Fellowship-trained specialists | Bethesda. Rockville. Germantown.
Montgomery County's Premier Orthopedic Practice.
Fellowship-trained surgeons who listen, explain, and get you back to the game — and the life — you love. In-network. Same-day appointments available.
Our philosophy
Expertise. Trust. Access.
Three pillars that define how we practice — and why patients in Montgomery County have trusted us with their orthopedic care for over three decades.
Pillar One
Expertise
Our physicians trained at the most prestigious orthopedic fellowship programs in the country — and have served as team physicians for professional sports franchises at the highest levels of competition. That expertise is what you get at every appointment.
Pillar Two
Trust
Patients in Montgomery County have returned to us — and referred their families — for over 30 years. That loyalty is earned one appointment at a time: clear communication, honest options, and a care team that treats you like a person, not a chart number.
Pillar Three
Access
Getting to the right specialist shouldn't be a battle. We offer same-day and next-day appointments, 24/7 online scheduling, three convenient locations, and physicians who actually return your calls — plus in-network coverage with most major insurance plans.
What we treat
Find your condition
ACL Tear
Ligament tear in the center of the knee, common in pivoting sports.
ShoulderRotator Cuff Tears
Torn shoulder tendon causing weakness and pain with overhead arm use.
KneeMeniscus Tear
Torn knee cartilage from a twist or wear, causing pain and locking.
KneeKnee Osteoarthritis
Knee cartilage wear causing pain, swelling, and stiffness, common after age 50.
Hand & WristCarpal Tunnel Syndrome
Nerve compression at the wrist causing hand numbness and tingling.
Foot & AnklePlantar Fasciitis
Heel band inflammation causing sharp pain with the first morning steps.
HipHip Labral Tear & Femoroacetabular Impingement (FAI)
Hip socket cartilage tear with abnormal bone shape, causing groin pain.
ShoulderShoulder Instability
Loose shoulder joint that slips out of the socket, often after dislocation.
Spine, Neck & BackLumbar Disc Herniation & Sciatica
Bulging lower back disc pressing on a nerve, causing leg pain.
ElbowLateral Epicondylitis (Tennis Elbow)
Overuse injury on the outer elbow from repetitive gripping.
Foot & AnkleAchilles Tendon Rupture
Complete Achilles tendon tear causing sudden inability to push off the foot.
Hand & WristTrigger Finger
Inflamed tendon that causes a finger to lock or catch when bending.
Doctors who actually know your name
Fellowship-trained subspecialists who are also genuine friends — that cohesion shows in how they collaborate on your care, and how they talk to you.

James S. Gardiner, MD
Orthopedic Surgery · Sports Medicine
Dr. James Gardiner specializes in arthroscopic shoulder and knee surgery, special interest in athletic knee and shoulder injuries.
Meet Dr. Gardiner →
Christopher S. Raffo, MD
Orthopedic Surgery · Sports Medicine
Dr. Christopher Raffo specializes in arthroscopic shoulder and knee surgery, special interest in rotator cuff tears.
Meet Dr. Raffo →
Gary Feldman, DPM, FACFAS
Podiatry (Foot & Ankle Surgery)
Dr. Gary Feldman specializes in treating chronic and acute orthopedic conditions of the foot and ankle.
Meet Dr. Feldman →
Peter G. Fitzgibbons, MD
Hand Surgery · Orthopedic Surgery
Dr. Peter Fitzgibbons specializes in treating complex orthopedic conditions of the hand, wrist, and elbow.
Meet Dr. Fitzgibbons →
John J. Christoforetti, MD
Orthopedic Surgery · Sports Medicine · Hip Preservation Surgery
Dr. John Christoforetti specializes in arthroscopic hip, shoulder and knee surgery, special interest in hip preservation.
Meet Dr. Christoforetti →Patient stories
Real patients. Real outcomes.
4.9 stars · 2,994 verified Google reviews
“I had a frozen shoulder. After 3 months of physical Therapy with Sam. My should is much improved I can move my shoulder in my different directions I was unable to three months ago Highly recommend”
“Therapists are experts in the field. Whole personnel is friendly. No waiting time for appointment and to schedule one is easy to get. Very nice work atmosphere among personnel and everyone makes you feel at home.”
“They work with me and my schedule so amazingly! Their staff is very kind and very great about explaining all PT steps, what to do on my own before next session and never pushes me to the extent that I can’t go back for next session few days later. They just make shoulder feel so good after.”
“Doctor Christofretti was incredible, thoughtful, caring, and thorough. His whole team were very considerate, respectful, and kind. We have a plan going forward and I am incredibly appreciative for the great care and support going forward. Thank you!”
“Sam is great. Doing all of my PT that he taught me, daily at home now for 2 months. Definitely have noticing improvement.”
“Kendyl & Karen are the best!!”
“Great PT. Highly recommended”
“Alisha and Alex are great and have helped me with my shoulder problems”
From the sideline to the OR — and back to the game.
Our fellowship-trained surgeons have served as team physicians at the professional, collegiate, and elite youth levels. We bring that same standard of care to every patient we treat in Montgomery County. Whether you compete at the highest level or simply demand more from your body than pain will allow, we treat you like the athlete you are.

Insurance & Access
Concierge-level service, in your insurance network.
We're in-network with most major insurance plans — so you get the personal attention of a private practice without the out-of-pocket surprise. Walk-ins welcome at our Bethesda location.
Check your insurance →Find us
Three locations in Montgomery County
Bethesda Office
Orthopedic Surgery and Physical Therapy6710A Rockledge Dr., Suite 130
Bethesda, MD, 20817
(301) 515-0900
Germantown Office
Orthopedic Surgery and Physical Therapy19847 Century Boulevard, Suite 205
Germantown, MD, 20874
(301) 515-0900
Rockville Office
Physical Therapy only1071 Seven Locks Rd.
Rockville, MD, 20854
(301) 515-0900

