Category Archive: Articles

Category Archive: Articles

2018 Free Student Athlete Sports Physicals

Posted by on April 16, 2018

Every spring, Mid-Tennessee Bone and Joint provides free sports physicals for Maury County student athletes. This year, those physicals will occur on Monday, April 30 (boys) and Monday, May 7 (girls). Student athletes will need to bring the following paperwork with them for the physicals:

TSSAA Preparticipation Evaluation Physical Examination Form (link)

  • Parents/guardians and 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:

    ACL and Athlete Safety

    Posted by on March 9, 2018

    In the rise to success, a young athlete’s body is put through a lot. Suffering an injury at the peak of their performance can put a temporary halt to that success and potentially derail future plans, depending on the severity of the injury. One type of injury that has been found to cause more trouble in young female athletes is injury to the anterior cruciate ligament (ACL). There are many theories as to why females are more prone to ACL injuries as opposed to males, suggesting it may have to do with a difference in anatomy, hormones, and even evidence that males and females simply run and jump differently, leading to a prevalence of these injuries.

    These injuries can happen in almost any sport and are usually the result of a quick pivot, a sudden stop, or an awkward landing. When that “pop” happens and you feel pain, swelling, and instability, there’s a good chance the ACL is involved. And once the ACL is involved, a sports medicine professional should also be involved.

    There are two main bones that bear weight in the knee – the femur and the tibia. The ACL is a ligament that helps keep those bones in alignment. When a tear happens, the bones are at risk for moving out of place. It may feel like your knee is giving out when you attempt to walk on it. A thorough exam from an orthopedic specialist can diagnose an ACL tear, and you may also receive an MRI exam to look at the soft tissues in the area for additional injuries.
    Treatment for an ACL injury can vary greatly depending on the severity of the tear, the patient’s age, and the patient’s activity level. For a sprain or mild tear, a patient can usually proceed with rehab and modified activity levels to restore the knee to pre-injury condition. For a full tear, surgical reconstruction is typically on the agenda in order to reduce further damage to the knee.

    Mid-Tennessee Bone and Joint is one of the very few therapy clinics in the entire Middle Tennessee area to offer aquatic therapy with a HydroWorx pool. Aquatic therapy is extremely beneficial after ACL reconstruction as rehab can begin much sooner due to the low impact workout that water provides. The underwater treadmill improves range of motion and takes pressure off of the joints, allowing the patient to build strength easier. We are proud to offer this service to our therapy patients to improve their surgical outcomes.

    According to the American Orthopedic Society for Sports Medicine, about 150,000 ACL injuries occur in the United States every year. These injuries require extensive rehabilitation and often surgical reconstruction. Our group is working together to keep more student athletes healthy and on the field.

    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.
    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.

    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.
    GameTime logo
    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:

    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.
    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.
    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.