Southern Bone and Joint Specialists focuses on patient care in each of these orthopaedic subspecialties: adult reconstruction and joint replacement, sports medicine, spine surgery, hand and microvascular surgery, surgery of the shoulder and elbow, surgery of the foot and ankle, orthopaedic trauma surgery, and physical medicine and rehabilitation.

Our physicians are board certified and board eligible.

For more information on orthopedics, visit AAOS.

  • Arthroscopy and Sports Medicine

    About Arthroscopy and Sports Medicine

    Southern Bone and Joint Specialists is committed to the belief that when a sports injury occurs, time is of essence and access is crucial. Southern Bone and Joint Specialists has taken care of the area’s athletes for more than 30 years and has the oldest sports medicine program in the state.


    Where We Serve

    • University of Southern Mississippi Golden Eagles
    • William Carey University Crusaders
    • Pearl River Community College Wildcats
    • Dexter Bulldogs
    • East Marion Eagles
    • Hattiesburg Tigers
    • Lumberton Panthers
    • Pearl River Central Blue Devils
    • Petal Panthers
    • Wayne War Eagles
    • West Marion Trojans

    Frequently Asked Questions/Quick Facts

    How do I know when to refer an ankle sprain?

    There are many different types of ankle injuries. Sprains, strains, and fractured bones make up most of what you will see in an ankle injury. As is other injuries, ankle problems, most involving the lateral or outside ligaments, present themselves in three different grades:

    Grade 1 ankle sprains involved the stretching of the ankle ligaments.
    Grade 2 involves partial and complete tears of the supporting ligaments.
    Grade 3 involves all of the above with a possible fracture in the ankle joint itself.

    As a coach, there are signs and symptoms that you can look for in an injured ankle.

    Did the athlete feel a pop or snap in affected ankle?
    How much swelling is involved and how long it has been there?
    How much weight bearing can the athlete on affected side.

    If the athlete felt a pop or snap, and if the ankle has moderate swelling and unable to bear weight, you are usually looking at a trip to the doctor.

    Ankle Facts: 45% of all athletic injuries involve the ankle. 99% of ankle sprains affect the lateral or outside ligaments.

    Concussions: When it’s more than just your bell rung

    Concussions are an all too common and sometimes overlooked injury in contact sports today. The common term, “Getting your bell rung”, is sometimes more than that. This type of head injury can occur in any contact/collision sport such as football. The brain is the most important yet most delicate organ of the body. As the core of the central nervous system, any type of trauma related injury to the head, must be carefully assessed. As coaches, you must ask yourself, “What am I looking for?”

    The main signs and symptoms that you as a coach can evaluate include: confusion, amnesia, loss of consciousness, dizziness, tinnitus (ringing of the ears), headache, and vertigo. Concussions can occur in three different grades:

    Grade 1: (Mild)

    • Brief confusion
    • No loss of consciousness
    • Symptoms resolve in less than 15 minutes.
    • Return to play when asymptomatic.

    Grade 2: (Moderate)

    • Brief confusion
    • No loss of consciousness
    • Symptoms last more than 15 minutes.
    • Return to play if asymptomatic for 1 week.

    Grade 3 (Severe)

    • Any loss of consciousness (Blacking out)

    REMEMBER: never try and move an unconscious athlete in considering a possible head and neck injury. If athlete is unresponsive, call EMS (911) and begin primary assessment (ABC’s)!!!

    Also, never use ammonia capsules to try and revive an unconscious athlete for again, assuming possible neck injury.

    There are certain guidelines that a team physician uses to determine the status of the athlete with multiple concussions. With these guidelines, coaches, trainers, team physicians, and the athlete can make a joint decision about return to play.

    Football Coaches should have the following checklist to prevent concussions:
    Educate all athletes and coaches to the dangers of spearing and using the head as a weapon on the field.

    • Make sure helmets fit properly with plenty of air in them.
    • Make sure all athletes have properly fitted mouthpieces.
    • Keep an eye on players with a history of a head injury during play.

    Concussion Quick Facts:

    • Head and neck injuries lead all injuries in causes of death in High School Football.
    • A properly fitted mouthpiece can reduce the risk of getting a head injury up to 50% in contact sports.
    • Many Concussions occur because there is little or no air in the helmets’ bladder or an improperly fitted helmet.
  • Arthritic Joint Replacement

    About Arthritic Joint Replacement

    Southern Bone and Joint Specialists offers the skill and experience for all of your total joint needs. Through the use of the most current technology available, the physicians are able to facilitate a smooth process of diagnosis, treatment and rehabilitation for any of your knee, shoulder or hip condition. Dr. Elliott Nipper, fellowship trained in arthritic joint replacement; Dr. Jacob Folse, Dr. Neal Gregg; Dr. James Sikes; and Dr. Ross Ward perform arthritic joint replacements.


    Hip Procedures offered by our physicians:

    • Total Hip Replacement
    • Anterior Approach Hip Replacement
    • Computer-Navigated Total Hip Replacement
    • Robotic Total Hip Surgery
    • Complex Pelvis Reconstructions
    • Hip Fracture Treatment
    • Revision Total Hip Replacement
    • Ultrasonic Guided Hip Injections
    • Arthroscopy

    Knee Procedures offered by our physicians:

    • Total Knee Replacement
    • Computer-Navigated Total Knee Replacement
    • Partial Knee Replacement
    • Robotic Partial Knee Replacement
    • Complex Pelvis Reconstructions
    • Revision Total Knee Replaacement
    • Viscosupplemntation Injections
    • Arthroscopy
  • Direct Anterior Hip Procedure

    About Direct Anterior Hip Procedure

    For selected patients with painful arthritis of the hip, muscle-sparing hip replacement surgery is now available at Southern Bone and Joint Specialists, P.A. performed by Dr. James Sikes.

    Muscle-sparing hip replacement surgery also called direct anterior hip replacement allows the surgeon to replace the arthritic hip without sacrificing any of the muscle attachments around the hip joint. With the sparing of the muscles about the hip, the patient may experience a faster initial recovery with less risk of developing a limp post-operatively from muscle weakness.

    Hospital stays may be shortened to two or three days instead of five days with the traditional posterior surgery. Rehabilitation may be shortened from a week or two of inpatient treatment at a facility to just a few sessions of outpatient treatment with a physical therapist.

    The procedure is not appropriate for severely deformed hips or when repairing an existing replacement.


  • Foot and Ankle Reconstruction

    About Foot and Ankle Reconstruction

    Southern Bone and Joint Specialists is proud to offer complete and comprehensive care of the foot and ankle. Our foot and ankle team includes the only two fellowship-trained foot and ankle orthopedic surgeons south of Jackson. Our physicians take one step at a time educating our patients on the broad range of foot and ankle conditions and injuries that can occur at any stage of life. Treatment plans offered include the entire spectrum of care from medication and injections to bracing and orthotics to surgical reconstructions which range from total ankle replacement and arch reconstruction to hammertoe corrections and neuroma excisions with everything in between.


    Areas of Expertise:

    • Ankle and Foot Fracture Treatment
    • Arthritis Treatment
    • Ankle and Foot Deformity Treatment
    • Bunions and Hammertoes
    • Flat Feet
    • High Arches
    • Sports-related Ankle and Foot Injury Treatment
    • Sprains
    • Stress Fractures
    • Tendon Injuries
    • Instability
    • Achilles Tendonitis
    • Heel Pain and Plantar Fasciitis
    • Morton’s Neuroma
    • Diabetic Foot Care
    • Total Ankle Replacement
  • Hand and Microvascular Surgery

    About Hand and Microvascular Surgery

    SBJ orthopaedic surgeons including two fellowship-trained hand and upper extremity orthopedic surgeons offer complete and comprehensive care of almost any disorder of the hand and upper extremity. Additionally, with in-house physical therapy provided at our main office, our physicians are able to monitor your condition throughout the rehabilitation and post-operative process.


    Hand Procedures Offered by our physicians:

    • Arthroscopy
    • Carpal Tunnel Release
    • Carpo-Metacarpal (CMC) Arthroplasty
    • Nerve Repair
    • Scaphoid Bone Grafting
    • Tendon/Ligament Reconstruction
    • Tendon Repair/Transfers
    • Trigger Finger Release
    • Wrist and Finger Fractures

    Hand Injuries and Conditions Treated:

    • Arthritis
    • Brachial Plexus Injuries
    • Carpal Tunnel Syndrome
    • Carpo-Metacarpal (CMC) Arthritis
    • Congenital Hand Differences
    • Contractures
    • Cubital Tunnel Syndrome
    • Cysts
    • Dupuytren’s Disease
    • Nerve Compression Disorders
    • Tendinitis
    • Tumors
    • Vascular Disease
    • Vascular Injury
  • Neurology

    About Neurology


  • Orthopedic Surgery

    About Orthopedic Surgery

    Southern Bone and Joint Specialists focuses on patient care in each of these orthopaedic subspecialties: adult reconstruction and joint replacement, sports medicine, spine surgery, hand and microvascular surgery, surgery of the shoulder and elbow, surgery of the foot and ankle, orthopaedic trauma surgery, and physical medicine and rehabilitation.

    Our physicians are board certified and board eligible.

    For more information on orthopedics, visit AAOS.


  • Partial Knee Replacement

    About Partial Knee Replacement

    Dr. Jacob Folse, Dr. Neal Gregg, Dr. James Sikes, and Dr. Ross Ward of Southern Bone and Joint Specialists, P.A. are pleased to offer MAKOplasty®, a partial knee resurfacing procedure.

    MAKOplasty® is a robotic arm assisted partial knee resurfacing procedure designed to relieve the pain caused by joint degeneration due to osteoarthritis (OA). By selectively targeting the part of the knee damaged by OA, the surgeon can resurface the knee while sparing the healthy bone and ligaments surrounding it.

    MAKOplasty® Partial Knee Resurfacing Can:

    • Enable surgeons to precisely resurface only the arthritic portion of the knee
    • Preserve healthy tissue and bone
    • Preserve healthy tissue and bone
    • Facilitate optimal implant positioning to result in a more natural feeling knee following surgery
    • Result in a more rapid recovery and shorter hospital stay than traditional total knee replacement surgery

    Unlike other more invasive procedures MAKOplasty® can often be performed through a four to six inch incision over the knee with small incisions in both the femur (thigh bone) and tibia (shin). Additionally the preservation of natural bone and tissue along with more ideal patient specific implant positioning may also result in a more natural feeling knee. And since healthy bone is preserved, patients who undergo MAKOplasty® partial knee procedures may still be a candidate for a total knee replacement procedure later in life if necessary.

    The MAKOplasty® procedure is indicated for patients suffering from unicompartmental or bicompartmental knee disease. A total replacement is sometimes necessary if the surgeon discovers during surgery that the knee has more damage than originally seen in the pre-operative X-rays and CT scan.


    MAKOplasty® Partial Knee Resurfacing

    Partial knee replacement is a treatment option for people with early to mid-stage osteoarthritis (OA) that has not yet impacted their entire knee. Only the diseased portion of the knee is replaced, sparing healthy bone and the ligaments known as the ACL (anterior cruciate ligament) and PCL (posterior cruciate ligament).

    MAKOplasty® Partial Knee Resurfacing is an advanced partial knee surgery performed with the RIO® Robotic Arm Interactive Orthopedic System. It can be performed as a unicompartmental procedure to address OA in any of the three compartments of the knee: the medial (inner), patellofemoral (top), or lateral (outer) compartments. There is also a bicompartmental option for OA in both the medial and patellofemoral compartments.

    Benefits of MAKOplasty®

    Partial knee replacement can be a challenging procedure to perform accurately on a consistent basis using manual techniques. Robotic arm assisted MAKOplasty® enables consistent results and more accurate implant placement ‚which is an important factor in the life expectancy of implants. In an ongoing study, MAKOplasty® resulted in both greater accuracy in implant placement and less pain in the first eight weeks post-surgery compared to manual partial knee replacement using Oxford® implants.

    How does MAKOplasty® Work?

    Before surgery, a CT scan is taken of the patient’s knee, and a 3D model created using the RIO system’s software. From this model, a pre-surgical plan is developed for the positioning of implants based on that patient’s unique anatomy.

    To ensure implants are optimally positioned and that the soft tissues of the knee are balanced for a good surgical outcome, surgeons can test and fine tune the plan before surgery by moving the leg through different ranges of motion. The RIO provides measurements and visualization, and the surgeon adjusts the plan as needed.

    Once the surgical plan is finalized, it is programmed into the RIO, which creates a safety zone for bone removal. While the surgeon guides the robotic arm and is in control of it at all times, the RIO ensures that bone removal stays with the safety zone of the surgical plan, providing auditory, visual and tactile feedback, stopping the robotic arm if necessary before bone can be removed outside the planned area. Once the bone preparation is complete, the implants are placed in the knee.

  • Physical Medicine and Rehab

    About Physical Medicine and Rehab

    Southern Bone and Joint Specialists offer comprehensive care to individuals with musuloskeletal injuries and disorders, including sports injuries with the goal of maximizing function and quality of life.


  • Spine Disorders

    About Spine Disorders

    Southern Bone and Joint Specialists offers the most recent technology available, including minimally invasive spine surgical techniques. Surgery is but one of many options for neck and back pain.


    Spine Procedures offered by our physicians:

    • Adult Spinal Reconstruction
    • Anterior Cervical Discectomy
    • Anterior/Posterior Fusions
    • Anterior Lumbar Interbody Fusion
    • Laminectomy and Microdiscectomy
    • Posterior Cervical Laminectomy
    • Posterior Lumbar Interbody Fusion
    • Thoracic Spine Surgery
    • Ulnar Nerve Decompression
    • Arthroscopy
  • Workplace Solutions

    At Workplace Solutions, it is our mission to return injured workers back to productive employment as safely and quickly as possible.

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  • Patient Portal

    Southern Bone and Joint Specialists, P.A. is pleased to offer our patients and members of the surrounding community a full-service, in-house pharmacy at our main office location.

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  • Articles & Info

    Southern Bone and Joint Specialists, P.A. physicians stay updated on the latest orthopedic information and want to make sure our patients also have that knowledge.

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