Propel Sports and Orthobiologics
10401 Old Georgetown Road, Suite 104Bethesda, MD 20814
Monday – Friday, 8:00 AM – 5:00 PM
Orthopedic specialists by body area
Hand and wrist specialists
Carpal tunnel, trigger finger, thumb arthritis, tendon pain, and wrist injuries are treated in the office with releases through a tiny incision or needle, ultrasound-guided injections, and orthobiologics, with splinting and hand therapy to finish the job.
Your hand and wrist specialists
Fellowship-trained, board-certified sports medicine physicians who diagnose with ultrasound at your first visit and perform every procedure themselves.
Dr. Marc GrunerDO, MBA, RMSKCo-Founder · Sports Medicine and PM&R- · Sports medicine fellowship at Mayo Clinic; PM&R residency at Georgetown
- · Ultrasound-guided carpal tunnel release, trigger finger release, and percutaneous tenotomy
- · Co-authored the Remote Therapeutic Monitoring CPT codes; former CMS Innovation Center physician advisor
Dr. YT ChenMD, FAAPMR, CAQSM, CAQPM, RMSKCo-Founder · Sports Medicine, Pain Medicine, and PM&R- · Board certified in PM&R, Sports Medicine, and Pain Medicine; RMSK
- · Sports medicine fellowship at Stanford; pain medicine fellowship in San Antonio
- · Former Deputy Chief of PM&R and Director of the Sports Medicine and Ultrasound Clinics, Walter Reed
Why ultrasound-guided hand procedures
The hand is packed with nerves, arteries, and tendons in a small space. Live ultrasound lets the physician see each of them and work precisely around them, so the procedure can be done through a tiny opening instead of a larger surgical incision.
Smaller openings usually mean less pain, no stitches or just one, and a faster return to gripping, typing, and sport.
What recovery looks like
Most people go home with a small bandage and use the hand for light daily tasks within a day or two, building back to full grip over the following weeks with a simple home program.
Office procedures for the hand and wrist
- Carpal Tunnel ReleaseUltrasound-Guided Carpal Tunnel ReleaseReleases the ligament pressing on the median nerve through a tiny incision under live ultrasound, without open surgery.
- Trigger Finger ReleaseUltrasound-Guided Trigger Finger ReleaseReleases the pulley that catches a locking finger, through a needle under ultrasound.
- Nerve HydrodissectionNerve HydrodissectionUses fluid, under ultrasound, to free a nerve that is stuck or compressed by surrounding tissue.
Hand and Wrist treatments and procedures
Hand and Wrist procedures by conditionOrthobiologics
Ultrasound-Guided Procedures
Nerve Modulation
Nerve and Joint Pain Interventions
Rehabilitation and Recovery
Also for the hand and wrist: braces and supports we recommend.
Questions about hand and wrist procedures
- Is ultrasound-guided carpal tunnel release the same as surgery?
- It releases the same ligament that open carpal tunnel surgery does, but through a tiny incision under ultrasound guidance and with local numbing medicine in the office.
- How soon can I use my hand after trigger finger release?
- Most people move the finger right away and return to light use within a day or two, with full grip returning over the following weeks.
- Do you treat thumb arthritis?
- Yes. Thumb (CMC) arthritis is treated with splinting, hand therapy, and ultrasound-guided injections, including orthobiologics for some people. We refer for surgery when function keeps declining.
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.
Bethesda, MD 20814