Propel Sports and Orthobiologics
10401 Old Georgetown Road, Suite 104Bethesda, MD 20814
Monday – Friday, 8:00 AM – 5:00 PM
Propel Sports and Orthobiologics
Procedures and treatments
Every option we offer is chosen to treat the source of your pain with the least invasive approach that can work, and each is performed by the physician who examined you.
Procedures by body region
Every procedure for each area, grouped by the condition it treats.
Orthobiologics
Injections prepared from your own blood, bone marrow, or fat, placed under ultrasound to support the body's repair of tendons, ligaments, and joints.
Platelet-Rich Plasma (PRP)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.PRP with Protein ConcentratePRP paired with a concentrate of your own plasma proteins, used for select joint conditions.Bone Marrow Aspirate Concentrate (BMAC)A concentrate prepared from a small sample of your own bone marrow, drawn and injected in the same visit for joint and tendon problems.Lipogems: Microfragmented Adipose Tissue (MFAT)A small amount of your own fat tissue, gently processed and injected to cushion and support an arthritic joint or damaged tendon.ProlotherapyInjections, usually of a dextrose solution, that prompt the body's own repair response in ligaments and tendons.
Diagnostics
In-office ultrasound and nerve testing that show what is causing your pain, often at the first visit.
Diagnostic Musculoskeletal UltrasoundReal-time imaging of tendons, ligaments, muscles, joints, and nerves at the exam table, including while you move.EMG and Nerve Conduction Study with UltrasoundNerve and muscle testing, combined with nerve ultrasound, to pinpoint the cause of numbness, tingling, or weakness.Compartment Pressure TestingMeasures pressure in the leg compartments to diagnose exercise-induced leg pain.
Ultrasound-Guided Procedures
Minimally invasive, office-based procedures performed through a needle or tiny incision under live ultrasound, with no general anesthesia.
Ultrasound-Guided Joint and Tendon InjectionsOffice-based injections placed under live ultrasound, so the medicine reaches the exact structure that hurts.Cortisone (Steroid) InjectionsA targeted anti-inflammatory injection, placed under ultrasound, that calms a flare of joint, bursa, or nerve-tunnel pain so rehab can move forward.Hyaluronic Acid (Gel) InjectionsA lubricating gel placed inside an arthritic joint under ultrasound to ease pain and stiffness. FDA-approved for knee arthritis.Percutaneous Tenotomy (Tenex)Removes damaged tendon tissue through a tiny incision so healthy tissue can regenerate. Used for chronic tendinopathy and calcific tendinitis.Ultrasound-Guided Tendon ScrapingFrees a painful tendon from the irritated tissue and small nerves around it, through a needle.Calcific Lavage (Barbotage) for Calcific TendinitisRinses and draws out a calcium deposit in a shoulder tendon through a needle under live ultrasound, often followed by an injection into the bursa.Ultrasound-Guided Carpal Tunnel ReleaseReleases the ligament pressing on the median nerve through a tiny incision under live ultrasound, without open surgery.Ultrasound-Guided Trigger Finger ReleaseReleases the pulley that catches a locking finger, through a needle under ultrasound.Percutaneous Dupuytren's Contracture ReleaseReleases tight cords in the palm through a needle to help the fingers straighten.Capsular Distension (Hydrodilatation) for Frozen ShoulderGently stretches a tight shoulder capsule from the inside with fluid, paired with therapy to restore motion.Ultrasound-Guided Fasciotomy for Exertional Compartment SyndromeRelieves pressure in a tight leg compartment through small incisions guided by ultrasound.Nerve HydrodissectionUses fluid, under ultrasound, to free a nerve that is stuck or compressed by surrounding tissue.Fascia and Scar HydrodissectionLoosens tight or painful scar and connective tissue with precisely placed fluid.
Nerve Modulation
Nerve blocks, nerve stimulators, and cold-based nerve treatments that calm the nerves carrying pain, so you can move, sleep, and take part in rehab.
Nerve ModulationNerve blocks and stimulators, including peripheral nerve and spinal cord stimulation, that quiet the nerves carrying pain so rehab can move forward.Peripheral Nerve Stimulation (PNS)A thin lead placed near a nerve delivers mild electrical pulses that reduce chronic nerve or musculoskeletal pain.CryoneurolysisUses targeted cold to temporarily quiet a painful nerve.Spinal Cord and DRG StimulationImplanted stimulators that send mild signals to the spinal cord or specific nerve roots to reduce chronic pain.
Nerve and Joint Pain Interventions
Treatments that quiet the specific nerves carrying pain from an arthritic joint, tendon, or injured nerve.
Ultrasound-Guided Nerve AblationUses controlled heat or pulsed energy to quiet the small sensory nerves carrying chronic joint or tendon pain.Joint DenervationTreats the nerves that carry pain from the knee, hip, shoulder, elbow, wrist, sacroiliac joint, foot, or plantar fascia; an option for people delaying or avoiding joint replacement.ChemoneurolysisMedication placed at a nerve to calm overactivity or pain.Botulinum Toxin InjectionsRelaxes overactive muscles or reduces nerve-related pain in spasticity, exertional compartment syndrome, neuropathy, and ischiofemoral impingement.Sympathetic Nerve BlocksCalms the group of nerves involved in certain chronic pain conditions such as CRPS.
Spine Procedures
Targeted treatments for neck, back, and radiating arm or leg pain.
Epidural Steroid InjectionsAnti-inflammatory medication placed near irritated spinal nerves to ease neck, back, arm, or leg pain.Facet Joint Injections and Radiofrequency AblationNumbs, then if appropriate quiets with heat, the nerves of the small joints along the spine.Sacroiliac Joint InjectionAn injection into the joint where the spine meets the pelvis.Intradiscal InjectionsPlaces supportive material, including orthobiologics or ViaDisc, into a painful spinal disc.MILD (Minimally Invasive Lumbar Decompression)An outpatient procedure that relieves lumbar spinal stenosis by removing excess tissue through a tiny opening.Basivertebral Nerve Ablation (Intracept)Quiets the nerve inside the vertebra that drives certain types of chronic low back pain.
Headache and Facial Pain
Ultrasound-guided nerve blocks and botulinum toxin for migraine, neuralgia, and facial pain.
Shockwave Therapy
Focused sound-wave pulses delivered through the skin in the office, with no needles, to stimulate healing in stubborn tendon and heel pain.
Rehabilitation and Recovery
Strength-first rehabilitation, return-to-activity planning, and integrative care.
Rehabilitation 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.Medical AcupuncturePhysician-performed acupuncture to help relieve pain and support recovery.
Browse rehab protocols by body regionOpening 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