Established in 1976, Greater Metropolitan Orthopaedic Institute provides physical medicine and rehabilitation services. It also specializes in rheumatology, pain management and occupational therapy. Based in Clinton, Md., the orthopedic institute treats a full range of problems affecting the musculoskeletal system, including injuries and degenerative processes involving the extremities and spine. Its areas of orthopedic expertise include foot, ankle, hand, microsurgery, joint replacement, spine, shoulder and elbow problems. The institute also specializes in physical therapy, exercise, bracing and casting.