Skip to content
Bethesda, MD(301) 530-1010
Dr. Marc GrunerSports & Regenerative Medicine
Request an Appointment

Ultrasound-guided

Advanced minimally invasive procedures

Ultrasound-guided procedures that treat problems once requiring open surgery, through a tiny opening, with less pain and faster recovery.

The short answer

Dr. Gruner uses state-of-the-art ultrasound imaging not just to diagnose, but to perform minimally invasive procedures with pinpoint accuracy. Seeing the target and the needle in real time means smaller openings, protection of nearby nerves and vessels, less pain, and a faster recovery than traditional open surgery.

Medically reviewed by Marc Gruner, DO, MBA, RMSK
Sports medicine physician, Mayo Clinic fellowship. Last reviewed June 2026

Dr. Marc Gruner in a procedure room with a diagnostic ultrasound machine

Why ultrasound guidance changes everything

Many procedures that once required an operating room, general anesthesia, and weeks of recovery can now be done in the office under local anesthesia. Real-time ultrasound lets Dr. Gruner watch tissue move, guide instruments to the exact spot, and avoid the structures that matter — all through an opening measured in millimeters.

The result is a level of precision and safety that reflects where non-surgical orthopedics is heading: innovative, image-guided care that gets active people back to their lives sooner.

The advanced procedures

Explore each ultrasound-guided procedure in detail.

TenexPercutaneous Tenotomy (Tenex Procedure)Ultrasound-guided removal of damaged tendon tissue through a tiny opening — no open surgery.Tendon ScrapingUltrasound-Guided Tendon ScrapingA 2mm procedure that removes pain-causing tissue from the tendon's surface while preserving the tendon.Carpal Tunnel ReleaseUltrasound-Guided Carpal Tunnel Release (Sonex)A minimally invasive release of the median nerve using ultrasound guidance — back to activity in days.Trigger Finger ReleaseUltrasound-Guided Trigger Finger ReleaseA percutaneous, needle-based release of the A1 pulley — no incision, quick return to gripping.Capsular DistensionCapsular Distension (Hydrodilatation) for Frozen ShoulderAn ultrasound-guided injection that expands the tight shoulder capsule to relieve frozen-shoulder pain and stiffness.Fasciotomy (CECS)Ultrasound-Guided Fasciotomy for Chronic Exertional Compartment SyndromeA minimally invasive, ultrasound-guided release of the leg's fascial compartment for exercise-induced pain in runners.

Request an appointment

Schedule a comprehensive evaluation to discuss your non-surgical treatment options.

Request an AppointmentDownload a brochure to learn about sports medicine physicians