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

Ultrasound-guided PRP injection for proximal and midfoot osteoarthritis. Although knees, shoulders and hips are the most...
01/20/2026

Ultrasound-guided PRP injection for proximal and midfoot osteoarthritis. Although knees, shoulders and hips are the most common joints we inject, certainly others can benefit in terms of pain reduction and functional improvement as these injections are not intended just to be a symptom management tool, but more of a disease modifying treatment.

This patient has advanced tennis elbow (lateral epicondylitis) and previously received five steroid injections under the...
01/19/2026

This patient has advanced tennis elbow (lateral epicondylitis) and previously received five steroid injections under the care of an experienced hand/elbow surgeon. While steroid injections can offer short-term relief, they often lead to worse long-term outcomes—as seen in this case.

She came to us for a second opinion. Her in-office ultrasound revealed multiple areas of tendon damage, including a degenerative tear (red arrow) and calcification within the tendon (blue arrow). Also, check out the significant abnormal blood flow to the tendon in the second picture.

We discussed several minimally invasive, long-term treatment options: Tenex, PRP, and TendoNova + PRP. Given the presence of calcification, we’ve chosen the Tenex procedure, which allows us to precisely treat damaged tissue and potentially remove the calcification as well.

Take-home message:
Be cautious with repeated steroid injections for tennis or golfer’s elbow. There are better long-term solutions.

Very professional staff and emphasis on patient experience and wellbeingFrom start to finish every step in the process I...
01/14/2026

Very professional staff and emphasis on patient experience and wellbeingFrom start to finish every step in the process I felt like I was an important patient

This patient came to me with the diagnosis of a meniscus tear based on his MRI radiology report. To borrow football term...
01/14/2026

This patient came to me with the diagnosis of a meniscus tear based on his MRI radiology report. To borrow football terms, “upon further review,” we took a detailed history, performed an exam and used the ultrasound to make the most accurate diagnosis, which is a partial tear of his quadriceps tendon. This subsequently led to a platelet rich plasma injection. Always remember, do not simply rely on an MRI report.

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.