The Greater Washington Orthopaedic Group offers a complete range of diagnostic and therapeutic services related to orthopaedic surgery. We evaluate and treat problems of the shoulders, arms, hands, hips, knees, feet, and spine.

Orthopaedic surgery is a surgical specialty dealing with injuries and disease of the musculoskeletal system. Most conditions treated by an orthopaedic surgeon, however, never require surgical intervention. The majority of conditions seen in an orthopaedic practice involve either injuries or degenerative wear and tear diagnoses. An orthopaedic surgeon has received five years of post doctorate training to become eligible to practice his specialty and become board certified.

Injuries are classified by the activity responsible. Trauma such as motor vehicle accidents account for a significant number of serious injuries. Work related injuries may be either traumatic or repetitive activity related. Recreation is also responsible for increasing numbers of injuries and has brought about a new category of medical practice — sports medicine. Any of these conditions are frequently treated by the family practice physician. When the symptoms are severe, or when a more complicated injury is involved, the patient will be referred to an orthopaedic surgeon.

Diseases of the musculoskeletal system include the degenerative conditions of arthritis and repetitive motion syndromes such as tendonitis, bursitis, and nerve compressions.

Treatment begins with a complete medical history to determine the cause or inciting event for the patient's symptoms. Trauma, working conditions, recreational activities all play a part in causing most musculoskeletal conditions, the single common element in each case being pain. The medical history gives most of the clues to the patient's diagnosis, so a detailed description of your symptoms is a great help to your doctor in determining the diagnosis.

Our services include:

• Arthritis surgery including total joint replacement
• Arthroscopic lumbar disc removal
• Arthroscopic surgery and other types of joint surgery
• Back pain treatment including non-surgical, as well as surgery
• Carpal tunnel treatment including surgical release
• Cruciate ligament reconstruction
• Dupuytren's contracture surgery
• Epidural steroid injections
• Foot surgery
• Fractures (broken bones) and dislocations
• Hand surgery
• Knee reconstruction
• Lumbar facet blocks
• Neck pain treatment including non-surgical, as well as surgery
• Pediatric Orthopaedics including congenital and development problems
• Percutaneous lumbar discectomy
• Spinal cord stimulator implantation for chronic pain
• Spine fusions
• Sports medicine for acute injuries and rehabilitation


Important information to provide includes a description of the character, location, intensity, and frequency of the symptoms, as well as the relation to activity. The physical examination then allows the physician to concentrate his observations on that part of the body that seems to be the source of the problem. Additional diagnostic aids include use of x-ray, blood tests, electrical tests or special studies.

An orthopaedic surgeon has many options in treatment modalities other than surgery. Surgery is always the last consideration when all other forms of treatment have failed to relieve the patient's symptoms. Many conditions are successfully treated with a combined program of physical therapy and appropriate rehabilitative exercise. The physical therapist, often working along with the orthopaedic surgeon, provides vital care and instruction to the patient to relieve the symptoms, and more importantly to prevent recurrence of the problem. The physical therapist is a highly trained specialist, who provides the direct rehabilitative care after the physician has determined the diagnosis and treatment plan. The doctor may also prescribe medications such as anti-inflammatory agents, which aid in the healing of damaged tissue, and when necessary, pain relieving agents.

There are some conditions which must primarily be treated by manipulative or surgical procedures. These include severe injuries such as open wounds or deforming bone fractures. Interestingly, orthopaedics first developed as the specialty of treating children's deformities. The derivation of the name of the specialty means, "to straighten a child." Today, orthopaedic surgery is the specialty of treating any and all musculoskeletal afflictions, whatever the cause. The treatment is customized to the individual, his or her needs, and to the cause, whether that may be work related, sports related, traumatic, or degenerative. The board certified orthopaedic surgeon is trained in the latest techniques of fracture management, sports medicine, including arthroscopic surgery, spine surgery, joint replacement surgery, and non-operative management of back and neck injuries.

Diagnostic capabilities including x-rays and electromyography are available in our offices. Our physical therapists and our specialists in hand therapy offer complete therapy and rehabilitation services. We have offices in Silver Spring, Rockville/Gaithersburg, Olney, and Germantown, Maryland. We can easily be reached from Montgomery, Prince George's and Howard Counties, and from the District of Columbia, and Virginia. Please consult our map and directions pages for the office(s) nearest you. We admit patients to Holy Cross Hospital, Montgomery General Hospital, and Shady Grove Adventist Hospital. We perform surgery at these three hospitals, and also at the Montgomery Surgery Center in Rockville, and the Surgery Center of Maryland, in Leisure World.


Please note:Our physical therapy, hand therapy, and rehabilitation services are available at the Silver Spring, Rockville and Olney offices.

View our Physical Therapy information page for more information on times at each location.

 Dear Patient,
Welcome to GWOG, we appreciate your interest in our practice, whether you are new to us or are someone who has trusted in our physicians or therapists in the past, we thank you for visiting.

Since our inception in the early ‘80’s, providing quality care to our patients has been our number one priority. We strive for excellence in our clinical, administrative and therapeutic services and appreciate your comments on how we can improve to serve you better. To schedule an appointment with our physicians or therapists, in one of our four office locations, you may dial 301.589.3324 between 8:30 and 5:00, Monday through Friday. Our receptionists are happy to assist you with your scheduling needs. If you have questions or comments concerning our operations, please contact myself or our Director of Operations, Ms. Tina Dudley, at 301.589.3324, Ext. 116. We look forward to serving your Orthopaedic and Rehabilitation needs.

M. Cristina Echegoyen, Practice Administrator