Carpal Tunnel Release
An ultrasound-guided release of the transverse carpal ligament through a tiny incision, decompressing the median nerve with less tissue disruption and a faster return to activity than open surgery.
DO, MBA, RMSK. Mayo Clinic–trained. Triple board certified.
Non-surgical sports and orthopedic care in Bethesda and the greater DC area
Expert non-operative treatment for sports and orthopedic injuries, using precision diagnostics and regenerative medicine.
About Dr. Gruner
Dr. Marc Gruner is a Mayo Clinic–trained sports and regenerative medicine physician who helps active people resolve pain and return to what they love, without rushing toward surgery. He specializes in the prevention and non-operative treatment of musculoskeletal injuries, with particular expertise in diagnostic ultrasound and regenerative medicine.
- Sports Medicine FellowshipMayo Clinic, Rochester, MN
- Residency, Physical Medicine & RehabilitationGeorgetown University / National Rehabilitation Hospital
- DO, MBAVirginia College of Osteopathic Medicine and Virginia Tech
- Triple board certifiedSports Medicine, RMSK, PM&R
Nearly90%
of all orthopedic injuries can be treated non-surgically.
Sports and regenerative medicine
Whether you are an elite athlete, a weekend warrior, or dealing with everyday joint pain, we focus on identifying the exact cause and treating it at the source.
Sports Medicine
Comprehensive non-operative care for musculoskeletal conditions. We use advanced biomechanical analysis and targeted therapies.
- Arthritis (Shoulder, Knee, Hip, Hand)
- Tendinitis (Achilles, Patellar, Rotator Cuff)
- Tennis & Golfer's Elbow
- Plantar Fasciitis
- Fractures & Sprains
Regenerative Medicine
Orthobiologics harness your body's natural healing mechanisms to repair tissue, reduce inflammation, and delay or prevent the need for surgery.
- Platelet Rich Plasma (PRP)Concentrated growth factors from your own blood
- Microfragmented Fat (Lipogems)1-hour outpatient procedure, minimal recovery
- Bone Marrow Therapy (BMAC)
- Prolotherapy
Ultrasound-guided procedures
Dr. Gruner uses ultrasound imaging both for accurate diagnosis and to guide minimally invasive procedures precisely. This means smaller incisions, less pain, and faster recovery.
Percutaneous Tenotomy (Tenex)
A minimally invasive technique that uses ultrasonic energy to precisely remove degenerated tendon tissue through a small opening, addressing chronic tendinopathy without open surgery.
Fasciotomy for Compartment Syndrome
An ultrasound-guided release of the fascial compartment to relieve exertional compartment syndrome, restoring blood flow and reducing exercise-limiting pain.
Neural Releases & Tendon Scraping
Targeted hydrodissection to free entrapped nerves and ultrasound-guided scraping to disrupt abnormal blood vessels and nerves driving chronic tendon pain.
Dr. Gruner on orthobiologics
Watch Dr. Gruner explain how orthobiologics (PRP, microfragmented fat, and bone marrow concentrate) use your own tissue to promote healing and help you avoid surgery.
Achieving the Highest Percentage of Responders for Autologous Orthobiologic Conditions
How orthobiologics use your own tissue to promote healing.
Innovative Diagnostic & Treatment Options for Non-Surgical Orthopedic Conditions
Johns Hopkins webinar: non-surgical options for orthopedic conditions.
Treatments and procedures
Orthobiologics, diagnostic ultrasound, and minimally invasive procedures.
Orthobiologics
Office Procedures
TenexPercutaneous Tenotomy (Tenex Procedure)Tendon ScrapingUltrasound-Guided Tendon ScrapingCarpal Tunnel ReleaseUltrasound-Guided Carpal Tunnel Release (UltraGuideCTR™)Trigger Finger ReleaseUltrasound-Guided Trigger Finger ReleaseCapsular DistensionCapsular Distension (Hydrodilatation) for Frozen ShoulderFasciotomy (CECS)Ultrasound-Guided Fasciotomy for Chronic Exertional Compartment Syndrome
From the blog
Dr. Gruner answers common questions about injuries, procedures, and recovery.
Is PRP effective for knee osteoarthritis?How platelet-rich plasma reduces knee arthritis pain — and what makes an injection succeed or fail.Does hydrodilatation provide immediate relief for frozen shoulder?An ultrasound-guided injection that expands the shoulder capsule can relieve frozen shoulder pain fast.Why do my legs go numb when I run? Chronic compartment syndrome explainedExertional compartment syndrome causes pain, numbness, and foot drop in runners — and has a minimally invasive fix.
Request an appointment
Schedule a comprehensive evaluation to discuss your non-surgical treatment options.
OrthoBethesda
10215 Fernwood Road, Suite 506Bethesda, MD 20817(301) 530-1010