Impact Sports Medicine & Orthopedics

Impact Sports Medicine & Orthopedics Expertise. Innovation. Compassion. Excellence in helping patients overcome injuries and pain while restoring function and allowing each to achieve their goals.

Dr. Holmes is a board-certified sports medicine physician whose practice focuses on minimally-invasive procedures and the non-surgical care of orthopedic and sports medicine conditions

šŸ’Ŗ Stubborn Tennis or Golfer’s Elbow? We’ve Got You Covered!As pictured here in the OR, we often use the Tenex procedure ...
10/28/2025

šŸ’Ŗ Stubborn Tennis or Golfer’s Elbow? We’ve Got You Covered!

As pictured here in the OR, we often use the Tenex procedure to help patients finally overcome chronic elbow pain. Platelet-rich plasma (PRP) injections in isolation or combined with the TendoNova procedure in the office are two other great alternatives

If you’ve been struggling with tennis elbow or golfer’s elbow that hasn’t improved with rest, therapy, or medications, these minimally invasive treatments may be exactly what you need.

All options can be performed right here in the office (or a quick outpatient surgical setting) — with no large incision, no complicated recovery, and a real chance for long-term healing instead of temporary relief.

šŸŽÆ If you’ve had elbow pain for more than a month that just isn’t getting better, come see us.
We have the tools to help you heal — and get back to doing what you love.

šŸ’‰ Why We Love PRP for Knee Pain šŸ’ŖAlthough we like how hyaluronic acid (gel) injections can help in certain cases, we lov...
10/26/2025

šŸ’‰ Why We Love PRP for Knee Pain šŸ’Ŗ

Although we like how hyaluronic acid (gel) injections can help in certain cases, we love PRP (platelet-rich plasma)—especially for treating mild to moderate knee osteoarthritis.

PRP harnesses your body’s own healing power to reduce inflammation, improve joint function, and promote long-term pain relief. In fact, multiple studies have shown that PRP outperforms gel/HA injections when it comes to pain reduction and patient satisfaction.

So if you’re 35 or older, have persistent knee pain, and haven’t had a recent injury, there’s a good chance you’re dealing with some degree of osteoarthritis.

šŸ‘‰ In that case, PRP might be your best long-term injection option—a natural, effective way to get you moving again without relying on repeated cortisone or gel shots.

If you’ve been told you need ā€œjust another gel injection,ā€ it might be time to ask about PRP.
Your knees will thank you. 🦵✨

Here’s what a gluteus medius (tendon on the outside of the hip) rupture can produce. We aspirated 170 cc of reactive flu...
10/22/2025

Here’s what a gluteus medius (tendon on the outside of the hip) rupture can produce. We aspirated 170 cc of reactive fluid. Could not have done this without ultrasound guidance. The patient experienced immediate relief from the aspiration, but additional treatment, likely surgery, will be required.

Are doctors biased in their recommendations?The answer is yes — but that’s not always a bad thing.Every physician brings...
10/21/2025

Are doctors biased in their recommendations?
The answer is yes — but that’s not always a bad thing.

Every physician brings experience and perspective into their decisions. Some biases are harmful, others come from success and experience.

Here are 3 common types:
1ļøāƒ£ Self-Serving Bias: When recommendations benefit the doctor more than the patient (thankfully, the least common).
2ļøāƒ£ Specialty Bias: Doctors see problems through the lens of their specialty — back pain looks different to an orthopedist, gynecologist, or psychiatrist.
3ļøāƒ£ Success Bias: The good kind — when years of positive results shape a physician’s confidence in a treatment, like PRP injections for pain and healing.

The key? Find a doctor whose experience-based bias aligns with your best interest — someone who listens, explains options, and treats you like a partner in your care.

Experience matters. Integrity matters even more.

Runner’s Insight šŸƒā€ā™‚ļøNonsteroidal anti-inflammatory drugs (NSAIDs) like Advil/Motrin and Aleve typically relieve soft ti...
10/10/2025

Runner’s Insight šŸƒā€ā™‚ļø
Nonsteroidal anti-inflammatory drugs (NSAIDs) like Advil/Motrin and Aleve typically relieve soft tissue pain but not bone pain. If discomfort around a bony area doesn’t improve with an anti-inflammatory, consider the possibility of a stress fracture.

In the Nashville area, there’s no shortage of race opportunities. If pain or injury requires rest, it’s wise to pause training, seek medical consultation and allow proper healing. Sometimes the best approach is to live to run another day.

PRP works — especially for knee arthritis. šŸ’ŖWhen the right platelet count is delivered, 97% of patients see great result...
10/08/2025

PRP works — especially for knee arthritis. šŸ’Ŗ
When the right platelet count is delivered, 97% of patients see great results.
The secret? Enough blood, the right PRP system, and expertise.
How do you like those odds? šŸ”„

✨ Not All PRP Is the Same ✨PRP (platelet-rich plasma) has exploded in popularity as a minimally invasive treatment for j...
10/07/2025

✨ Not All PRP Is the Same ✨

PRP (platelet-rich plasma) has exploded in popularity as a minimally invasive treatment for joint, tendon, and soft tissue injuries. But here’s the truth: PRP at one practice can be completely different than PRP at another.

What makes the difference?
āœ… The physician’s experience
āœ… Use of ultrasound for accuracy
āœ… The quality of the PRP system
āœ… Proper before-and-after care
āœ… Knowing how many injections are needed
āœ… Setting realistic expectations

At Impact Sports Medicine, we’ve specialized in PRP for over 15 years. Every injection is guided by ultrasound, and every patient receives detailed instructions to get the best results possible.

A grateful patient that recently moved away took the time to send me this beautiful hand carved piece.  We helped her th...
10/06/2025

A grateful patient that recently moved away took the time to send me this beautiful hand carved piece. We helped her through a tough season from both an orthopedic and emotional perspective. We appreciate her patriotism and her kindness. This type of positive feedback is not why we do what we do but often can certainly boost our experience.

🚫 Orthopedic Injections: What NOT to Do 🚫Not all injections are created equal. Here are 5 to avoid for your safety and l...
09/21/2025

🚫 Orthopedic Injections: What NOT to Do 🚫

Not all injections are created equal. Here are 5 to avoid for your safety and long-term results:

1ļøāƒ£ Injections from non-specialists– see an orthopedic expert.
2ļøāƒ£ Multiple steroid shots for plantar fasciitis, tennis/golfer’s elbow, or hip ā€œbursitisā€ – short-term relief, long-term harm.
3ļøāƒ£ Steroid injections into Achilles, patellar, or quad tendons – high risk of rupture.
4ļøāƒ£ Paying big $$ for PRP without ultrasound guidance – accuracy matters!
5ļøāƒ£ ā€œStem cellā€ injections not from your own tissue – often misleading and not FDA-approved.

šŸ‘‰ The right injection, done the right way, can be a game changer. Don’t settle for shortcuts.

✨ Our Top 5 Pieces of Advice for Healthier Joints & a Healthier You ✨At Impact, we don’t just see you as a ā€œkneeā€ or ā€œan...
09/20/2025

✨ Our Top 5 Pieces of Advice for Healthier Joints & a Healthier You ✨

At Impact, we don’t just see you as a ā€œkneeā€ or ā€œankleā€ — we see the whole person. Here are 5 practical tips we share with patients every day:

1ļøāƒ£ Food is fuel. Choose lean proteins, plenty of fruits & veggies, and healthy fats. Cut back on fried, processed, and sugary foods to reduce inflammation.

2ļøāƒ£ Healthy weight = healthy joints. Every extra pound adds 4 pounds of force to your knees. Dropping even 10 lbs takes 40 lbs of pressure off your joints!

3ļøāƒ£ Be smart with healthcare costs. Did you know hospital-based visits often cost more than private practices — without offering better care?

4ļøāƒ£ Motion is lotion. Keep moving! Even small steps, standing breaks, and gentle activity keep joints and tissues healthier.

5ļøāƒ£ Find your ā€œsweet spotā€ for exercise. Push enough to stay strong, but not so much that you create pain. Listen to your body.

šŸ’Ŗ Small, consistent choices add up to big long-term benefits for your joints and overall health.

šŸ‘‰ Which one of these tips do you want to work on first?

šŸ“Š Another Study Supporting PRP for Plantar FasciitisThis study compared PRP injections to two other treatments:šŸ”¹ TapingšŸ”¹...
09/18/2025

šŸ“Š Another Study Supporting PRP for Plantar Fasciitis

This study compared PRP injections to two other treatments:
šŸ”¹ Taping
šŸ”¹ Phonophoresis (using ultrasound to push a steroid through the skin)

šŸ‘‰ The big takeaway: Starting at the 3-month mark, PRP outperformed the other options—reducing pain, improving function, and even decreasing the thickness of the plantar fascia.

PRP continues to show why it’s such a powerful tool for chronic heel pain. šŸ‘£

No surprise here to us as PRP not only improved functional scores, but also reduced the size of a partial rotator cuff t...
09/17/2025

No surprise here to us as PRP not only improved functional scores, but also reduced the size of a partial rotator cuff tear. Compared to a steroid/cortisone injection, PRP is the superior option. Done under ultrasound guidance—even better. šŸ’‰šŸ©øšŸ˜

Address

2011 Murphy Avenue, Ste 603
Nashville, TN
37203

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm

Telephone

+16153464036

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Who We Are

Dr. Holmes is a board-certified sports medicine physician whose practice focuses on minimally-invasive procedures and the non-surgical care of orthopedic and sports medicine conditions.