CSMO Welcomes Dr. J. Alex Sielatycki

Announcing the addition of Dr. J. Alex Sielatycki
to the Center for Sports Medicine and Orthopaedics staff!

Dr. Sielatycki is a Spine Specialist.


Regenerative Medicine with Dr. Sanders on 3 Plus You

Now Serving Patients in North Georgia


Center for Sports Medicine and Orthopaedics is
Now serving Patients in North Georgia!


This new location offers easy access, plenty of parking, a physical and occupational therapy department and Sports Rehabilitation.

Regenerative Medicine

If you suffer from arthritis, ligament or cartilage injuries, tendonitis, inflammation, muscle tears, or any other orthopaedic ailment for which surgery is either premature or not possible, then one of the following procedures may be a great option.

RegMedVialsPlatelet Rich Plasma

Platelet Rich Plasma, also referred to as PRP, is a regenerative therapy that has become very popular over the past 10 years. This therapy takes advantage of the growth factors found in the patient’s own platelets. While platelets are found in the general blood, they are highly concentrated specifically in the patient’s plasma, thus making a patient’s plasma full of the desired growth factors. By harvesting the patient’s plasma, we are able to inject affected joints with the growth factors and trigger regenerative effects. It can be injected in a clinic setting. PRP therapy is designed to reduce inflammatory symptoms using natural healing mechanisms rather than drugs with side effects that cover symptoms.

The Process

  • Blood is drawn from the patient’s arm.
  • The blood is placed into a special centrifuge where it is separated into different parts: red blood cells and plasma.
  • The red blood cells are discarded, leaving the high platelet concentrated plasma ready for injection.
  • The plasma is then injected into the affected joint using Ultrasound guidance.


Bone Marrow
Bone marrow is the soft spongy tissue found in the center of our large bones. In adults, marrow produces red and white blood cells, as well as other plasma components. Bone marrow harnesses the body’s natural healing process through the aid of growth factors within the marrow, as well as regenerative cells. These cells can replicate themselves into various tissue and cell types. By introducing these cells into the injured area, marrow is able to initiate a healing response by the body. In some cases, there is evidence that cells may improve structural healing rates of tendons.

The Process

  • The Bone marrow is harvested from the pelvis.
  • A centrifuge is utilized to prepare the bone marrow.
  • The prepared bone marrow is injected into the affected site.


LipoGems is an innovative process where a patient’s own powerful fat is used to produce viable and injectable stem cells with regenerative properties. Fat has a high concentration of stem cells and multiple sites can be injected. This type of procedure has a number of benefits and is performed in our office without the need of general anesthesia.

The Process

  • Skin is prepped and the designated area (usually the abdomen or thigh area) is injected with a local anesthetic and sterile saline.
  • Using a harvesting cannula, fat cells are aspirated.
  • LipoGems uses an FDA approved device that rinses and cleans the inflammatory oils and blood from the patient’s harvested fat and keeps the natural and beneficial properties of the fat tissue.
  • The harvested fat is then precisely injected into the patients injured areas with the use of ultrasound guidance.

These procedures are some of the newest treatments available today. They offer patients with a minimally invasive option to help relieve the pain of arthritis or injury and improve function. Our physicians use state-of-the-art diagnostic tools, including musculoskeletal untrasound, high-definition on-site MRI, and X-ray, to obtain pinpoint accuracy during the procedures.

RegMedDocsThe physicians at Center for Sports Medicine and Orthopaedics are highly regarded as leaders in their profession, not only in Chattanooga, but in the Southeast region. They continue to be at the forefront of offering patients the latest medical procedures and treatments toward ensuring the best possible outcomes. We are excited to offer our patients an innovative approach to treating pain and healing. The Regenerative Medicine program at Center for Sports Medicine & Orthopaedics, is composed of medical procedures utilizing the body’s own cells to preserve your natural joint as long as possible to prevent joint replacement and to stimulate healing of an injured or arthritic area, ultimately facilitating recovery.

At Center for Sports Medicine & Orthopaedics, our highly trained and compassionate staff takes pride in providing personalized care to all of our patients. That starts with a full orthopaedic evaluation with one of our doctors to assess your needs and evaluate your treatment options. We have specialists who focus on specific areas of the body including the spine, shoulder, hand, elbow, hip, knee, foot and ankle.

Make an appointment with one of our industry-leading physicians today to see if Regenerative Medicine is an option for you by calling (423) 697-8780.
2415 McCallie Avenue
Chattanooga, Tennessee 37404


CSMO Welcomes Dr. Michael Veale

Announcing the addition of Dr. Michael Veale
to the Center for Sports Medicine and Orthopaedics staff!


Dr. Veale specializes in General Orthopaedics and Arthroscopic Surgery.


Regenerative Medicine Program

Dr. Sanders discussing the Regenerative Medicine Program at Center for Sports Medicine and Orthopaedics on ThisNThat.

Our Gunbarrel Office is Moving!


Cook: It’s tough getting old: jelly doughnuts and herniated discs

Taken from the Chattanooga Times Free Press
October 22, 2017

By David Cook

Looking back, I should have seen it coming.

But I can’t look back right now. I can barely even turn around.

It started this spring. We moved houses, and I carried and stacked boxes like Tetris. The new house had water issues, so I was crawling around like a coal miner, digging French drains that seemed more like moats.

All the while, my lower back began to nag, these little sighs of pain.

Hush, I whispered. Have some more Advil.

On the ledger balance of lumbar health, I was overdrawn. Soon, I’d pay up.

“The bill always came,” wrote Hemingway.

It happened two weeks ago. We’d gone camping, and I arrived at the campground vertical, standing on my own two feet. I stoked the fire. Uncorked the wine. Inflated the air mattress. (“You camp lazy,” my daughter said.)

The next day, I was horizontal.

“Can’t walk,” I moaned.

It was excruciating, this fire-rope of back-and-leg pain. For days, I was completely bed-bound, unable to walk. One MRI later, the doctor delivered the news.

“You have a protruding disc,” she said.

Nestled between our vertebrae are discs, sort of like little spinal pillows. Under stress, these discs can swell outward, leaning heavily against the fiber of hypersensitive nerves in our spine. (Hence the leg and calf pain). Sometimes, the pillow breaks. The discs protrude. Bulge. Herniate.

“Like jelly out of a doughnut,” the doc continued.

I would hear this analogy a lot — a bulging disc is like jelly out of a doughnut — and, my friends, it’s simply not true. Jelly doughnuts are pleasant things, like rainbows and kittens. A more appropriate analogy? Lava out of a volcano. Tar out of the pits of hell.

Apparently, many of us 40-something men have jelly-doughnut back. Upon hearing of my woes, they came out of the woodwork. (Slowly, of course, while bending at the knees.)

“I dropped the soap in the shower,” one friend said. “Couldn’t walk for days.”

“I sneezed,” my best bud remembered. “Wasn’t the same for a year.”

I heard one story of a man who coughed. That’s it. Just a cough. And he couldn’t walk for three weeks.

“You have a herniated disc,” the doctor said. “You may need surgery.”

The word “herniated” is Greek for “getting old.” I wish I had some dramatic, manly story about my injury — power lifting at the gym, fighting off wolves — but the tipping point could have happened while licking a stamp. Or lacing up my therapeutic Rockports. Who knows.

It’s been excruciating. (It will soon heal, the doc promises.) The Bible says not to covet my neighbor’s ass, but what about his healthy spine? I was training for a half-marathon. Now, walking to the mailbox is victory.

The pain.



“Approach this with kindness,” one wise friend counseled. “Let your back become your teacher.”

Oh, it has.

This pain has increased my empathy for those who suffer from chronic pain. And I now understand how opioid addiction — just make the pain stop — can happen so easily, so innocently.

This pain has taught me the clear connection between immobility and depression.

This pain has reminded me that the body — our gloriously, wonderfully complex bodies — will one day wither and die. Injury is a dress rehearsal for death, teaching what I forget on my healthy days: that all things deteriorate and age.

This pain has taught me gratitude. For small things, like walking.

And big things. Like family and friends.

(Allow me some specific thank-yous: to my English Department colleagues, Dr. Stephen Dreskin and his amazing Tennessee Valley Pain Management staff, Donna Pearson, Dr. Matt Bernard, Dr. Jason Robertson, Debbie Hill, everyone at the Center for Sports Medicine and Orthopedics; most of all, the magnificent and incomparable Jean Rogers and Deeann Cain.)

And allow me a deep bow.

To those of you who are also suffering.

Because life hurts.

Look around. I see friends with cancer. Parkinson’s. Going through divorce. Addiction. Loneliness. One friend’s due for a spinal fusion. All of this makes herniated discs look like pancakes and syrup.

Know the only bipartisan issue in America? Pain management. We aren’t the body politic. We’re the body broken.

This injury has reminded me of our truest job: to love one another out of the pain.

I didn’t understand that so well when I was, you know, younger and less herniated.

Looking back, I should have seen it coming.

“Dad,” my son said a few months ago, looking over at me. “You have crumbs in your ear hair.”

“I have what?” I asked.

“Crumbs,” he repeated. “In your ear hair.”

At least it wasn’t jelly.

David Cook writes a Sunday column and can be reached at or 423-757-6329. Follow him on Facebook at DavidCookTFP.

Dr. Jason Rogers on ThisNThat

How You Can Prevent Overuse Injuries: Tennis Elbow

tennis elbowThe most common injuries among athletes are overuse injuries. These injuries result from repetitive movement of a muscle or joint. Without proper stretching or rest, the muscle can become torn or inflamed.

Common overuse injuries: tennis elbow

Caused by the repetitive motions of the wrist and elbow, tennis elbow is often self-diagnosable because of the sharp pain that occurs on the outside of the athlete’s elbow. Other symptoms of tennis elbow include:

  • Elbow stiffness, especially in the morning
  • Gradually increasing elbow pain
  • Elbow pain increases when squeezing an object

Despite the name of the injury, tennis elbow can happen to athletes in any sport. It’s important that you consult with a sports medicine doctor or physical therapist if you’re experiencing elbow pain you think may be related to your sport.

A physical therapist is trained to help you recover from injuries, illnesses, and surgeries. Therefore, visiting a physical therapy clinic in addition to a sports medicine clinic may be in your best interest.

Preventing tennis elbow

As with all sports, it’s important to know how to prevent injuries before you sustain them. Overuse injuries are most often caused by incorrect technique or poor stretching. The following are some of the best ways you can help to prevent overuse injuries like tennis elbow:

  • Talk to your coach and ask for a rundown on the correct movements and techniques for your sport. Your coach is there to help you learn and to help you stay safe on the court or field. They’ll be happy to help.
  • Stretching before and after training or a game. This will help to smooth the blood flow in your muscles and to warm them up.
  • Using cold compression after training or a game. A cold compress helps to reduce inflammation of the muscles and tendons.
  • Use the right equipment for your body and ability. It may be tempting to want to use certain equipment you’re not quite ready for in order to increase your body strength and ability, but if the equipment isn’t appropriate for your body size it can result in muscular tears or injury.

Overuse injuries can be incredibly painful and may result in the need to sit out from your sport while you recover. However, recovery is necessary in order for you to receive proper care.