Enhancing Patient Engagement and Compliance in Physical Therapy

Dr. Marc Gruner, Co-Founder & Chief Medical Officer at Limber

Enhancing Patient Engagement and Compliance in Physical Therapy

This app will skyrocket physical therapy compliance rates.


On the first episode of the Outcomes Rocket Imaging and Teletech Innovations podcast, Timothy Kelley interviews Marc Gruner, an Interventional Sports Physiatrist at Ortho Bethesda and Chief Medical Officer at Limber Health, about an app he designed to connect patients to at-home physical therapy and improve their compliance. He shares how low patient attendance and completion rates led him to develop the Limber app, which connects patients to over 4,000 prescribed exercises and surgical rehab protocols, and tracks patient-reported outcomes. Marc talks about obtaining reimbursement codes for his app, including the need for clinical studies and support from medical associations. He also discusses the importance of data management, HIPAA compliance, and building trust with healthcare providers, and mentions his interest in exploring value-based care opportunities in the future.


Learn about Marc Gruner’s holistic solution for home-based physical therapy challenges!

Enhancing Patient Engagement and Compliance in Physical Therapy

About Tim Kelley:

Born and raised in the Chicago area, Timothy Kelley is an experienced business planner with extensive experience in marketing products in the medical arena. Marketing pharmacy benefit management, selling pharmaceuticals, to veterinary pharmaceutical and medical equipment distribution, led Timothy to form Sutherland Technologies, a business of marketing medical-grade media (CDs, DVDs) to hospitals worldwide under an outsourced management agreement with TDK. With the rapid success of this developing market, Sutherland Technologies was absorbed by TDK to better apply internal resources to this burgeoning market.

Upon leaving TDK Medical, Mr. Kelley founded his own radiological recording and media company Nautilus Medical to develop medical recording software. After Nautilus, he formed TeleRay as a medical communications platform that connects image management, storage, results, and patient data through a telehealth/telemedicine network.


About Marc Gruner:

Dr. Gruner specializes in the prevention and treatment of sports medicine injuries. Some of his procedures include minimally invasive ultrasound-guided carpal tunnel release, percutaneous tenotomy (Tenex procedures), tendon scraping, neural releases, ultrasound-guided fasciotomy for compartment syndrome, and regenerative medicine injections (BMAC, Lipogems, Prolotherapy, Platelet Rich Plasma (PRP)). He received his Registered in Musculoskeletal® (RMSK®) certificate, which is the highest standard of ultrasound in medicine.

Dr. Gruner is the Co-Founder and Chief Medical Officer of Limber Health, a digital health solution for patients and providers, designed to reduce costs and improve the care of individuals with musculoskeletal conditions, such as low back and knee pain. 

He is passionate about teaching and helping patients understand the evidence of sports medicine treatments. Working with Medicare (CMS), leading national organizations, and regenerative registries, he is a strong believer in measuring patient-reported outcomes to demonstrate value for various treatments.

Dr. Gruner was born and raised locally in Bethesda, MD. He lives in Washington, D.C., metro area with his wife, Rachel, and their daughter Eva. In their free time, they enjoy cooking, hiking, and traveling.


Things You’ll Learn:

  • Creating an app like Limber can significantly enhance the success of therapy.
  • Obtaining reimbursement codes for healthcare services is a complex process that involves clinical studies, support from medical associations, and demonstrating value to Medicare and commercial insurance companies.
  • Data management and compliance, particularly with HIPAA regulations, are vital considerations when developing healthcare-related apps to ensure patient privacy and protect sensitive information.
  • Building trust with healthcare providers is essential for successful partnerships, as they play a crucial role in prescribing and recommending apps like Limber to their patients.
  • The future of healthcare entrepreneurship lies in reimbursement codes and in exploring value-based care opportunities to lower costs and improve musculoskeletal care management.
  • Technology platforms like TeleRay can enhance clinical experiences and coordination among different disciplines by facilitating the sharing of diagnostic images and improving care coordination.