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Bethesda, MD(301) 530-1010
Dr. Marc GrunerSports & Regenerative Medicine
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Treatments and procedures

From orthobiologics to precise image-guided procedures, each treatment is matched to an accurate diagnosis and your goals, never offered one-size-fits-all.
OrthobiologicsPRP, Lipogems, and bone marrow concentrate — regenerative treatments using your own tissue.Advanced ProceduresCutting-edge, ultrasound-guided minimally invasive procedures — no open surgery.MSK UltrasoundReal-time, radiation-free imaging that diagnoses pain and guides every treatment.

Orthobiologics

PRPPlatelet-Rich Plasma (PRP) TherapyConcentrated platelets from your own blood, injected under ultrasound guidance to support healing in joints and tendons.Microfragmented AdiposeMicrofragmented Adipose (Fat) TherapyA minimally processed sample of your own fat — microfragmented adipose tissue (MFat) — injected to cushion and support arthritic or injured joints.BMACBone Marrow Aspirate Concentrate (BMAC)Cells and growth factors concentrated from your own bone marrow for select joint and tendon conditions.PRP + ProteinPRP + Protein ConcentrateAn enhanced orthobiologic that pairs platelet-rich plasma with a concentrated protein solution for a more robust healing signal.

Office Procedures

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.

Diagnostics

MSK UltrasoundDiagnostic Musculoskeletal UltrasoundIn-office, real-time imaging of tendons, ligaments, nerves, and joints — no radiation — to pinpoint the source of pain.

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