Johnson Holley

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(615) 507-1646Add Website Map & Directions278 Franklin Rd Ste 150Brentwood, TN 37027 Write a Review

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Johnson Holley

General Practitioners

Arthritis
A strong case could be made that PRP is the best overall choice for treatment of most painful joint conditions (for everything except rheumatoid arthritis, gout, infections, or collagen-vascular diseases like psoriatic arthritis). This would include patients in whom total joint replacement has been recommended. This is because PRP addresses the most important cause of pain in most painful joints—the ligament and tendon structures—and also the most mentioned cause of joint pain, which is loss of cartilage. And it also addresses the most important unrecognized factor, which is the ligament laxity that is allowing abnormal abrasive forces within the joint to cause whatever cartilage damage is noted.

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Extra Phones: Phone: (615) 506-0536
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AKA: Johnson, Holley, MD
Categories: Physicians & Surgeons, Physical Therapists, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Orthopedics, Physicians & Surgeons, Pain Management, Physicians & Surgeons, Podiatrists, Physicians & Surgeons, Radiology, Physicians & Surgeons, Rheumatology (Arthritis), Physicians & Surgeons, Sports Medicine, Physicians & Surgeons, Surgery-General, Physicians & Surgeons, Urology, Sports Medicine & Injuries Treatment, Surgery Centers

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Phone: (615) 507-1646

Address: 278 Franklin Rd Ste 150, Brentwood, TN 37027

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Johnson Holley

General Practitioners

Arthritis
A strong case could be made that PRP is the best overall choice for treatment of most painful joint conditions (for everything except rheumatoid arthritis, gout, infections, or collagen-vascular diseases like psoriatic arthritis). This would include patients in whom total joint replacement has been recommended. This is because PRP addresses the most important cause of pain in most painful joints—the ligament and tendon structures—and also the most mentioned cause of joint pain, which is loss of cartilage. And it also addresses the most important unrecognized factor, which is the ligament laxity that is allowing abnormal abrasive forces within the joint to cause whatever cartilage damage is noted.
Fibromyalgia
So, how can one ‘know’ whether or not they have a ‘connective tissue’ pain source? The answer is simple: if a person draws a map of the location of their symptoms, and if tender connective tissue structures can be located which correspond to, or ‘make sense’, in light of the location and nature of the patient’s symptoms (keeping in mind the large array of possible symptoms which connective tissue can produce, and the capacity of connective tissue to ‘refer’ symptoms, or for symptoms from a structure to be perceived inches, or feet, from the structure actually producing the pain or symptom, in known patterns of distribution), then a reasonable assumption is that these symptoms might be related to the connective tissue structures. I am highly skilled at performing, and interpreting, such an examination, and i really cannot determine the answer to this question unless I have the opportunity to examine an individual. But a patient can get some sense of this on their own: in the area of their symptoms, if there are ‘sore spots’ noted when the area is pressed upon, or massaged, this likely represents symptomatic connective tissue damage. This is true whether there is ‘one’ spot, like a sports injury, or body-wide tenderness and pain, as is seen in ‘fibromyalgia’. It is also true that if a patient cannot ‘find’ such tender structures on their own, I often can.
Plantar Fasciitis

Urology
Holley’s neck and back problems were due to unhealed ligament damage from the motor vehicle accident that did not ‘show up’ on imaging. These problems were, likewise, resolved by a course of Prolotherapy. While I used imaging studies of all kinds on a daily basis in my Urology practice, I was just beginning to understand how much these studies are NOT the answer in the diagnosis of pain of connective tissue origin.

MRI
Most people do not believe that a simple physical examination can find ‘pain sources’ better than an MRI. That is because they think that ‘tenderness’ is due to some kind of ‘inflammation’, and the ‘real’ pain is due to abnormalities seen on the films. (Even in the case of an injury noted in a connective tissue structure, like a rotator cuff tendon that is partially torn, as noted on film, this is generally only PART OF the pain sources which will be noted on physical examination, but will be deemed the ‘entire’ problem based on the films. If you treat only a portion of the actual sources of symptoms, what is the chance that your shoulder will be pain-free following treatment?). But, if you understand that ‘tenderness’ is caused by stretch-induced small fiber nerve damage in these structures, you realize that this tenderness is present because of the abnormal ‘stretchability’ of the structure, and that this tenderness WILL BE PRESENT UNTIL these structures return to ‘load bearing’ status when enough collagen molecules have been added back to them so that you are no longer yanking on the nerve fibers and damaging them every time you use the structure. Then it occurs to you that you can not only use ‘tenderness’ as a reliable diagnostic tool, but you can even use it as a means of tracking and to assessing the results of therapy. And, you will find that when you treat ALL the symptom causing structures, your treatment results get better...a lot better, in fact...if you can remedy what is ACTUALLY WRONG, which is a lack of tensile strength in this set of structures. Now, what is the only treatment that does this non-surgically? And, if your operation only addresses ‘what is seen on film’, might your patient have a significant probability of continuing to have pain after surgery? If you have had surgery, and your pain did not fully resolve, might this be the reason?
Computed Tomography
My wife experienced a related ‘diagnostic problem’. Around the time that my back was melting down, Holley was in a serious car accident. After being struck on the drivers side door by a vehicle that ran a stop sign, impacting her car at 40 mph, she had activity-limiting back and neck pain. That pain was worsening two years after the accident, after all the medication, exercise, and physical therapy that had been prescribed. Another round of evaluation by two Orthopedic Surgeons and two Physical Medicine/Rehab physicians, including a CT scan, an MRI, and a 4 limb nerve conduction study, failed to uncover the ‘cause’ of her ongoing, severe pain. The next recommended stop was a Pain Clinic. So, rather than ‘something’ seen on film, she had ‘nothing’ seen on film: she got a blank look, and the gentle inference that this might be more of a psychological issue than a physical issue. The problem with that scenario is that I am a trained observer and know the physiologic ‘cues’ that someone is, or is not, in significant pain. Believe me, she was in serious pain most of the time. How can you explain this failure to diagnose what was CLEARLY a physical problem??? Because the highly trained, experienced, and caring physicians who were evaluating her had no idea that the ligament structure of her cervical and lumbar spine, and pelvic ligaments, were capable of causing the symptoms that she was describing, how to evaluate this possibility, or how to treat such a problem if they became aware of it...in other words, we are back to the ‘diagnostic problem’...

Orthopedics
But by that point, at least in the minds of practitioners, neither did ‘pain coming from ligaments’. Ligaments, in the interim, literally ‘disappeared’ as a possible source of body pain. In the current 5000 plus page text series that Orthopedic residents master during their training process (Campbell’s Operative Orthopedics), I do not believe the word ‘pain’ and the word ‘ligament’ occur in the same paragraph...and I looked.) then you will of necessity attribute symptoms reported to you by a person who HAS this pain source to a cause that you HAVE heard of...again usually something you ‘see’ on imaging, or ‘infer’, like a nerve pinch or an inflammation. Or a Morton’s Neuroma, or a bone spur, or scar tissue, or occipital neuralgia, or spinal stenosis, or dozens of other purported ‘reasons’ for pain.
Sciatica
How in the world could strengthening the ligaments stop back pain that a very respected Orthopedic Surgeon assured me was an indication for spinal fusion? And how can strengthening ligaments completely resolve a knee or hip problem that has been diagnosed as ‘arthritis’ or ‘bone on bone’? How could the spinal and pelvic ligaments be causing pain diagnosed to be from a ‘bulging disc’ or ‘sciatica’? Let’s just say that I stayed up nights thinking about that one, because there is NO explanation in the medical literature for such a relationship between pain, pathology, and treatment.....(just as there is no plausible explanation for why a ‘bulging disc’ or thinned cartilage would be able to cause pain) so I wrote such an explanation based on clinical observations made while treating my first fifteen hundred patients. ( read Connective Tissue Damage Syndrome paper )
Whiplash
**AUTOMOBILE ACCIDENTS, FALLS, AND OTHER ACCIDENTS AND INJURIES: Pain following any trauma, whether anything is ‘seen’ on imaging studies or not, is generally due to unhealed connective tissue damage. This damage, as in the typical ‘whiplash’ injury, often does not ‘show up’ on imaging studies, and may remain undiagnosed, or may be misdiagnosed as a ‘nerve pinch’, a ‘bulging disc’, or as some kind of inflammation. The key to successful treatment in this group of people is to diagnose the source of the pain accurately and completely. In almost all people, all of the pain is emanating from unhealed damage in connective tissue structures. Although such damage does not ‘show up’ on imaging studies, it is very easy to accurately locate on physical examination. When correctly diagnosed, such problems respond in a very high percentage of people to repeating the healing cycle several times using either PRP or other Prolotherapy solutions.
Arthroscopy
This website will explain to you how connective tissue causes pain. If you understand this phenomenon, which is not a part of the medical training of your family doctor or Orthopedic doctor... their training is based on attributing most body aches and pains to ‘inflammation’ (which has been disproven by medical research), and to things ‘seen on imaging studies’, like bulging discs and bony changes...you will be in a position to determine if this is the cause of YOUR pain. This problem, unhealed connective tissue damage, is what Prolotherapy cures. In my experience, this is THE missing diagnostic concept in ‘mainstream medicine’. This ‘missing concept’ explains why so many people have suffered needlessly for so long, and been subjected to therapies that only mask pain, while making the underlying condition, pain of connective origin, worsen. This is why so many Orthopedic operations do not successfully ‘fix’ the pains they were supposed to cure, why cortisone and anti-inflammatory medications are worse than simple ‘band-aids’, and why so many significantly painful conditions evade diagnosis. And, this is why Prolotherapy works so well to cure these very pains in people who are told that they ‘need’ a spinal fusion, arthroscopy, joint replacement, cortisone shots, epidural steroids, radio-frequency nerve ablations and Physical Therapy; and who have a nagging sports injury or who have ‘wear and tear’ or ‘accident’ damage in the neck, back, and other areas. If you have ANY of these conditions, you owe it to yourself to read this information very carefully.
Pinched Nerve
And the ‘character’ of numbness and tingling is different depending on whether the cause is actually a pinched nerve, or small fiber nerve damage in connective tissue structures. In a true nerve pinch, there is loss of the sensation of light touch and pinprick. The skin is so numb that patients do not ‘feel’ light touch at all, and barely feel a pin pricking the skin. In referred connective tissue symptoms, the sensation of light touch is maintained, and a pinprick feels ‘normal’...the skin just has weird prickly sensation, and ‘feels’ like it is numb, even though, when tested, it is not actually numb. Then there is the distribution. The sacroiliac ligament refers symptoms down the lateral thigh and calf. True sciatica is not felt there. Each ligament has a defined ‘referral pattern’. When someone draws a symptom in the distribution of one or more ligaments, you simply check the appropriate possibilities for tenderness. If one or more are tender, you inject the tender structures. If the referred symptom ‘goes away’ immediately, you have built a strong case for the actual cause of this symptom.
Joint Replacement
Dr. Johnson was the third physician in the country to begin using PRP for musculoskeletal treatment, in 2005. Since then, he has treated many professional athletes in a variety of sports (including players from several NFL and MLB teams), Olympic athletes, and high level amateur athletes, as well as many patients who have had total joint replacement and other Orthopedic operative procedures recommended, and who have had a variety of other musculoskeletal problems. Dr. Johnson has innovated and improved techniques for successful use of PRP, and his results, and the techniques which produce those results have been presented in several national physician meetings in the last five years. While a number of physicians, including Orthopedic surgeons, Sports surgeons, and Spine surgeons have begun to use Platelet Rich Plasma in the last few years, the results from the ‘Orthopedic Approach’ to use of PRP, as shown by several research studies, does not produce results equivalent to the results that Dr. Johnson has obtained, and presented in national physician meetings. One of his recent teaching sessions focused on the difference between his approach and the ‘typical’ Orthopedic approach to use of PRP, the different outcomes that these two approaches produce, and why there is this difference in outcome. (See one of these video presentations in the ‘ For Healthcare Professionals ’ section.)
Orthopedic Surgery
After studying knee treatment results in our own practice, I was asked to present my results in a meeting of a national physician organization, and to contrast these with research results obtained using ‘typical’ Orthopedic Surgery approaches (using Platelet Rich Plasma, a strong ‘healing trigger’ that was applied to structures based on Orthopedic diagnostic assumptions—attacking the ‘loss of cartilage’ only), and to results obtained by other Prolotherapists.
Arthroscopy
Hip Replacement
One further thought: the most expensive treatment is one that does not work, even if ‘insurance pays for it’. In fact, has anyone noticed that correlation between the lengthy list of medical tests and unsuccessful treatments for musculoskeletal pain (which are a significant part of this country’s overall medical expenses: Chronic Pain cost—$635 Billion per year; Back Pain $85 Billion per year; and Knee and Hip replacement $17 Billion per year—just these three issues cost US taxpayers and insurance premium payers 3/4 of a Trillion Dollars per year! !!— while a large percentage of these patients would respond successfully to PRP/Prolotherapy...), and sharply rising insurance premiums? If everyone were pursuing a relatively inexpensive and highly effective approach to these conditions—see our overall treatment results at Prolotherapy Nashville—even if the cost is ‘out of pocket’, how much of an impact would this have when it comes time to write those Medical Insurance premium and tax checks?
Knee Replacement
Why am I so confident of this fact? Because if I have completely remedied a patient’s problem, I know what structures were, and were not, the source of their symptoms, and I know that strengthening their connective tissue structures resulted, not only in relieving their symptoms, but in reducing or eliminating further joint damage. I have seen over 4200 patients, roughly 18% of whom have one or both knees treated. Around 40% of our knee patients have been told that they need a knee replacement, and another 10% have been told that they need an arthroscopic procedure. So I have treated roughly 1000 knees to date (2015), and over 400 of them were told that they were candidates for operation. I am aware of less than 20 patients who have gone on to have surgery of any kind following Prolotherapy treatment. You can do the math on how many operations we have allowed patients to ‘avoid’...and this is just the figures in knees. There are also necks, shoulders, elbows, wrists, hands, low backs, hips, ankles, and feet where our patients have frequently had operative therapy offered, or in whom operations have already been performed, but pain persists. Across the scope of issues that we treat, we have an around 90% rate of 80% + pain and symptom reduction, and around 50% rate of 100% relief of symptoms.

Cyst

Physical Therapists

Sports Medicine
**SPORTS INJURIES: It can be used to treat sports injuries of all types. It has been used successfully to treat many sports- related conditions for which Orthopedic surgeons recommend surgery, such as rotator cuff tears, labrum and meniscus tears, tendon damage (such as could undergo Tommy John surgery). It can be very effective for almost any ongoing pain noted during activity in feet, ankles, knees, hips, backs, shoulders, elbows, wrists, hands and thumbs, and necks. This would include things diagnosed in any area or structure as arthritis, sprain, strain, or tear. This would include sprains, strains, and tears of muscles, as well as ligaments and tendons. One very exciting aspect of PRP treatment of athletes is seeing them be able to resume full activity in a much shorter time than would be possible with any other treatment strategy. This is particularly true with professional athletes ‘in season’. Treatment under Dr. Johnson’s care has gotten several professionals ‘back on the field’ in such a way when treatment, even with PRP, by the ‘team doctor’ was not producing the desired ‘rapid’ results. This difference in results largely stems from the tendency of the Orthopedic physicians to target their treatment using imaging studies only. In other words, they only treat what they ‘see’ on films as damaged. Dr. Johnson uses a different targeting strategy for treatment that identifies all of the damaged, symptom-causing structures, including the ones that do not ‘show up’ on films, but which are producing pain and functional limitation.
Physical Therapy
Neck Pain
Back Pain

Ankle Sprain
PRP triggers healing in two ways. First, it utilizes the body’s two major sources of growth factors (white blood cells and platelets), which are the chemicals that trigger the body’s connective tissue healing system. This is the six-week cycle of healing that most people are familiar with following major surgery. (Link to connective tissue healing and paper on CTDS). The connective tissue healing system (think ‘following surgical incision or sprained ankle’) primarily makes new collagen molecules to replace those torn due to accident, or cut by a surgeon’s knife. Most of the time, PRP is used to trigger healing to tighten, toughen, and shorten tendons and ligaments that have unhealed damage, which causes pain, joint cartilage loss, disc degeneration, and other problems.
Plantar Fasciitis
Again, though, what about the ‘tendonitis’, or ‘bursitis’, or ‘costo-chondrities’, or ‘plantar fasciitis’, or ‘epicondylitis’, or ‘osteoarthritis’, or other inflammatory or degenerative condition that my other doctors have told me that I have? Everyone ‘knows’ that these structures are tender due to inflammation....except over the last 20 years medical researchers, have proven conclusively that such an ‘inflammation’ does not exist as the cause of pain They have no other explanation for the tenderness and pain arising from such structures, but they know that inflammation has no role in this scenario. And there is not study to date where they looked specifically for small fiber nerve damage in such structures (so this remains a ‘theory’ at this point, instead of an ‘established fact’). But I think I know what they will find if they do look for this kind of nerve damage in these tender, symptomatic structures.

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