Impact Sports Medicine & Orthopedics

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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

15/07/2025

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.

14/07/2025

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.

09/07/2025

🛠️ 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.

30/06/2025

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.

29/06/2025

Runners, we’ve got your back… and your feet, ankles, knees, and hips. 🏃‍♀️🏃‍♂️

Fall race season is just around the corner, and training is ramping up! Whether you’re chasing your first half marathon or aiming for a PR in the full, injuries can happen — even to the most experienced runners.

We’re here to keep you moving. 💪
With in-office digital X-rays and musculoskeletal ultrasound, we provide fast, accurate diagnoses and expert treatment plans tailored to runners like you.

Don’t let pain slow you down. Call us today to schedule an appointment — and let’s get you back on track! 📞👟

22/06/2025

🚨 PRP Just Got an Upgrade 🚨
More platelets. More healing power. Less pain.

We’re now using an advanced PRP system that delivers a higher concentration of growth factors—plus powerful new additions like Alpha-2 Macroglobulin and Extracellular Vesicles (EVs)—to boost healing and reduce inflammation.

Whether you’ve had PRP before or are just exploring your options, the results are better than ever.

💥 Better relief
💥 Better function
💥 Better quality of life

Ready to feel the difference?
📞 Call us today to find out if advanced PRP is right for you.

18/06/2025

TendoNova plus PRP for an Achilles tendon problem this past week. We love this combination. Blending a structural treatment with a biologic treatment…perhaps the best of both worlds in many situations. Tennis elbow, golfer’s elbow, plantar fasciitis, and Achilles tendonopathy are all conditions that could benefit from this set of minimally invasive office procedures.

16/06/2025

Here’s a case of massive traumatic prepatellar bursitis recently seen a patient who is a jiu jitsu athlete. Ultrasound guided aspiration of 194 cc of blood. Due to the thickened bursa tissue, the post aspiration picture still demonstrates significant tissue enlargement in the region. I can’t imagine doing this without ultrasound guidance.

08/06/2025

Always learning. Always evolving. I spent the weekend with a small number of colleagues, exchanging ideas, learning and fine-tuning some techniques as pertains to PRP injections and the world of stem cells.

03/06/2025

The $800 MRI and radiologist interpretation said “mild common flexor tendonopathy and a very small partial tear.“ This patient has severe medial elbow pain/golfer’s elbow. Here’s our ultrasound in the office. This is not just a small tear. This is a moderately sized focal tear (black area in the mid tendon). The two minute relatively inexpensive ultrasound in our office gave us a lot more information than that very expensive time-consuming MRI. Also, you can see the pathology much better with an ultrasound. If you think you have tennis or golfer’s elbow, don’t waste your time or money on an MRI. Choose musculoskeletal ultrasound instead.

01/06/2025

Interesting potential paradigm shift in the long-term treatment of adhesive capsulitis, also known as frozen shoulder. We see this on a frequent basis with approximately 90% being seen in middle-age women, particularly menopause. The average age being 51. A PRP injection, particularly given with ultrasound guidance, may soon prove to be the best treatment option for a long-term success. That being said, we continue to see outstanding results with ultrasound-guided steroid injections into the glenohumeral joint, followed by a physical therapy program.

29/05/2025

Here’s our third cutting-edge option for stubborn tennis and golfer’s elbow:

3) The TendoNova procedure: this is a new one. Similar to the Tenex, but we do this in the office. Instead of a small incision, this involves the introduction of an oscillating needle that helps debride the tendon and stimulate a healing response. We really like combining this with a PRP injection, getting the best of both worlds. A minor structural treatment with a biological treatment, both of which stimulate healing.

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Opening Hours

Monday	08:00 - 17:00
Tuesday	08:00 - 17:00
Wednesday	08:00 - 17:00
Thursday	08:00 - 17:00
Friday	08:00 - 17:00

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.