided by ultrasound to relax specific muscles.

What to expect at your visit

  1. 1.

    We listen first

    Your visit opens with a real conversation: how the problem started, what you have already tried, and the activity you want back.

  2. 2.

    Exam and in-office ultrasound

    A hands-on exam, then ultrasound at the exam table, often while you move, so your physician can see the tendon, joint, or nerve involved.

  3. 3.

    A clear diagnosis and plan

    You leave knowing what is wrong and what your options are, from strength-based rehab to procedures, and why we recommend each one.

  4. 4.

    Treatment and follow-through

    Most procedures happen here in the office. We coordinate with your physical therapist and check progress against the goals you set.

Opening December 1, 2027

Ready to get back in motion?

We are scheduling new patients now. Book an evaluation to find out what is causing your pain and how to treat it.

Request an AppointmentCall (301) 200-9025

Call the front desk

(301) 200-9025

frontdesk@propelsportsortho.com
Fax (301) 664-1148

Email frontdesk@propelsportsortho.com

Call (301) 200-9025Request