Nashville Hip Institute at TOA

25/07/2025

Piriformis Syndrome: The Hidden Cause of Sciatica? Pain in the buttock that radiates down your leg? It might be piriformis syndrome — but not always.

The truth:
🔹 95% of sciatica stems from lumbar spine issues
🔹 Piriformis syndrome is real, but often overdiagnosed
🔹 A tight or irritated piriformis muscle can compress the sciatic nerve, mimicking back-related pain

Proper diagnosis is key — sometimes requiring an MRI or ultrasound-guided injection to confirm the source. What feels like hip pain might actually start in your spine.

Piriformis syndrome is a diagnosis that probably gets overlooked and overused in equal proportions. It is characterized by buttock pain.

24/07/2025

to 1992: A pivotal moment in hip arthroscopy history.

A patient with 14 years of hip symptoms — locking, catching, giving way. Dr. Byrd went in arthroscopically, expecting the unexpected.
▪️What he found: a large labral tear flipped inside the joint.
▪️What happened: excision, resolution, and the beginning of a journey that reshaped modern hip preservation.

This was the case that changed everything.

http://nashvillehip.org/In 1992, Dr. Byrd performed arthroscopic surgery on this man with a 14 year history of locking, catching and giving way in his hip. D...

22/07/2025

Most cases of tendinitis respond well to conservative care:
✅ Activity modification
✅ Targeted physical therapy
✅ NSAIDs
✅ Cortisone (when necessary)

For more persistent pain, advanced therapies like PRP or stem cell injections may help jumpstart healing.

And when nonsurgical options fall short? Surgery — whether minimally invasive or open — may be the answer to restore tendon health and function.

Abductor tendon injuries are a common source of Greater Trochanteric Pain Syndrome (GTPS) that fails to respond to conservative treatment.

18/07/2025

16/07/2025

50 thoughts. 2 weeks. 1 unforgettable Wimbledon.
· Iga Świątek bounced back with power
· Jannik Sinner got his revenge on Alcaraz

And the grass? Still full of surprises.

Iga Świątek bounced back in commanding fashion, while Jannik Sinner exacted revenge on Carlos Alcaraz.

14/07/2025

What a week in Nashville!
The American Academy of Sport Physical Therapy (AASPT) Annual Meeting — in collaboration with American Orthopaedic Society for Sports Medicine (AOSSM) — brought together some of the best minds in sports physical therapy and orthopedic sports medicine.

🔹 Inspiring lectures
🔹 Powerful connections
🔹 Clinical pearls you can use Monday morning

A special shoutout to Dr. Thomas Byrd, Ashley Campbell, and Mike Voight for Thursday’s AOSSM/AASPT Exchange Lecture on hip preservation, and to the AASPT crew for Saturday’s high-impact athletic hip session.

From packed rooms to energizing hallway convos, this collaboration is pushing the field forward — together.

10/07/2025

🏈⚽ Football or Fútbol?
What if NFL stars took their talents to the pitch? This article imagined the ultimate soccer starting XI made entirely of NFL athletes.

🧤 Who’s the keeper?
⚡ Who dominates midfield?
🎯 Who’s your striker?

The 2026 World Cup is near, and nations are qualifying for one of the 48 spots. What would be the best soccer team made up of NFL players look like?

09/07/2025

What’s that pop in your hip?
Not all snapping hips mean trouble inside the joint.

The two most common causes of hip snapping are:
✅ The iliopsoas tendon (front of the hip)
✅ The iliotibial (IT) band (side of the hip)

These structures are outside the joint and often cause snapping sounds without serious joint damage.
If you feel locking or sharp catching pain, that could suggest a deeper joint issue — and should be evaluated.

Understanding where your pain or symptoms are coming from is the first step to proper treatment.

The most common things that snaps or pops in the hip are the iliopsoas tendon and the iliotibial band. This leads to snapping hip or iliopsoas syndrome.

08/07/2025

Healing Starts with Trust. Here’s Proof.

"My experience with NHI at TOA was amazing. I am honestly astounded by the care and attention I was given. I was treated like a priority and like my recovery mattered. They worked timely and efficiently.

They explored all avenues of care for me and gave me a plain language recovery plan. It was great to be able to understand what they were discussing and be able to engage with them in the conversation. I highly recommend seeing them!

The staff, nurses, and doctors have a heart for the patients and they truly car." -Bailie Light

04/07/2025

🇺🇸 Happy Independence Day from Dr. Byrd and the entire team at the Nashville Hip Institute at TOA! 🇺🇸

Today we celebrate the freedom that makes movement possible — in our lives, in our bodies, and in our great nation. As we honor the courage and sacrifice of those who made this day possible, we’re grateful to be part of a community that helps people live life to the fullest.

Wishing you a safe, joyful, and active 4th of July!

03/07/2025

While MRIs help guide planning, they often miss key joint damage — especially to the articular cartilage.

That's why, at NHI at TOA, we build flexible plans and adapt in real-time during surgery. Whether it’s repairing a torn labrum, smoothing cartilage, or reshaping bone, every decision is made with precision and purpose.

In FAI treatment, experience matters. And so does having every tool available — from scopes to open techniques.

There are a number of femoroacetabular impingement (FAI) treatment options that include both surgical and non-surgical options.

01/07/2025

Hip pain isn’t always straightforward.
Abductor tears often mimic or overlap with other issues.
Diagnosis requires both the right tools and the right eyes.
Trust a team that knows hips inside and out.

Abductor tendon injuries are a common source of Greater Trochanteric Pain Syndrome (GTPS) that fails to respond to conservative treatment.