Category Archive: Articles

Category Archive: Articles

A Focus on Sports Medicine

Posted by on March 9, 2018

With the wide variety of sports happening in Middle Tennessee during the year, there are many opportunities for injuries. Our clinic not only specializes in specific parts of the body, but we also have an overall sports medicine specialization. Dr. Jonathan Pettit focuses solely on Sports Medicine, and five other physicians – Dr. Doug Wilburn, Dr. Randy Davidson, Dr. Jeff Adams, Dr. Scott McCall, and Dr. Cason Shirley – include Sports Medicine along with their other specialties.

According to Dr. Pettit, the most common sports injuries he sees are an even mix between acute (sudden) and overuse injuries. He frequently treats ACL tears, meniscus (knee cartilage) tears, rotator cuff and shoulder labral tears, ligament injuries of the knee and shoulder, and fractures of all varieties.
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Youth are at an increased risk for injury in league sports because their bodies are still growing. One example is the growth plate – the area at the ends of a child’s long bones and is the last part of the bone to harden, typically during the teenage years and sooner for girls rather than boys. According to the American Academy of Orthopedic Surgeons, one-third of all growth plate fractures occur during participation in competitive sports such as football, basketball, or gymnastics. “We see a large number of growth plate fractures,” said Dr. Pettit. “If they are not aligned well or go untreated, they may impair an athlete by limiting range of motion or causing uneven growth in the injured area.”

The field of sports medicine is not just limited to youth athletes, however. Adults are also prone to sports injuries. The term occasionally used is “weekend warrior” for an adult who may be sedentary in the office during the week but plays on a Saturday kickball league or takes part in a spontaneous pick-up basketball game with the neighborhood kids. Not wearing appropriate protective gear and improper stretching, or a complete lack thereof, could put you at risk for injury.

So what happens when you get hurt? The affected area begins to swell or bruise and possibly becomes unstable. You know something is wrong, but you’re not sure how much damage has been done. The first thing to do is take weight off of it. Rest and stay away from the activity that caused the injury for now. You can also ice the area and use non-steroidal anti-inflammatories (Advil, Motrin, or Aleve). After two or three days, if the pain hasn’t lessened or resolved it’s time to get checked out by a sports medicine specialist. Student athletes usually have access to a team trainer at school to assess the injury, who can then refer them on to a sports medicine professional for further evaluation. Any acute severe injury or inability to bear weight or use a limb is a call for more immediate assessment.

The goal for our physicians is to treat the athlete as conservatively as possible while focusing on a return to pre-injury activity levels. Most treatments are non-surgical and would typically include physical therapy, bracing, or injections. Only after you are able to practice without pain or difficulty should you attempt to get back into the sport.

The biggest question is how can you avoid injuries in the first place? Unfortunately, sometimes things just happen and an injury is no one’s fault. But there are things you can do to lessen the likelihood that you’ll end up in our clinic. One very easy thing is to stay hydrated! Dr. Pettit says that dehydration contributes to physical and mental fatigue, which could increase injury rates during sports. Hydration and appropriate rest periods are significant to limiting sports related injuries.

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We also consider overuse injuries. These are typically caused by repetitive motion in a sport, like swinging a bat or throwing a football. Eventually that shoulder or elbow will get tired and muscles can become strained. Patients can reduce the likelihood of an overuse injury by reducing the time spent on a certain activity, and also ensuring the use of appropriate form and correct technique.

Proper warm up and cool down periods are also crucial to preventing sports injuries. If a student athlete is running late to practice, missing the warm up laps around the field, and decides to head straight into a tough scrimmage then there is the potential for an injury.

Having good, sturdy footwear is another important part of training. Did you know there are some significant differences in walking shoes versus running shoes? Variations in the amount of cushion, heel height, and flexibility can be the difference between a shoe that feels good and supports your foot and a shoe that gives you blisters and sprained ankles.

For any questions about a sports injury, contact our office for an appointment!

New Sportsmetrics Class

Posted by on February 2, 2018

Dates: 2/12 – 3/23 (6 weeks – M/W/F)
Times: 3:30 – 5:00pm
Location: Game Time Sports and Training 1210 Impact Dr, Columbia, TN 38401
Registration: CLICK HERE To Register Today
Brochure: CLICK HERE To Download

It is easy to get caught up in the race to make your child the fastest and strongest in their sport. But it will never happen if they suffer a knee injury. Take charge with Sportsmetrics™ so your number one athlete can get stronger, jump higher, run faster, and stay injury free!

Mid-Tennessee Bone and Joint Physical Therapy, in conjunction with Game Time Sports and Training, is now the exclusive sponsor and provider for this dynamic Sportsmetrics™ program in Columbia.
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Serious knee ligament injuries sustained by female athletes during sports participation have reached epidemic proportions: female athletes are two to ten times more likely to suffer non-contact knee injuries as compared to their male counterparts. Annually, one in 100 high school and collegiate female athletes will sustain a serious knee ligament injury. These injuries require extensive rehabilitation and usually surgical reconstruction. The majority of these athletes lose an entire athletic season and suffer lower academic performance and class attendance as a result.

The Program consists of:

• Sports Injury Pre-Test
• Sportsmetrics™ Program (3 sessions per week for 6 weeks)
• Sports Injury Post-Test

Components of each session:

• Dynamic Warm-Up
• Jump Training
• Strength Training
• Agility and Speed Training
• Flexibility

Sportsmetrics™ has been featured in the New York Times, USA Today, ESPN and ABC’s Wide World of Sports. For more information visit: www.sportsmetrics.org.

Mid-Tennessee Bone and Joint Receives PedCAT Accreditation

Posted by on January 15, 2018

Back in January of 2017, Mid-Tennessee Bone and Joint announced the acquisition of a new PedCAT machine designed to assist with foot and ankle imaging. Now we are proud to announce that the Clinic has earned accreditation by the Intersocietal Accreditation Commission (IAC) for this unit.

Approximately one in 10 Americans undergo a Computed Tomography (CT) scan each year in order to detect abnormalities, injuries, or diseases. A highly regarded diagnostic imaging tool due to its ability to detect minute differences in tissue as well as its multi-planar reformatted imaging capabilities, CT is used to diagnose conditions of the neck, chest, abdomen, pelvis, extremities, cardiac, and vascular system and sinus and temporal bones.
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There are many factors that contribute to an accurate diagnosis based on CT imaging. The training and experience of both the operator performing the procedure and the interpreting physician, the type of CT equipment used, adherence to radiation dose guidelines, and the quality assessment metrics each facility is required to measure, all contribute to a positive patient outcome. IAC accreditation is a “seal of approval” that patients can rely on as an indicator of consistent quality care and a dedication to continuous improvement.

Mid-Tennessee Bone and Joint Clinic has been granted a three-year term of accreditation by the IAC in CT in the area of Body CT via our PedCAT. Accreditation by IAC indicates that our Clinic has undergone an intensive application and review process and is found to be in compliance with the published Standards, thus demonstrating a commitment to quality patient care in CT. Comprised of a detailed self-evaluation followed by a thorough review by a panel if medical experts, the IAC accreditation process enables both the critical operational and technical components of our facility to be assessed, including representative case studies and their corresponding final reports.

Christmas Door Decorating Contest!

Posted by on December 4, 2017

We added a fun new event to this year’s Christmas celebration – a door decorating contest! Our associates were divided into teams to decorate 19 doors across our office. The first place theme was The Polar Express, complete with lights and sound effects! Below is a picture of the winning entry and the other doors, all of which were very impressive!


1st Place


2nd Place


3rd Place

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MTBJ Donation to Harvest Share

Posted by on November 21, 2017

Just as our business has been blessed, we recognize how important it is to give back and be a blessing to others. In October, we initiated a donation to Harvest Share Food Pantry of Maury County, and our associates rose to the occasion! We divided the office into six teams and when the drive was over, we had collected approximately 4,700 food items! We are so grateful for the work that Harvest Share does in our community, and we are glad to have the opportunity to give back to this organization!

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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.
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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.
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“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.

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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.
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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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