Skip to content

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

For referring physicians

How do I refer a patient to Propel?

The referral pathway

Four steps from your referral to a consult note back in your inbox.

  1. 1.

    Send the referral

    Fax (301) 664-1148 or email frontdesk@propelsportsortho.com. Include the reason for referral, recent notes, and any imaging reports. Or call (301) 200-9025.

  2. 2.

    We contact your patient

    Our team reaches out to schedule, confirms insurance details, and books the physician whose expertise matches the problem.

  3. 3.

    Evaluation with ultrasound

    Your patient gets a full exam and, when useful, diagnostic ultrasound at the first visit, so a working diagnosis and plan come quickly.

  4. 4.

    Consult note back to you

    You receive a consult note with findings, the plan, and any procedures performed. For complex cases, our physicians are glad to speak with you directly.

Which physician to route to

Both physicians treat most tendon, joint, and sports problems. Some services sit with one specialist.

Route to Dr. Gruner

Sports Medicine · Orthobiologics · Physical Medicine and Rehabilitation

  • Chronic tendinopathy needing percutaneous tenotomy (Tenex) or calcific tendinitis
  • Carpal tunnel syndrome for ultrasound-guided release
  • Trigger finger release
  • Chronic exertional compartment syndrome for ultrasound-guided fasciotomy
  • Young throwers with elbow overload

Route to Dr. Chen

Sports Medicine · Pain Medicine · Physical Medicine and Rehabilitation

  • Neck and back pain, radiculopathy, stenosis, and pain after spine surgery
  • Neuropathic pain, CRPS, neuroma, and nerve injury (including EMG/NCS)
  • Arthritic or tendon pain for nerve ablation, joint denervation, or nerve modulation
  • Migraine, occipital neuralgia, and trigeminal neuralgia
  • Spasticity, limb loss, and phantom limb pain

Either physician

  • Knee, hip, shoulder, hand, and foot arthritis
  • Rotator cuff, gluteal, patellar, and Achilles tendinopathy; small partial tendon tears
  • Tennis and golfer's elbow; plantar fasciopathy
  • Candidates for PRP, BMAC, or microfragmented adipose tissue
  • Frozen shoulder and nerve entrapment

Routing by condition

Conditions and the Propel physicians who treat them
ConditionAreaDr. GrunerDr. Chen
Shoulder ArthritisShoulderYesYes
Rotator Cuff Tendinopathy and Partial TearsShoulderYesYes
Calcific TendinitisShoulderYesNo
Frozen Shoulder (Adhesive Capsulitis)ShoulderYesYes
AC Joint ArthritisShoulderNoYes
Shoulder Labral TearShoulderNoYes
Subacromial and Subcoracoid ImpingementShoulderNoYes
Subacromial BursitisShoulderYesYes
Scapular DyskinesisShoulderNoYes
Shoulder Instability and DislocationShoulderYesYes
Biceps Tendinopathy (Front of Shoulder)ShoulderYesYes
Tennis ElbowElbowYesYes
Golfer's ElbowElbowYesYes
Distal Biceps Tendinopathy and Partial TearsElbowYesYes
Cubital Tunnel SyndromeElbowYesYes
Elbow ArthritisElbowNoYes
Little League ElbowElbowYesNo
Elbow UCL SprainElbowYesYes
Olecranon BursitisElbowYesYes
Carpal Tunnel SyndromeHand and WristYesYes
Trigger FingerHand and WristYesYes
Thumb (CMC) ArthritisHand and WristYesYes
Wrist and Hand ArthritisHand and WristYesYes
De Quervain's TenosynovitisHand and WristYesNo
Gamekeeper's ThumbHand and WristYesNo
Dupuytren's ContractureHand and WristNoYes
TFCC Tear (Pinky-Side Wrist Pain)Hand and WristYesYes
Ganglion CystHand and WristYesYes
Hip ArthritisHip and PelvisYesYes
Gluteal Tendinopathy and Partial Gluteal Tendon TearsHip and PelvisYesYes
Hamstring TendinopathyHip and PelvisYesNo
Hip Labral Tears and FAIHip and PelvisYesYes
Sports Hernia and Chronic Groin PainHip and PelvisYesYes
Ischiofemoral ImpingementHip and PelvisNoYes
Morel-Lavallée LesionHip and PelvisNoYes
Hip Flexor Strain and Iliopsoas TendinopathyHip and PelvisYesYes
Hamstring StrainHip and PelvisYesYes
Knee ArthritisKneeYesYes
Patellar TendinopathyKneeYesYes
Quadriceps TendinopathyKneeYesNo
Patellofemoral Pain SyndromeKneeNoYes
IT Band SyndromeKneeYesYes
Meniscus TearsKneeYesNo
Knee Swelling (Knee Effusion)KneeYesYes
Baker's CystKneeYesNo
ACL TearKneeYesYes
MCL SprainKneeYesYes
Pes Anserine BursitisKneeYesYes
Patellar InstabilityKneeYesYes
Achilles Tendinopathy and TenosynovitisLower Leg, Foot and AnkleYesYes
Plantar FasciopathyLower Leg, Foot and AnkleYesYes
Ankle and Foot ArthritisLower Leg, Foot and AnkleYesYes
Peroneal TendinopathyLower Leg, Foot and AnkleYesNo
Morton's NeuromaLower Leg, Foot and AnkleYesYes
Chronic Exertional Compartment SyndromeLower Leg, Foot and AnkleYesYes
Stress FracturesLower Leg, Foot and AnkleNoYes
Muscle HerniationLower Leg, Foot and AnkleNoYes
Ankle Sprain and Chronic Ankle InstabilityLower Leg, Foot and AnkleYesYes
Shin Splints (Medial Tibial Stress Syndrome)Lower Leg, Foot and AnkleYesYes
Posterior Tibial Tendon DysfunctionLower Leg, Foot and AnkleYesYes
Big Toe Arthritis (Hallux Rigidus)Lower Leg, Foot and AnkleYesYes
Radiculopathy and SciaticaNeck and BackNoYes
Facet Joint PainNeck and BackNoYes
Sacroiliac Joint PainNeck and BackNoYes
Discogenic Low Back PainNeck and BackNoYes
Vertebrogenic Low Back PainNeck and BackNoYes
Lumbar Spinal StenosisNeck and BackNoYes
Persistent Pain After Spine SurgeryNeck and BackNoYes
CoccydyniaNeck and BackNoYes
Peripheral NeuropathyNerve and Chronic PainNoYes
Nerve EntrapmentNerve and Chronic PainYesYes
Traumatic Peripheral Nerve InjuryNerve and Chronic PainNoYes
NeuromaNerve and Chronic PainNoYes
Posterior Interosseous Nerve PalsyNerve and Chronic PainNoYes
Chronic Neuropathic PainNerve and Chronic PainNoYes
Complex Regional Pain Syndrome (CRPS)Nerve and Chronic PainNoYes
Stingers and BurnersNerve and Chronic PainNoYes
Fascial and Scar Tissue RestrictionsNerve and Chronic PainNoYes
MigraineHeadache and Facial PainNoYes
Occipital NeuralgiaHeadache and Facial PainNoYes
Trigeminal NeuralgiaHeadache and Facial PainNoYes
SpasticityNeurologic Rehab and Limb LossNoYes
Limb Loss RehabilitationNeurologic Rehab and Limb LossNoYes
Phantom and Residual Limb PainNeurologic Rehab and Limb LossNoYes

Referral and records contacts

For records requests, send a signed release to the fax or email below. For a physician-to-physician conversation, call the office and ask for Dr. Gruner or Dr. Chen.

Referral fax
(301) 664-1148

Referral FAQs

Which Propel physician should I refer to?
Route spine, headache, neuropathic pain, nerve ablation, and neurologic rehabilitation to Dr. Chen. Route Tenex, ultrasound-guided carpal tunnel release, and exertional compartment syndrome to Dr. Gruner. Most tendon, joint, and sports injuries can go to either physician; if you are unsure, send the referral and we will route it.
Do you perform surgery?
No. Propel is a non-surgical practice. When a patient needs surgery, such as for a complete tendon rupture or progressive nerve compression, we tell the patient and coordinate referral to a surgeon, keeping you informed.
Will my patient come back to me?
Yes. We treat the musculoskeletal problem you referred and send your patient back to you for ongoing care, with a consult note after the evaluation and updates after any procedure.
What should go to the emergency department instead?
Suspected fractures with deformity, hot swollen joints with fever, new loss of bladder or bowel control, rapidly progressing weakness, and sudden severe headache need emergency evaluation, not an outpatient referral.

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.

Call the front desk

(301) 200-9025

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

Email frontdesk@propelsportsortho.com

Call (301) 200-9025Request