Category Archive: Articles

Category Archive: Articles

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.

    Tennessee Orthopaedic Society names Dr. Randy Davidson as President

    Posted by on December 22, 2016

    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 tos-logoorthopaedic 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

    Congratulations Dr. Davidson!

    Why do running injuries happen? (and how to prevent them)

    Posted by on December 16, 2016

    What is your number one goal as a runner? For most, it’s to run injury free. 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

    Posted by on December 14, 2016

    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.katie-photo

    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.