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Impact Sports Medicine & Orthopedics

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Nashville, TN
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

08/25/2025

Platelet Rich Plasma (PRP) Injections: What Details Really Matter?

✔ Experience of the physician – How long have they been performing PRP injections?
✔ Accuracy of the injection – Ultrasound guidance is key to making sure the PRP is delivered precisely where it’s needed.
✔ Amount of blood drawn – Using a higher volume can help produce the optimal number of platelets.
✔ PRP preparation – Should the PRP be rich in white blood cells or poor in them? The answer depends on your specific condition.
✔ Medication & supplement guidance – Some should be stopped before and after the procedure for the best results.
✔ Aftercare recommendations – Whether it’s rest, bracing, or temporary use of crutches or a boot, good guidance makes all the difference.
✔ Number & frequency of injections – A tailored plan is essential.
✔ Ongoing education – Physicians who teach and stay up to date on orthobiologic treatments bring that expertise to your care.
✔ Transparency – You deserve clear communication about outcomes, expectations, and cost.

08/11/2025

We’ve been doing ultrasound guided injections since 2008. The results of the study are no surprise. Plus, imagine what the results would look like with shoulder, hip, foot/ankle and hand/wrist injections. Knee injections are some of the easiest injections to do from a landmark standpoint and still, experienced clinicians missed 18% of the time. With more technically, difficult injections, I imagine that the accuracy rate drops down to about 50% to 70% with landmark/blind injections.

08/05/2025

Basically, this sounds like a broken record, but we have have to change the narrative in our medical community.

Basically every study demonstrates that PRP is superior to hyaluronic acid, the “gel injections.” Hyaluronic acid injections are good, as they serve a purpose, we still use them and find a benefit with them. However, if you want the best option…meaning the longest lasting relief, most natural, greatest ability to limit or stop cartilage deterioration and actually promote some potential regeneration of certain structures, then PRP is by far your better option.

It’s worth it. We are not only providers of PRP, we are recipients and have reaped the benefits.

08/04/2025

PRP vs Hyaluronic Acid: What’s Better for Knee Arthritis? 🦵✨

If you’ve been told to try hyaluronic acid (the “gel” shots) for your knee pain, you’re not alone. But did you know that platelet-rich plasma (PRP) is showing better results in clinical studies?

💉 Here’s why PRP stands out:

🔬 Treats the Root Cause: PRP uses your own blood’s healing cells to reduce inflammation and promote tissue repair. HA only lubricates—temporarily.

📈 Longer-Lasting Relief: Patients getting PRP often experience more relief for longer—6 to 24 months or more—compared to a 4-12 months with gel shots.

🌿 Natural & Regenerative: PRP is drug-free, minimally-invasive, and actually helps your body heal.

If you’re looking for a more effective and natural solution to knee arthritis, PRP may be the next step forward.

📍 Ask us if you’re a candidate. Your knees will thank you. 615.346.4036.

07/27/2025

📣 Ready to Heal, Not Just Hide the Pain?

More and more patients are asking for treatments that are:
✅ Natural
✅ Less invasive
✅ Actually prevent joint and tendon damage

That’s why we use PRP (Platelet-Rich Plasma) — and have for over 15 years.

💥 Got knee arthritis? PRP can relieve pain and help slow cartilage loss — something steroids and gel injections can’t do.

💪 Struggling with tennis elbow, plantar fasciitis, or Achilles pain? PRP helps your body heal the tendon, not just cover up the pain.

And when combined with physical therapy, bracing, supplements, and nutrition — PRP becomes even more effective.

👉 If you’re ready to take the next step in 2025, we’re here to help you move better, feel better, and stay better.

📩 Call us at 615.346.4036 to learn more about how PRP might work for you.

07/25/2025

Private orthopedic medical office with two practices and currently three physicians.

Role Description:

This is a full-time on-site role located in Nashville, TN, for a Senior Billing Specialist. The Senior Billing Specialist will ensure accurate and timely processing of invoices, manage patient billing, and oversee the entire billing process. This role includes verifying and reconciling account discrepancies, preparing billing statements, medical coding and charge entry, and pursuing insurance companies upon claim denials. The specialist will also interact with patients to resolve any billing issues and provide exceptional customer service.

Qualifications:

-Proficiency in the Billing Process and Client Billing
-Experience in Medical Coding and Charge Entry
-Experience in communication with insurance companies regarding the claims process
-Strong communication skills
-Attention to detail and ability to resolve billing discrepancies
-Excellent organizational and time management skills
-Ability to work independently and collaboratively with a team
-Experience in the healthcare or medical industry is required

If interested, Direct Message for further details.

07/22/2025

🦵✨ Another PRP injection this week for knee arthritis—but this time, we’re leveling up.

Lately, we’ve upgraded to a new PRP system that gives us:
✅ Higher platelet numbers
✅ More precise processing
✅ Extra proteins and vesicles that reduce inflammation, promote healing, and lessen post-injection discomfort

This is next-level regenerative medicine—and we’re proud to bring it to you. 💉🔬

07/20/2025

This one surprised me. Physicians, physical therapists and athletic trainers, please weigh in and share your opinion. I’m curious to see what you have to say.

ACL reconstruction is basically the standard of care for athletes after an ACL tear. However, this study and let me emphasize, it just one meta analysis, demonstrated no difference in return to sport or activity levels when comparing ACL reconstruction to no reconstruction and just rehabilitation.

The big question they did not answer would be the long-term health of the knee three, five and ten years or more later when comparing the two groups. Obviously one of the greatest benefits of ACL reconstruction is providing stability to the knee and protecting the cartilage structures from re-injury that may occur with multiple instability episodes, especially if the ACL is not functioning.

07/15/2025

Patients tell us all the time “Doc, I hope you know what you’re looking at because that doesn’t look like anything to me!” Well, a photograph doesn’t do it justice, but here is one thing that an inexpensive ultrasound offers you that an MRI does not: the ability to see abnormal blood flow, most commonly neovascularization, in the setting of a tendonopathy. This is an example of peroneus longus tendonopathy causing pain and swelling over the lateral ankle in a runner. You just can’t get this information with an MRI, and in my experience, when neovascularization is present in a symptomatic tendon, you can expect a more difficult recovery, often necessitating more innovative treatment options to overcome the condition.

07/14/2025

Not surprised by these results. The take home message here is that you should not be supplementing with testosterone therapy unless you have true clinical indications for this… below normal or low normal laboratory values and/or signs and symptoms consistent with testosterone deficiency. Otherwise, you are asking for an increased risk of tendon problems, as we commonly see more advanced cases of rotator cuff tears, tennis and golfers’ elbow as well as Achilles tendon problems in those on testosterone replacement therapy.

07/09/2025

🛠️ Orthopedic Maintenance: Don’t Wait for a Breakdown

You wouldn’t wait for your car to die before changing the oil—so why wait for your knees to wear out before doing something?

Just like your car needs routine maintenance, so do your joints—especially if you have arthritis. That’s what we call orthopedic maintenance.

Here’s what it looks like:
✅ Steroid injections – Fast relief for flares or big events
✅ Viscosupplements – Think of them as “oil changes” for your knees
✅ PRP (Platelet-Rich Plasma) – A game-changer that uses your body’s own healing power

You don’t have to wait for surgery to take action. Let’s be proactive—not reactive—about your joint health. 💪

📍Need a plan for your knees? We’re here to help.

06/30/2025

This past week marks the 13th anniversary of Impact Sports Medicine & Orthopedics — and what a journey it’s been. 💙

Since opening our doors in June 2012, it has been a true joy and privilege to care for patients from Nashville and beyond — from weekend warriors to seasoned athletes, and everyone in between.

I’m deeply grateful for the trust our patients have placed in us, and I especially want to thank my amazing office staff and physician partners. Your dedication, compassion, and teamwork are the heart of this practice and the reason we’ve grown into the small business we are today.

Here’s to the years behind us — and the many more ahead. Thank you for being part of the Impact family.

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

Website

http://www.impactsportsnashville.com/

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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.