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Keeping you... … is a quarterly newsletter from West Tennessee Bone & Joint Clinic. The clinic’s 11 physicians specialize in sports medicine, hand injuries and disorders, and orthopedic diseases and musculoskeletal injuries. For copies of this newsletter, contact Adam Kelley, Marketing Director, at 731.661.9825.
Congratulations to Dr. David Johnson and Dr. David Pearce for being selected as Jackson Sun Readers’ Choice Favorite Orthopedic Surgeons!
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Sports Medicine • Orthopedic Excellence
Successful surgery allows star athlete to play for Tennessee and then possibly NBA
obert Hubbs III, an elite basketball talent with a bright future in the sport, injured his right knee during an AAU game in Minnesota before his junior season at Dyer County High School. “I tried to make a quick move, and my knee just kind of popped,” Hubbs said. At 6 feet, 5 inches, Hubbs is one of the highestrated basketball recruits in the country and one of the top shooting guards among high school athletes. He didn’t know it at the time, but he had a torn meniscus, and he would need surgery. The night of the injury, doctors in the Minnesota emergency room told him to take it easy for a couple of days, and the knee should heal. Hubbs wanted to get back on the court as soon as possible, but when his father, Robert “Coach” Hubbs Jr., noticed that he wasn’t playing to his full potential, they looked for the best doctor they could find. “I said your health is more important than just one game,” Coach Hubbs said. Their clinic in Dyersburg recommended Dr. Jason Hutchison at West Tennessee Bone & Joint Clinic. Dr. Hutchison diagnosed the injury and explained that a meniscus tear was like a rip in a sheet of paper, Coach Hubbs said. It wouldn’t mend without surgery, and further activity could cause more tissue damage. Robert Hubbs, a star player for Dyer County High School, will Coach Hubbs said Dr. Hutchison was very be playing for the University of Tennessee at Knoxville next year. thorough and made them feel comfortable about (Photo courtesy of Dyersburg State Gazette.) the procedure. “He took time to explain what he “He basically gave me a brand-new knee,” he said. was going to do,” Hubbs said. Today, Hubbs is finishing his senior year of high Though the prospect of surgery was scary, Hubbs school. He will play basketball for the University of said he wanted to get back on the court. He was confiTennessee this fall, and analysts say he could make an dent his knee would get better. “I really wasn’t worried immediate impact. A rare talent, his potential for a caabout it. I put a lot of trust in Dr. Hutchison.” reer in professional basketball is strong. Dr. Hutchison performed the surgery in September Coach Hubbs said the injury hasn’t set his son back 2011, and Hubbs underwent several weeks of physical at all. His knee is back to 100 percent, and he continues therapy. The rehabilitation progressed, and he was back to develop his skills. “It’s like it never happened,” Coach on the court in time for the start of his junior season Hubbs said. “They’ve done a great job.” with Dyer County.
731.661.9825 n 888.661.9825 n www.wtbjc.com
Slowed down by joint pain?
Not all solutions lead to joint-replacement surgery
otal joint replacement is a sojoints. It is delivered through three injections during the course of three By Doug Haltom, M.D. lution for patients with limweeks. (See box, below, for more information.) ited function and chronic pain, and for many, it’s given them The use of an ultrasound helps make the viscosupplementation inthe ability to walk again and return to work. jection and other injections more effective. It improves the accuracy of But it’s a major surgery with a long recovery, and it’s not the only the injection, and it’s less painful. An ultrasound is often used for injecroute to consider when a joint disorder such as osteoarthritis becomes a tions of the knee, but is also used for injections of the shoulders, hands, problem. At West Tennessee Bone & Joint Clinic, we assess patients infeet and ankles. dividually to find the best course of treatment for their condition and n Activity: Another treatment for joint disorders is exercise, such as the lifestyle they want to achieve. walking or swimming, which helps Much of the decision depends increase range of motion while imon how the joint problem has limproving function and reducing pain. ited the patient’s activity and afPhysical therapy can be very benefifected daily life. A lot depends on cial for a select group of patients how much function a patient wants. with arthritis. Some non-surgical options are … n Other options: Sometimes, n Medications: Treating pain is braces or shoe inserts are all a paa big part of battling osteoarthritis, tient needs. Changing something very minor could decrease the pain and over-the-counter or prescription enough. drugs may be all a patient needs. n Cortisone: A cortisone injecThe solution is different for each tion up to three or four times a year patient because each has different may be enough to relieve the symplevels of pain and functionality, as toms and keep a patient ambulatory. well as different objectives. Some Cortisone shots, however, lose their just want to be able to get around effectiveness if they are overused. the house. Others want to get back to work and travel. n Viscosupplementation: AnWhile total joint replacement other treatment for pain caused by can be an effective solution for paosteoarthritis is viscosupplementatients with joint disorders, it’s not tion, which is a hyaluronic acid inthe only one. Many patients have jection that acts as a lubricant and found success with a much less inshock absorber. It’s a substance simivasive treatment plan. lar to the natural fluid found in Dr. Doug Haltom examines a patient’s knee joint.
A few facts about viscosupplementation is viscosupplementation advised? iscosupplementation is a procedure that involves the injecQ When Viscosupplementaion is usually reserved until other treattion of a gel-like substance of hyaluronic acid into the knee
joint. By Cheryl Murray, Hyaluronic acid is a natural subPhysical Therapist, stance normally found in the synovial fluid of a joint. It acts as a joint lubriCertified MDT cant and cushion to reduce friction and enable bones to move smoothly over each other. People with osteoarthritis have less hyaluronic acid in the synovial fluid. As a result, the joint surfaces don’t get lubricated and are more likely to get injured from daily stress and strain on the joint. Two preparations of hyaluronic acid are available for viscosupplementaion. One is extracted from rooster combs (the crown of feathers on a rooster’s head), and the other is manufactured from bacterial cultures in the laboratory. Patients who have allergies to eggs or chickens should not receive the rooster-comb injection.
ment options have been tried to relieve pain. These include exercise, physical therapy, weight loss, use of heat or cold, use of a cane or walker, pain relievers or steroid injections.
is a candidate for viscosupplementaion? Q WhoCandidates for viscosupplementation include elderly pa-
tients across the osteoarthritis spectrum, younger patients with mild to moderate osteoarthritis and patients with late-stage osteoarthritis. Patients who are too young for total knee replacement, cannot take nonsteroidal anti-inflammatory drugs or have multiple comorbidities may be considered for viscosupplementation.
long will the benefits of viscosupplementation last? Q HowStudies show that viscosupplementation can provide pain relief from osteoarthritis of the knee for up to six months.
We love it when our patients say nice things about us
‘They were just really nice to me’
To encourage patients to fill out the online patient satisfaction survey, West Tennessee Bone & Joint Clinic holds drawings to award gift baskets to those who have filled out the survey. Two recent gift-basket winners tell their story here. To fill out the survey, visit wtbjc.com.
to have an appointment.” Dr. Cobb diagnosed the injury right away, and X-rays confirmed multiple finger fractures. Hayden would not need surgery, Dr. Cobb told them. Instead, he would wear a cast until his hand healed. Throughout his recovery, Hayden and his mom made regular visits to West Tennessee Bone & ean McKinnie’s journey with West Tennessee Bone & Joint so Dr. Cobb could monitor Joint Clinic began in 2005 with a referral from her doctor his progress. Barbie said the docin Huntingdon. tors and staff told jokes to make Mrs. McKinnie, now 74, had been treated for carpal tunHayden laugh, complimented his nel syndrome and other aches and pains, but it was becombravery and worked hard to make ing too difficult to move around. “I was barely being able to him comfortable. “I just don’t walk with severe pain in my left hip,” she said. think he’d get treated like that Her doctor, who recommended hip-replacement surgery, everywhere,” she said. put her in touch with Dr. David Johnson at West Tennessee Hayden said his treatBone & Joint. She said she couldn’t have been happier with ment at West Tennessee the result. Bone & Joint made him Dr. Johnson replaced her left hip in 2005. Two years feel good about his later, he replaced both knees with a team that included Dr. recovery. “They Jason Hutchison. And two years after that, Dr. Johnson rewere just replaced her right hip. “I credit him with being able to walk ally nice to today,” Mrs. McKinnie said. me, and I He’s also performed other procedures, such as repairing a think that tear in her shoulder and an irritated tendon in her thumb. made me feel As a result, Mrs. McKinnie has spent a lot of time with really comDr. Johnson and the staff at the clinic. “They almost feel like fortable, and I Hayden family now,” Mrs. McKinnie said. knew everyMcCuan and Mrs. McKinnie is now retired after a career in the legal thing was Dr. Michael profession. She said she’s spending her time tending to her going to be Cobb house, and she enjoys the freedom of being able to do whatOK,” he said. ever comes up – with much less pain. “I don’t want to sit Hayden’s hand was around and hurt. I want to keep going.” treated with a splint, folAre there any side effects of viscoBecause of her experience, Mrs. McKinnie recommended lowed by buddy taping. supplementaion? West Tennessee Bone & Joint to her daughter, Kim Moss, Today, he’s back on the when she tore her shoulder. And, she always mentions the Some commonly reported side effects asplayground playing clinic and Dr. Johnson when one of her friends develops a sociated with viscosupplementation are tembasketball – his fajoint problem. “I’ve recommended him and West Tenporary injection-site pain, swelling, heat or vorite sport. nessee Bone & redness, rash and itching, bruising around The family will Joint to a lot of the joint and fluid accumulation in the innever forget my friends,” jected knee. These reactions are usually mild their experiMrs. McKinand normally clear up in one to two days. ence at nie said. West TenWill viscosupplementation cure “I connessee my osteoarthritic knee? sider him Bone and Viscosupplementation will not cure osexcellent Joint, his teoarthritis of the knee. The procedure imin his mom said. proves the lubricating properties of the field.” synovial fluid, reduces or stops the pain from knee arthritis, improves mobility, and provides a more comfortable level of activity. From left, Dr. David Johnson, Jean McKinnie, Amber Cox, S.T., and Anne Hudson, R.N. ayden McCuan, an 11-yearold at Trinity Christian Academy, was playing basketball during recess this past January when he tripped and injured his right hand. It was painful, and he was scared. “It was swollen immediately,” said his mom, Barbie McCuan. The family went to a doctor the day of the injury, but they left without getting a full diagnosis. They didn’t know if the knuckles were broken, and they were worried that if they were, Hayden would need surgery, Barbie said. “You just don’t hear about people breaking their knuckles.” They called West Tennessee Bone & Joint Clinic to see if they could get an appointment the next day, and Dr. Michael Cobb agreed to see them. “Hayden was up all night,” Barbie said. “We were so excited
‘I credit him (Dr. Johnson) with being able to walk today’
Patient back to her activities after two knee surgeries “I said ‘oh no.’ I was looking forlizabeth Gist found herself to being back to normal, and I ward in the emergency room two was anxious to get out of there.” years ago when the pain in With each surgery, Dr. Smith her left knee was too much to bear. asked her about her expectations “It got to the point where I just and what she wanted to achieve. could not walk,” said Gist, who is Gist said she was an avid garin her 60s. dener and regularly went on twoGist, the wife of Jackson Mayor mile walks. She also enjoyed Jerry Gist, had a torn meniscus and walking in Jackson’s Christmas padecided to have Dr. Adam Smith at rade. West Tennessee Bone & Joint “I felt like he gave me his undiClinic do surgery. She didn’t know vided attention when I was there,” it at the time, but it was the beginGist said. “I don’t know how I ning of a long road to recovery. could have had a better experience.” “I was slow coming back, and Dr. Smith recommended the they were so patient with me,” Gist surgeries so she could maintain her said. “Dr. Smith had the patience Elizabeth Gist and her husband, Jackson Mayor Jerry Gist active lifestyle. The plan was sucof Job.” cessful. Gist is walking in the Christmas parade again. She also After knee surgery in 2010, Gist began physical therapy. She travels with her husband, and she continues to garden and walk needed crutches as her left knee healed itself, and before long, her regularly. right knee began to hurt. It was another torn meniscus, an injury “I wanted to get back to doing that, and I am back to doing from repeatedly using her right leg for support to walk with that,” Gist said. “I’m pretty much back to normal.” crutches. She would need a second surgery.
Lowell Stonecipher, M.D.
Michael Cobb, M.D.
David Johnson, M.D.
Kelly Pucek, M.D.
Harold Antwine III, M.D.
David Pearce, M.D.
Jason Hutchison, M.D.
Adam Smith, M.D.
J. Douglas Haltom, M.D.
Michael Dolan, M.D.
John Everett, M.D.
Donna Klutts, CMPE Practice Administrator
Keeping You Active The physicians at West Tennessee Bone & Joint Clinic, P.C. specialize in comprehensive orthopedic care for adults and children. This includes sports medicine, hand injuries and disorders, orthopedic diseases and musculoskeletal injuries. Our physicians are Board Certified.
They see patients in …
Jackson • Brownsville • Selmer Lexington • Parsons • Dyersburg Union City • Bolivar • Ripley
24 Physicians Drive, Jackson