New Implant Giving Hope to Millions with Arthritis
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
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 http://www.curvebeam.com/products/pedcat/.
Elyse Adams, PA-C
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.
Tennessee Orthopaedic Society names Dr. Randy Davidson as President
Dr. Randy Davidson has been elected President of the Tennessee Orthopaedic Society. Dr. Davidson is a long time member of the TOS.
“I am honored to be this year’s president of the Tennessee Orthopaedic Society,” said Dr. Davidson. “As president, I will try to connect orthopaedic surgeons with the state and national legislatures.”
The Tennessee Orthopaedic Society is an organization of Board Certified Orthopaedic Surgeons who practice in the State of Tennessee and who are dedicated to providing the best orthopaedic care to the citizens of Tennessee. Founded in 1948, TOS is dedicated to increasing public awareness and health care improvement for persons with musculoskeletal impairments. TOS supports continuing medical education for its over 350 members and monitors the effects of socio-economic and legislative measures impacting the quality, availability, and cost of health care in orthopaedics. More information can be found at TOSweb.org.
Congratulations Dr. Davidson!
Why do running injuries happen? (and how to prevent them)
What is your number one goal as a runner? For most, it’s to run injury free. StrengthRunning.com has put together an informative infographic explaining the best ways to run without injuring yourself. They outline three key things that happens when a runner gets hurt:
• You can’t run. If you can’t run, then you can’t get in great shape to run fast.
• You’re not developing skills. With no drills, strides, or workouts, you’re not developing athleticism.
• You can’t race. If you can’t race, then you can’t develop mental toughness and resilience.
Click this link to read more on ways for runners to stay healthy and injury free during workouts!
Katie Harris, PA-C
Katie Harris, Physician Assistant, graduated from Middle Tennessee State University in 2006 with a degree in Biology. She continued her education at Trevecca Nazarene University and earned a Masters in Physician Assistant Studies in 2012. Katie is an active member of the following organizations:
• American Academy of Physician Assistants
• Tennessee Academy of Physician Assistants
• Physician Assistants in Orthopaedic Surgery
Katie’s day is spent primarily at Maury Regional Medical Center assisting our surgeons at the hospital. For many patients, their stay in the hospital is due to a traumatic injury and can be a frightening experience. Being able to take the time to talk with patients and family to discuss peri-operative management is very important. She understands that taking the time to explain an injury and subsequent treatment can truly help to alleviate some of a patient’s anxiety during their admission.
Most days for Katie begin around 6:30am. She is responsible for assisting the on-call surgeon with any new admissions from the previous night. Her duties include consulting with the hospitalist group to ensure patients are medically stable for surgery, ordering pre-op tests, obtaining consent, and coordinating the patient’s surgery time with staff and available surgeons. The rest of her day is spent assisting with patient discharge orders, acting as first assist in the operating room, and taking call for hospital consults and ER calls.
Since becoming a provider at MTBJ, Katie has seen many advances in orthopedic technology, medicine, and surgical practices. In that time, our clinic has also successfully transitioned to complete electronic medical records for patients. She has also seen the use of new peri-operative medications that have improved patients’ post-operative outcomes.
Katie and her husband, Chris, have lived in Middle Tennessee all their lives and relocated to Spring Hill, TN, in May 2013. In June 2014 they welcomed their first child, Abbi. Shortly after the age of one, Abbi was diagnosed with profound hearing loss and received bilateral cochlear implants. She has progressed wonderfully and now attends the Mama Lere School for the Hearing at Vanderbilt.
Caitlin Clemmer, PA-C
Caitlin Clemmer, Physician Assistant, graduated from the University of Tennessee, Knoxville, in 2006 with a degree in Psychology. She continued her education to obtain a Master of Health Sciences in Physician Assistant Studies from South College in 2009. Caitlin is a member of the following organizations:
• American Academy of Physician Assistants
• Tennessee Academy of Physician Assistants
• National Commission on Certification of Physician Assistants
Caitlin is originally from Columbia and decided to move back home to start her career. She worked for a short time in Knoxville, but when the opportunity came available at MTBJ she couldn’t pass it up. Caitlin previously worked at MTBJ as a clinical assistant in 2007 before joining the clinic as a full time employee in 2010.
Caitlin notes that the biggest changes in orthopedics have been the expansion of surgery options for several of the MTBJ surgeons, including total ankles, total elbows, and different types of total knees. Additionally, new injections like Synvisc One and Gel One have evolved over the last few years, in addition to expanded treatments for osteoporosis. The biggest change in the clinic has been the introduction of electronic health records to the practice.
Professionally, Caitlin is most proud of completing her studies to become a PA. She describes the long hours spent studying to pass the certification exams as the hardest, most time consuming part of her life. She is proud of many things – for surviving the exams, for her husband who pushed her and supported her all the way through, and she is also proud to work at MTBJ! Caitlin also has pride for her amazing husband and for God for sending him to her, and for her amazing and supportive family.
Caitlin and her husband Wyatt live in Spring Hill with their two children, Max and Catherine. Caitlin loves to run and water ski, and also loves to attend UT football games.
Overuse Injuries in High School Sports
Every year, millions of teenagers participate in high school sports. An injury to a high school athlete can be a significant disappointment for the teen, the family, and the coaches. The pressure to play can lead to decisions that may lead to additional injury with long-term effects. High school sports injuries can cause problems that require surgery as an adult, and may lead to arthritis later in life.
When a sports injury occurs, it is important to quickly seek proper treatment. To ensure the best possible recovery, athletes, coaches, and parents must follow safe guidelines for returning to the game.
Continue reading at AAOS.org – High School Sports Injuries
Dr. Kenneth Sykes
Dr. Kenneth Sykes joined Mid-Tennessee Bone and Joint in fall of 2015 to lead our new Interventional Pain Management focus. Dr. Sykes takes an active role in treating patients whose chronic pain cannot be managed through surgery, physical therapy, or traditional medications. He offers advanced treatment options for patients who are living in pain caused by a variety of medical conditions.
Dr. Sykes has been in practice for three years, after having completed his anesthesiology residency and a sub-specialty fellowship training in pain medicine. Before coming to MTBJ, Dr. Sykes knew Dr. Scott McCall from childhood when they both participated in competitive gymnastics. His medical career took him to St. Louis and Ohio, and after Dr. Sykes and his wife had their second child, they realized they wanted to live a little closer to family. Dr. McCall contacted Dr. Sykes about the Clinic’s desire to add interventional pain management to the practice. Dr. Sykes was thrilled after visiting MTBJ and says it has been a joy living in the community.
Dr. Sykes’ professional accolades include his time as a resident anesthesiologist in St. Louis when he was awarded a research grant through the Federation for Anesthesia Education and Research (FAER). This grant allowed him to study a specific type of protein receptor suggested to play a significant role in the detection and processing of acute inflammatory pain. Personally, Dr. Sykes is most proud of being named as a member of the United States National Team for men’s gymnastics in 1997.
While Dr. Sykes and his family are still relatively new to the area, they’re already looking for ways to get involved in their community. They are currently in the process of looking for and joining a church, through which they hope to get more involved in local events and activities. They are particularly interested in working with at-risk youth, serving as mentors, and working with international students.
Dr. Sykes has already seen significant changes in the field of pain management. First is the recognition that certain interventional procedures historically used in acute perioperative pain management (pain due to surgery) may be useful in the chronic pain management field. Previously, severe pain tied to surgery that is controllable with pain medication has been approached differently than pain that is long term and often does not respond to pain medication.
Second, Dr. Sykes explains the finding that chronic opioid use may not have been the great solution to the chronic pain problem that we initially thought it was. In fact, in some ways chronic opioid use may have caused far more harm than good. This recognition has caused professionals in the pain management field to reexamine whether or not these medications are actually helpful, and to apply increased scrutiny regarding how and when these medications should be used in the context of chronic pain management.
In his free time, Dr. Sykes likes to exercise and workout. He likes to listen to and play a variety of instruments: piano, acoustic guitar, bass guitar, and drums. Many of Dr. Sykes’ favorite extracurricular activities involve hanging out with his family. He and his lovely wife, Sun Jeong, have three young children.
Dr. Erion Qamirani
Dr. Erion Qamirani – or Dr. Q, as he is casually known to his patients – joined the practice in October 2013. Before landing in Middle Tennessee, he spent time in Texas, Toronto, and California to complete his studies. He received his undergraduate degree from McMurry University in Abilene, TX, and his PhD and MD from Texas A&M. His orthopedic surgery residency was completed at the University of Toronto in Ontario, Canada, and his spine surgery fellowship was completed at the University of California San Francisco. Dr. Qamirani’s main focus will be back pain and spine surgery. We are thrilled to have a dedicated spine surgeon as a convenience for all of our patients.
At the completion of his spine surgery fellowship, Dr. Qamirani sought out many different locations to begin his practice. In the end, MTBJ offered the best opportunity for him and his family. He was very impressed with our physicians and the practice opportunity at the clinic. Our core belief of providing great orthopedic care in a conservative manner exactly matched Dr. Qamirani’s views, and we have seen firsthand that he is a wonderful match for our clinic.
He noted that the greatest change he has seen in Orthopedics is the focus on cost savings within the practice without having to sacrifice care. He says these are difficult times for the practice of orthopedics and medicine in general, but he fully believes that by placing the patient first we will succeed. Just recently, Dr. Qamirani was the first to perform a cervical total disc arthroplasty as an outpatient in the Surgery Center of Middle Tennessee, located downstairs in our office building.
Professionally, Dr. Qamirani is most proud of receiving the Lawson Senior Award for Highest Academic Achievement of Graduating Residents at the completion of his residency training in Toronto, and also finishing his spine surgery fellowship at one of the best programs in the country.
Personally, he is most proud of his amazing wife who supported him through the many years of medical training and of his two kids. He is also very proud to have been raised in a great family with two wonderful parents and a loving sister.
When he’s not at the clinic, he appreciates being able to spend time with his family. He also enjoys playing soccer, mountain biking, basketball, canoeing and watching college football (Gig ‘em Aggies!!). Dr. Qamirani has been married to his wife Joana for 10 years, and they are blessed to have a son, Mason, who is eight, and a daughter, Gina, who is four. They spend a lot of time together, and they especially like traveling to different areas of the country.