Blog Archives

Blog Archives

Maury Regional, MTBJ offers robotic-arm surgeries for knees, hips

Posted by on October 23, 2017

Maury Regional Medical Center has invested in new robotic technology to assist with total and partial knee and hip replacement surgeries. The Mako robotic arm system has the ability to help our surgeons provide patients with a personalized surgical experience.
Mako edit
Before surgery, your surgeon takes a CT scan of your hip or knee that is turned into a 3D virtual model. It’s loaded into the Mako System software and is used to create your personalized pre-operative plan. In the operating room, your surgeon uses Mako to assist in performing your surgery based on your personalized pre-operative plan. The surgeon guides the robotic-arm within the plan’s predefined area and the Mako System helps the surgeon stay within the planned boundaries. The Mako system allows your surgeon to make adjustments to your plan during surgery as needed.

After surgery, your surgeon, nurses and physical therapists will set goals with you to get you back on the move. Your surgeon may review an x-ray of your new joint with you.

Dr. Scott McCall and Dr. Cason Shirley have already performed several surgeries with the Mako system at Maury Regional Medical Center. “Both of the surgeries went really well,” Shirley said. “We have more scheduled in the coming weeks, so we’re getting ramped up quickly.”

To read more about the Mako robotic surgery, click here for an article from The Daily Herald.

Maury Regional Recognized as High Performing Hospital

Posted by on September 28, 2017

When you need surgery, you want to choose a hospital and a doctor who are tops in their field. There are many hospitals to choose from in Tennessee, but as it turns out, the best choice is right here in our own back yard.

To help patients decide where to receive care, U.S. News and World Report annually evaluates data on nearly 5,000 hospitals in 16 adult specialties, nine adult procedures and conditions, and 10 pediatric specialties. To be nationally ranked in a specialty, a hospital must excel in caring for the sickest, most medically complex patients. Hospitals that do well in multiple areas of adult care may be ranked in their state and metropolitan area. Maury Regional Medical Center achieved the highest rating possible in hip and knee replacements, attributed very highly to our physicians at MTBJ and their dedication and skill.

Click here to read the most recent press release on Maury Regional’s latest accolades in the area of knee and hip surgery.

Treating Foot and Ankle Pain

Posted by on August 8, 2017

Between every day activities and occasional high impact sports, almost anyone can suffer a foot or ankle injury. Our lower extremities bear the weight of our entire body and any sudden misstep can cause a significant injury.

At Mid-Tennessee Bone and Joint, Dr. Randy Davidson is our foot and ankle specialist. He has over 25 years of experience in treating a variety of orthopedic conditions. According to Dr. Davidson, he routinely sees patients who are suffering from trauma or overuse injuries, while other cases are congenital or developmental in nature.
Foot Ankle lead article photo 1
“I also see patients who have foot and ankle pain that stems from poor choices in shoe wear,” he said. “High heels, flip flops, and worn out running shoes can all cause problems.”

The ankle is made up of three types of tissue: bones, ligaments, and tendons. Ligaments connect bone to bone, and tendons connect the muscles to bones which is important for movement. The foot and ankle have 28 bones, each of which can be fractured or injured in a variety of ways. Treatment is based on the bone that is broken and the alignment of the fracture. Many can be treated with bracing or casting while some require surgery.

With a suspected fracture or sprain, you’ll experience pain and swelling. For these types of injuries, there’s a simple acronym to remember: R.I.C.E. That stands for Rest, Ice, Compression, and Elevation. After trying these techniques, you can slowly start to put more weight on your foot or ankle based on pain. If the pain and swelling haven’t improved in a few days, you should seek medical attention.

Other than a fracture or sprain, there are many other reasons why someone might have foot pain. Plantar fasciitis is the most common cause of heel pain. The pain is along the bottom of the heel and is worse when you first get up in the morning or with prolonged walking. Other sources of pain can include tendonitis, bunions, or nerve pain such as Morton’s neuroma.

For every patient, Dr. Davidson creates an individualized treatment plan with the main goals of increasing function and decreasing pain. Typically, his first line of treatment will be a variety of nonsurgical methods, including the judicious use of injections. Other nonsurgical options include bracing, shoe modification or orthotics, anti-inflammatories, and occasionally physical therapy.

Foot Ankle lead article photo 2 The foot and ankle have 28 bones, each of which can be fractured or injured in a variety of ways.

When the diagnosis calls for surgery, Dr. Davidson is highly experienced in performing a variety of procedures. His most common surgeries are bunion and hammertoe surgery, Achilles tendon repair and reconstruction, and ankle arthroscopy and ligament reconstruction. Arthroscopy is a less invasive form of surgery that allows the surgeon to evaluate the ankle by putting a small scope in the joint. It is used most often in young patients with intraarticular fractures or ligament injuries.

For patients who have significant arthritis in the ankle, an emerging trend is to perform a total ankle replacement. In the past these patients had to have an ankle fusion which severely limited their motion. Dr. Davidson recently performed this surgery on a patient at MTBJ, Dennis Edwards of Pulaski, and his progress so far has been very encouraging. Instead of having to be in a cast for three months, he was able to transition from a cast to a brace after two weeks. Physical therapy is required to maximize the motion and function after this procedure. For now, fusions are still the best option for young patients or those with multiple medical problems.

There are some important guidelines to remember after foot or ankle surgery. The first few weeks after surgery should be devoted to rest and recuperation. It may be helpful to have family members or friends on call to assist with most daily tasks, although the patient should be able to handle personal care.

Because the foot and ankle are under significant stress when we bear weight, most procedures require some time with restricted weight bearing after your surgery, with or without immobilization. All procedures will involve some swelling after surgery, which is one of the main reasons patients have to wait a while before they can wear shoes again postoperatively.

All procedures require some type of exercise program as part of the recovery process. Sometimes this is done in the home while in other cases formal physical therapy is required. An underwater treadmill is particularly helpful for foot and ankle patients because it allows exercising in a weight protected environment. Mid-Tennessee Bone and Joint offers this technology in our fully staffed physical therapy department. If coming here is inconvenient, we always work with our patients to ensure their physical therapy is scheduled at convenient locations and times.

If you’re experiencing foot or ankle pain that keeps you from being active and enjoying life, don’t wait to get it checked out. Knowing what to expect with any injury or other condition is important, and our physicians are available to guide you in making your critical health related decisions.

A New Trend – Total Ankle Replacement

Posted by on July 27, 2017

When physical therapy hasn’t worked, when injections haven’t worked, and you feel you’ve exhausted all other options for your aching joint, you may be looking at joint replacement surgery. This was certainly the case for patient Dennis Edwards of Pulaski.

Foot Ankle lead article photo 2 Foot Ankle lead article photo 2
Dennis Edwards’ pre-op x-rays, showing the old screws from his first surgery.

Dennis was in an accident in 1994 that left him with a badly injured ankle and a poor future prognosis for complete healing. Dr. Eslick Daniel performed the original reconstructive surgery on Dennis but advised that he would eventually need an ankle fusion. Because pain is typically made worse with movement of the ankle bones, an orthopedic surgeon will use screws to join the bones together to reduce that movement. The patient will generally see a reduction in pain, but range of motion in the joint is also limited.

Fast forward 23 years, and Dennis began to realize that his continuous ankle pain was becoming simply too much to bear.

“This past summer, the pain worsened to the point that it was keeping me up at night. It was just bad, sudden pain when I was walking or resting. It never stopped,” said Dennis. A visit to Dr. Randy Davidson at Mid-Tennessee Bone and Joint resulted in a series of cortisone injections, but relief only lasted about two days before the pain would come back. At that point, Dennis knew he would have to explore other options.

“Before Dr. Davidson mentioned it, I had never heard of a total ankle replacement,” said Dennis. For most patients, a total ankle replacement typically allows for a shortened recovery time and the ability to regain motion in the joint, as compared to a fusion. Dennis said, “When I heard that, I was completely on board. I’m a ‘get it done’ kind of guy, so I was ready to go.”

Foot Ankle lead article photo 2 Foot Ankle lead article photo 2 Dennis Edwards’ post-op x-rays, showing the new replacement joint.

Dr. Davidson has been very encouraged by Dennis’ progress. Instead of having to be in a cast for three months, he was able to transition from a cast to a brace after just two weeks.

Two weeks post-surgery, Dennis could already tell a difference in his ankle. “I think any pain I’m feeling right now is coming from the staples they put in after the surgery, instead of from the bones like it used to. I have a high pain tolerance, but I can tell a huge difference in how I felt before surgery and how I feel now,” he said. “I’ll do physical therapy at home for about a month and then I’ll come back to the clinic for some more therapy. Overall, my recovery has been great. It’s just hard to be patient when you’re a patient,” he said.

When asked about what he would say to anyone considering this surgery, Dennis was quick to answer. “Go for it. Most people I’ve talked to had no idea you could even do a total ankle replacement.” He was also very complimentary on the staff and physicians at Maury Regional Medical Center. “I have always told people that if I ever needed to go to a hospital, take me to Maury Regional. We’ve always received the best care there and have been very pleased with everyone.”

MTBJ Gives Back to the Community

Posted by on July 7, 2017

Just as we have been blessed with amazing staff, physicians, and patients over the years, we recognize how important it is to give back and be a blessing to others. In the last few months of 2016, our clinic participated in two community service projects to benefit Harvest Share Food Pantry and residents of NHC in Columbia.

Harvest Share Food Pantry serves more than 350 families each month in Maury County. As a result, there are often times when food supplies are critically low and families cannot get the assistance they need. In October, our clinic divided into six teams to compete for the most food collected for this organization. When the final amounts were tallied, we had collected nearly 6,000 pounds of food for Harvest Share! With the help of many volunteers and a few pick-up trucks, all of the food was collected and ready to be handed out to families in need just in time for the holidays.
Community Service picture
In December 2016, we collected some comfort items for the patients at NHC in Columbia. Our associates donated socks, blankets, scarves, tissues, ChapStick, stocking caps, pens, note pads, and a few other items to residents at the facility. We ended up with enough goodies to provide for all of the patients who were living at the center during that time!

In early 2017, we initiated another community service project to collect goodies for the Maury County Fire Department, Columbia Police Department, and Maury County Sheriff’s Department – a total of almost 400 public servants! We collected snacks of every kind, homemade baked treats, and a variety of other goodies as a way of saying thank you for everything they do for the citizens of Maury County.

We appreciate the opportunity to give back to members of our community.


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2017 Free Student Athlete Sports Physicals

Posted by on April 21, 2017

Every spring, Mid-Tennessee Bone and Joint provides free sports physicals for Maury County student athletes. This year, those physicals will occur on Monday, May 1 (boys) and Monday, May 8 (girls). Student athletes will need to bring the following paperwork with them for the physicals:

TSSAA Preparticipation Evaluation Physical Examination Form (link)

  • Students are to fill out their name and date of birth at the top of the form
  • The rest of the form will be filled out by the physician on site during the physical
  • MTBJ Preparticipation Physical Evaluation History form (link)

  • Parents/guardians and students are to fill out the form in its entirety prior to the physicals
  • Parents/guardians are to sign the bottom of the form. Without a signature, the student will not receive a physical.

    View the schedule below:


    MTBJ Physical Therapy Walking Program

    Posted by on April 11, 2017

    We encourage everyone, any age, to enjoy the great health benefits of joining this FREE six week Step It Up Walking Program. The program will start Tuesday, May 2nd and run for six weeks through Thursday, June 8th.

    The Walking Program runs 6:30am to 7:30am each week on Tuesdays and Thursdays at the Columbia State Community College Track, and is open to everyone. It is FREE of charge, and all participants will receive a FREE pedometer to track their steps.
    Walking club

    Click HERE to view the PDF with more information regarding the program.

    To sign up for this great opportunity, call our Physical Therapy department at 931-560-1400, or sign up online at their website:

    New Implant Giving Hope to Millions with Arthritis

    Posted by on March 16, 2017

    A first-of-its-kind implant, which acts as a cushion for a joint, is giving hope to millions of Americans who are looking for a permanent solution to arthritis. Synthetic cartilage, made from the same material as a contact lens, acts as a cushion for the joint and is intended for use in the treatment of patients with painful arthritis at the base of the big toe, the most common arthritic condition in the foot.

    For a select number of patients who have the right indications, this could be a game changer. Click the link below to watch a video from NBC Nightly News on this new product!

    NBC Nightly News – New Arthritis Treatment Could be a ‘Game-Changer’

    MTBJ Introduces pedCAT Foot and Ankle Imaging

    Posted by on January 11, 2017

    In an effort to provide the most up to date care options for our patients, we are happy to announce the addition of a pedCAT to assist with foot and ankle imaging. This new machine takes views of the foot and ankle that provide greater examinations for preoperative planning, fracture and dislocation detection, for monitoring arthritis, and early detection of osteomyelitis.
    The pedCAT imaging is done via CT and creates 3D images of the area. The physician is able to see critical views of the foot and ankle to better assist with pre-surgical planning and diagnostics. The patient is weight bearing during the scan, which changes the alignment of the foot and ankle, and gives the doctors a view of how the bones and muscles behave when a patient is sitting versus standing. It is the only way to get a weight bearing scan to get a better idea of how the foot functions, rather than just the image of the bones.

    Mid-Tennessee Bone and Joint is one of only three clinics in the state of Tennessee to own a pedCAT and the only clinic in Middle Tennessee – including Franklin and Nashville – with this technology. This is another way we are creating a more established and modern foot practice in the area!

    For more information on this technology, please visit

    Elyse Adams, PA-C

    Posted by on December 28, 2016

    Elyse is originally from the Cleveland, Ohio, area. She was recruited by North Carolina State University for her gymnastics ability, and she stayed in state to attend East Carolina University for her Physician Assistant studies. Since moving from Ohio, Elyse said she realized that she loved being in the south and just never left!

    Prior to moving to Middle Tennessee, Elyse worked at an orthopedic practice in Boone, North Carolina. She had visited Nashville before to see family and really liked the area. When she was looking for jobs, she always kept an eye open for positions in the Nashville area and was excited to see an opening at our clinic.
    Professionally, Elyse is proud of graduating from her Physician Assistant program and passing her boards. While she lived in North Carolina, she was able to form great relationships with patients in her care. Ensuring her patients are well taken care of and finding ways to make a difference in their lives is one of her greatest accomplishments. She feels that education is very important so patients will understand and feel comfortable with their diagnosis and treatment. Part of her responsibility is to spend a little more time with the patient to answer any questions and offer comfort. Elyse’s ultimate goal is to provide a better patient experience.

    Personally, Elyse is proud of her performance in gymnastics as a child all the way to college. She spent 16 years in the sport, specializing in uneven bars. While participating as a Division I college gymnast, Elyse was part of the conference championship winning team and was named an NCAA Academic All-American.

    As a student athlete participating in a sport at the collegiate level, Elyse experienced her fair share of injuries and surgeries during that time which lead her to focus on orthopedics. Those injuries have given Elyse a different perspective when interacting with patients. She says it allows her to say she has been there and gives her a unique understanding of what the patient is going through after experiencing an injury or surgery.

    Elyse also has a passion for sports medicine. Her previous employer was the official sports provider for Appalachian State University athletics, giving Elyse experience in covering sporting events and being available to training staff on the sidelines.