Category Archive: Articles

Category Archive: Articles

Mako Surgical Device Assists Surgeons in Orthopedic Procedures

Posted by on August 1, 2018

Several months ago, Maury Regional Medical Center introduced their new Mako robotic surgical device to assist with a variety of surgical orthopedic procedures. Dr. Scott McCall and Dr. Cason Shirley are utilizing this machine to perform total knee replacements, partial knee replacements, and total hip replacements. This emergent technology is able to assist surgeons and ensure increased accuracy with the placement of surgical components. Maury Regional has been performing Mako surgeries since October of 2017. They estimate they have performed over 100 since then, and more are scheduled every day.

There are a variety of joint problems that can ultimately lead to surgery. A key reason is arthritis which can present with pain, stiffness and inflammation in the joints. For those over 60, osteoarthritis is typically the most common form. The progressive wear and tear on joints and cartilage leads to limited range of motion, significant pain deep within the joint, or occasionally the feeling of your bones catching or grating against each other. A knee or hip replacement typically relieves the pain and discomfort associated with this degenerative condition. Joint replacements can also be used to treat pain related to a previous trauma or injury to the joint.
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Often before proceeding with joint replacement there may be several weeks of physical therapy to determine if this may improve your joint pain and function. If given the opportunity to stretch, strengthen, and increase flexibility, pain may decrease and function may improve to the point where the patient may be able to delay surgery. Stronger muscles and improved flexibility can help stabilize the joint and reduce stress on an arthritic knee or hip. Other conservative treatment options include oral anti-inflammatory medicines or injections of cortisone or a lubricant type material into the knee.

For those patients who find themselves a candidate for a Mako joint replacement surgery, there may be some questions about how the surgery is performed and how it varies from a traditional surgery.

“With Mako, we can provide each patient with a personalized surgical experience based on their specific diagnosis and anatomy,” said Dr. Scott McCall. “Using a virtual 3D model, Mako allows surgeons to create each patient’s surgical plan pre-operatively before entering the operating room.”

One misconception is that the robot itself controls the incisions and that the doctor has very little input, which isn’t the case. “The procedure is not radically different than what we’ve done before,” Dr. Scott McCall said. “The surgeon is not sitting in a back room with joysticks doing surgery outside of the operating room. The robot sets the plan specific to the patient, and you can make small variations to maximize ligament replacement. The surgeon has control over the robot and the surgery at all times; however, the robot can make cuts a human cannot do.”

These patient-specific plans consider many factors, including gender, exact shape and measurements of the patient’s joint, and how the joint moves. These plans assist the surgeon in performing the surgery and ensure the most accurate delivery of the surgical design.
To prep for the surgery, the bone that will be fitted for the implant must first be sculpted, or resurfaced, to remove any diseased bone and cartilage. The new clean surface is then ready for the implant. Your doctor will discuss with you the different options of implants based on your lifestyle and individual needs.
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“During surgery, we can validate that plan and make any other necessary adjustments to tailor it precisely to what the patient needs,” said Dr. Cason Shirley. “It’s exciting to be able to offer this transformative technology across the joint replacement service line to perform total knee, total hip and partial knee replacements.”

It has also been shown that patients who undergo a Mako-assisted surgery may see benefits such as a smaller incision, less pain, and a faster recovery. Every patient responds differently to surgery and you may not experience all of these benefits. Rehabilitation after a Mako surgery is not any different from a traditional surgery, with approximately six to eight weeks of physical therapy required to strengthen the joint and regain motion.

“This is a multi-million dollar investment by Maury Regional Medical Center which allows us to offer cutting-edge technology to our patients and improve patient outcomes,” said McCall.


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Stress Fractures of the Foot and Ankle

Posted by on July 27, 2018

A stress fracture is a small crack in a bone, or severe bruising within a bone. Most stress fractures are caused by overuse and repetitive activity, and are common in runners and athletes who participate in running sports, such as soccer and basketball.

Stress fractures usually occur when people change their activities — such as by trying a new exercise, suddenly increasing the intensity of their workouts, or changing the workout surface (jogging on a treadmill vs. jogging outdoors). In addition, if osteoporosis or other disease has weakened the bones, just doing everyday activities may result in a stress fracture.
Walking club
The weight-bearing bones of the foot and lower leg are especially vulnerable to stress fractures because of the repetitive forces they must absorb during activities like walking and running.

Refraining from high impact activities for an adequate period of time is key to recovering from a stress fracture in the foot or ankle. Returning to activity too quickly can not only delay the healing process but also increase the risk for a complete fracture. Should a complete fracture occur, it will take far longer to recover and return to activities.


Stress fractures occur most often in the second and third metatarsals in the foot, which are thinner (and often longer) than the adjacent first metatarsal. As a foot specialist would emphasize, this is the area of greatest impact on your foot as you push off when you walk or run.

Stress fractures are also common in the calcaneus (heel); fibula (the outer bone of the lower leg and ankle); talus (a small bone in the ankle joint); and the navicular (a bone on the top of the midfoot).
Stress fracture

Many stress fractures are overuse injuries. They occur over time when repetitive forces result in microscopic damage to the bone. The repetitive force that causes a stress fracture is not great enough to cause an acute fracture — such as a broken ankle caused by a fall. Overuse stress fractures occur when an athletic movement is repeated so often, weight-bearing bones and supporting muscles do not have enough time to heal between exercise sessions.

Bone is in a constant state of turnover—a process called remodeling. New bone develops and replaces older bone. If an athlete’s activity is too great, the breakdown of older bone occurs rapidly — it outpaces the body’s ability to repair and replace it. As a result, the bone weakens and becomes vulnerable to stress fractures. If this is you, foot fungus on feet can be painful until you find the right relief, you should consider asking a podologist for help.


The most common cause of stress fractures is a sudden increase in physical activity. This increase can be in the frequency of activity—such as exercising more days per week. It can also be in the duration or intensity of activity—such as running longer distances.

Even for the non-athlete, a sudden increase in activity can cause a stress fracture. For example, if you walk infrequently on a day-to-day basis but end up walking excessively (or on uneven surfaces) while on a vacation, you might experience a stress fracture. A new style of shoes can lessen your foot’s ability to absorb repetitive forces and result in a stress fracture.

Bone Insufficiency
Conditions that decrease bone strength and density, such as osteoporosis, and certain long-term medications can make you more likely to experience a stress fracture-even when you are performing normal everyday activities. For example, stress fractures are more common in the winter months, when Vitamin D is lower in the body.

Studies show that female athletes are more prone to stress fractures than male athletes. This may be due, in part, to decreased bone density from a condition that doctors call the “female athlete triad.” When a girl or young woman goes to extremes in dieting or exercise, three interrelated illnesses may develop: eating disorders, menstrual dysfunction, and premature osteoporosis. As a female athlete’s bone mass decreases, her chances for getting a stress fracture increase.

Poor Conditioning
Doing too much too soon is a common cause of stress fracture. This is often the case with individuals who are just beginning an exercise program-but it occurs in experienced athletes, as well. For example, runners who train less over the winter months may be anxious to pick up right where they left off at the end of the previous season. Instead of starting off slowly, they resume running at their previous mileage. This situation in which athletes not only increase activity levels, but push through any discomfort and do not give their bodies the opportunity to recover, can lead to stress fractures.

Improper Technique
Anything that alters the mechanics of how your foot absorbs impact as it strikes the ground may increase your risk for a stress fracture. For example, if you have a blister, bunion, or tendonitis, it can affect how you put weight on your foot when you walk or run, and may require an area of bone to handle more weight and pressure than usual.

Change in Surface
A change in training or playing surface, such as a tennis player going from a grass court to a hard court or changing their used tennis racquets to new ones, or a runner moving from a treadmill to an outdoor track, can increase the risk for stress fracture.

Improper Equipment
Wearing worn or flimsy shoes that have lost their shock-absorbing ability may contribute to stress fractures.


The most common symptom of a stress fracture in the foot or ankle is pain. The pain usually develops gradually and worsens during weight-bearing activity. Other symptoms may include:

• Pain that diminishes during rest
• Pain that occurs and intensifies during normal, daily activities
• Swelling on the top of the foot or on the outside of the ankle
• Tenderness to touch at the site of the fracture
• Possible bruising

First Aid

See your doctor as soon as possible if you think that you have a stress fracture in your foot or ankle. Ignoring the pain can have serious consequences. The bone may break completely.

Until your appointment with the doctor, follow the RICE protocol. RICE stands for rest, ice, compression, and elevation.

• Rest. Avoid activities that put weight on your foot. If you have to bear weight for any reason, make sure you are wearing a very supportive shoe. A thick-soled cork sandal is better than a thin slipper.
• Ice. Apply ice immediately after the injury to keep the swelling down. Use cold packs for 20 minutes at a time, several times a day. Do not apply ice directly on your skin.
• Compression. To prevent additional swelling, lightly wrap the area in a soft bandage.
• Elevation. As often as possible, rest with your foot raised up higher than your heart.
In addition, nonsteroidal anti-inflammatory drugs, or NSAIDs, such as ibuprofen or naproxen can help relieve pain and reduce swelling.

Physical Examination

Your doctor will discuss your medical history and general health. He or she will ask about your work, your activities, your diet, and what medications you are taking.It is important that your doctor is aware of your risk factors for stress fracture. If you have had a stress fracture before, your doctor may order a full medical work-up with laboratory tests to check for nutritional deficiencies such as low calcium or Vitamin D.

After discussing your symptoms and health history, your doctor will examine your foot and ankle. During the examination, he or she will look for areas of tenderness and apply gentle pressure directly to the injured bone. Often, the key to diagnosing a stress fracture is the patient’s report of pain in response to this pressure. Pain from a stress fracture is typically limited to the area directly over the injured bone and is not generalized over the whole foot. Your doctor may order imaging tests, such as x-ray or MRI, to help confirm the diagnosis.


The goal of treatment is to relieve pain and allow the fracture to heal so that you are able to return to your activities. Following your doctor’s treatment plan will help you return to activities faster and prevent further damage to the bone. Treatment will vary depending on the location of the stress fracture and its severity. The majority of stress fractures are treated nonsurgically.

Nonsurgical Treatment
In addition to the RICE protocol and anti-inflammatory medication, your doctor may recommend that you use crutches to keep weight off your foot until the pain subsides. Other recommendations for nonsurgical treatment may include:

• Modified activities. It typically takes from 6 to 8 weeks for a stress fracture to heal. During that time, switch to activities that place less stress on your foot and leg. Swimming and cycling are good alternative activities. However, you should not resume any type of physical activity that involves your injured foot or ankle-even if it is low impact-without your doctor’s recommendation.
• Protective footwear. To reduce stress on your foot and leg, your doctor may recommend wearing protective footwear. This may be a stiff-soled shoe, a wooden-soled sandal, or a removable short-leg fracture brace shoe.
• Casting. Stress fractures in the fifth metatarsal bone (on the outer side of the foot) or in the navicular or talus bones take longer to heal. Your doctor may apply a cast to your foot to keep your bones in a fixed position and to remove the stress on your involved leg.

Surgical Treatment
Some stress fractures require surgery to heal properly. In most cases, this involves supporting the bones by inserting a type of fastener. This is called internal fixation. Pins, screws, and/or plates are most often used to hold the small bones of the foot and ankle together during the healing process.


In most cases, it takes from 6 to 8 weeks for a stress fracture to heal. More serious stress fractures can take longer. Although it can be hard to be sidelined with an injury, returning to activity too soon can put you at risk for larger, harder-to-heal stress fractures and an even longer down time. Reinjury could lead to chronic problems and the stress fracture might never heal properly.

Once your pain has subsided, your doctor may confirm that the stress fracture has healed by taking x-rays. A computed tomography (CT) scan can also be useful in determining healing, especially in bones where the fracture line was initially hard to see.

Once the stress fracture has healed and you are pain free, your doctor will allow a gradual return to activity. During the early phase of rehabilitation, your doctor may recommend alternating days of activity with days of rest. This gives your bone the time to grow and withstand the new demands being placed upon it. As your fitness level improves, slowly increase the frequency, duration, and intensity of your exercise.


The following guidelines can help you prevent stress fractures in the future:

• Eat a healthy diet. A balanced diet rich in calcium and Vitamin D will help build bone strength.
• Use proper equipment. Old or worn running shoes may lose their ability to absorb shock and can lead to injury. In general, athletic shoes should have a softer insole, and a stiffer outer sole.
• Start new activity slowly. Gradually increase your time, speed, and distance. In most cases, a 10 percent increase per week is appropriate.
• Cross train. Vary your activities to help avoid overstressing one area of your body. For example, alternate a high-impact sport like running with lower-impact sports like swimming or cycling.
• Add strength training to your workout. One of the best ways to prevent early muscle fatigue and the loss of bone density that comes with aging is to incorporate strength training. Strength-training exercises use resistance methods like free weights, resistance bands, or your own body weight to build muscles and strength.
• Stop your activity if pain or swelling returns. Rest for a few days. If the pain continues, see your doctor.



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Dr. Jeff and Tina Adams Recognized at Benefit Ball

Posted by on July 12, 2018

MTBJ is proud to announce that the 2018 recipients of the Maury County Benefit Ball’s annual Lucille Queener Courtney award are none other than our own Dr. Jeff and Tina Adams! The event, held Saturday, March 3rd, has been held since 1980 and serves as a fundraiser for various community groups each year. This year’s fundraising recipients were aMuse’um Children’s Museum and Maury County Students in Transition.

The Lucille Queener Courtney Award was established in 1992 to recognize a Maury County resident(s) who has shown dedication to community service. This year’s prestigious award was presented to Dr. Jeff and Tina Adams for their outstanding service to this community. Since becoming residents in 1991, they have worked tirelessly to buy fildena of this community as well as support many foundations throughout the county.
The primary focus of Jeff and Tina’s volunteering has been with the youth within the community. In the past, Tina has been a board member for King’s Daughters, Family Center, CASA (Court Appointed Special Advocates), and the Boys and Girls Club. She is currently a board member for Young Life, Youth Education Foundation, and a constant volunteer for the James K. Polk Association. Tina is also a founding member of Kid’s Kingdom. Tina has also given her time to Linebackers, Girl Scouts, Rotary, Leadership Maury, and as a past Co-Chair of the Maury County Benefit Ball.

Dr. Adams has always donated his time to keep school-age athletes healthy by being a solid presence on many sidelines including Columbia Central High School, Marshall County, and Chapel Hill. A staple in many schools, he has provided sports physicals to a large number of athletes in Maury County. Dr. Adams does this all on his own and with no compensation for his time and care. Yearly, he has participated in the Arthritis Foundation Walk, to help raise funds for research to cure arthritis.

While their two children, Jennifer and Jonathan, were young, Jeff and Tina became involved with Brown Elementary. They continued to support this school long after their children have grown up. They have served as PTA members, Tina as a room mom, and both as volunteers for any task that was needed throughout the school. Tina actively participates with children who need extra help with reading on a weekly basis.

We send our congratulations to Dr. Adams and Tina for this well-deserved award!


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Workers Compensation – When You’re Injured on the Job

Posted by on July 12, 2018

Workers Compensation: no one wants to experience it, but everyone who works needs access to it. And if you mention the words ‘workers comp’ to a business owner or employee, and you may be met with unhappy groans. The mountains of paperwork, the time the employee is out of the office, and the injury itself are not enjoyable for anyone. Our associates at Mid-Tennessee Bone and Joint recognize the effort that goes into the entire workers comp process and we are devoted to managing the steps from start to finish, making it as stress-free as possible for everyone.

We are proud to have two skilled Workers Comp Specialists at our Columbia office who handle every aspect of our patients’ cases. Kay McKissack and Cindy Carpenter are the main contacts for all claims within our office. Whether you’re the employer, employee, case manager, or adjustor, you can reach out to our office if you have any questions or comments about the case in which you are involved.
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So what should you expect on your first visit as a workers comp patient? A quick phone call from the employer to start the process will include questions about the type of injury, an approval for the employee to be seen by our providers, determination of a case number, confirmation of insurance, and the employee’s information. For workers comp injuries that happened within the last two weeks, the employee is able to come through OrthoQuick to be seen with no appointment necessary.

From there, we will perform any required scans to confirm the injury and begin to develop a course of treatment. For injuries that require surgical attention, we have an out-patient surgery center in our building. We also have a full physical therapy suite in our building, complete with a HydroWorx therapy pool for patients who can benefit from that type of treatment.

For employers, we offer many benefits of allowing us to care for your workers comp cases. The primary benefit is our ability to fully treat the patient within one location. Patients can see a doctor, receive an MRI or x-ray, have out-patient surgery, and undergo physical therapy all in the same building. We can even prescribe medication in-house for our workers comp patients.

For our friends and colleagues in southern Middle Tennessee, utilizing Mid-Tennessee Bone and Joint for your workers comp care limits the distance a patient travels for treatment and avoids the hassle of dealing with a confusing network of hospitals, reducing time and cost involved in a treatment plan.

Through OrthoQuick, we treat a variety of workers comp injuries. While there is no “typical” injury, the injuries that present usually fall into one of a few categories: slip/trip, overexertion, falls, machinery accident, or injury via repetitive motion. We will also see back and neck workers comp injuries through OrthoQuick.

For all parties, the ability to diagnose and treat an injury quickly is of the utmost importance. That means a faster return to work, more opportunities to earn a paycheck, and more hands on deck for the employer. However, one possible scenario is that your injury has healed enough to get back to work, but not enough to return to the exact job you had prior to your injury. We encourage all employers to offer light duty options to their employees returning from time off work. Your doctor will let you know when you’re able to go back to work, even if your treatment isn’t fully completed. Your doctor will also let you know of any limitations for your job and what you will and will not be able to perform while working.
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For example, if your pre-injury job mandated that you regularly lift 20 pounds, your light duty responsibilities could be modified to remove any heavy lifting. An employee’s light duty position may include desk work, inventory work, or another non-strenuous position. In the state of Tennessee, an employer is not required to provide light duty work to an employee, but it is encouraged. If the employer provides light duty accommodations to the employee based on the treating physician’s medical opinion, the employee must return to work and attempt the light duty position or risk losing their disability benefits. Our office works with all parties to ensure clear communication on these decisions.

For employers, our physicians are available to tour your facility and answer any questions related to workers comp care. We know it’s helpful to see who is personally treating your employees and what to expect during that treatment plan. In turn, we can determine what light duty options are available at your company, meet the key decision makers we will be communicating with, and obtain a full understanding of job duties and what types of movements employees make in their positions. Are there repetitive overhead arm motions? Do your employees regularly lift 20 to 50 pounds? Knowing that information will help our physicians and physical therapists as we treat your employee.

Our satellite locations in Pulaski and Lewisburg also make it easy to be seen for follow up workers comp visits without traveling into Columbia. Dr. Doug Wilburn and Dr. Jeffrey Adams staff these locations about twice per month, so your employees can easily request one of these locations for their return visits if they are assigned to any of these physicians.

Our primary goal at Mid-Tennessee Bone and Joint is to deliver quality treatment for our patients and provide that treatment with care and respect. Please don’t hesitate to call our office if you have any questions regarding our workers compensation program.
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MTBJ Offers Expanded Physical Therapy Hours

Posted by on July 12, 2018

Our physical therapy department has introduced extended hours to better accommodate our patients. Our therapy staff is available from 7:30 a.m. – 7:00 p.m. Monday through Thursday, 7:30 a.m. – 5:30 p.m. on Friday, and 8:00 a.m. – noon on Saturday. Many of our patients are coordinating their physical therapy schedules with work and other family or personal obligations. It is our hope that these extended hours will allow more opportunities to complete their prescribed therapy regimen and ensure full healing. For Medicare patients, please contact our office for information on available hours.

We are also introducing a concept known as prehab. Prehab is therapy prescribed to a patient to be completed before surgery. The exercises strengthen the part of the body where surgery will occur with the hopes that it will lead to faster healing times after the procedure. Strength and flexibility are improved and some studies show a reduced risk for surgical complications. Prehab is an option for all surgical candidates but specifically patients who are scheduled for total hip replacement, total knee replacement, total shoulder replacement, rotator cuff repair, and ACL surgery.

“Prehab is a combination of providing knowledge and establishing an exercise routine prior to surgery,” said Ashley Miller, PT, physical therapy Clinic Director. “In many cases, prehab has provided an emotional benefit to the patient as well as improved surgical outcomes.”

Finally, for patients who have total knee or hip replacements, MTBJ physical therapy staff will be available to come to the patient’s home to start therapy after the patient is released from the hospital. This option is geared toward patients in the Columbia area that need a little extra help with independence at home, prior to starting therapy at the clinic. Insurance would allow for home visits for most patients, and the remaining visits can be done on site at our MTBJ physical therapy suite.

Mid-Tennessee Bone and Joint continually strives to provide patients with compassionate, specialized, and exceptional care in all areas of orthopedics and physical therapy. We are delighted to offer these new options in caring for your health!

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 prednisone news 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 buy phenergan.

    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.