Justin T. Smith, MD, FAANA, FAAOS, ABOSD
Orthopaedic Sports Surgery & Shoulder Reconstruction Specialist
Specialty: Holistic Sports Medicine
Holistic Sports Medicine
Comprehensive, conservative-first care for athletes and active individuals
Journey Orthopaedic Institute (JOI) was built to deliver sports medicine the way it should be practiced: thorough, thoughtful, and centered on the whole athlete—not just a body part or an MRI finding.
Our holistic sports medicine model integrates expert diagnosis, advanced imaging, regenerative therapies, rehabilitation strategy, and performance planning under the direct oversight of a board-certified orthopedic sports surgeon. The goal is simple: restore function, preserve tissue, and keep you active for the long term.
What “holistic” means at JOI
Holistic sports medicine does not mean alternative or unscientific care. It means evaluating and treating the entire system contributing to injury and pain.
At JOI, every evaluation considers:
Injury mechanics and training load
Movement patterns and kinetic chain deficits
Tissue healing biology and timelines
Sport, position, age, and performance goals
Lifestyle factors (sleep, nutrition, recovery, stress)
Pain is rarely the true problem. We identify and treat the cause.
Comprehensive evaluation and diagnosis
Every patient receives a surgeon-level assessment—without rushed visits or fragmented care.
Evaluation may include:
Detailed history and physical exam
On-site X-ray and diagnostic ultrasound
Review of prior imaging and treatments
Clear explanation of diagnosis and options
You leave with answers, not uncertainty.
Conservative-first, surgery-when-necessary philosophy
JOI is explicitly designed to exhaust non-operative options before discussing surgery.
Treatment pathways may include:
Targeted rehabilitation and load management strategies
Image-guided injections (non-steroid and steroid when appropriate)
Orthobiologics (PRP, BMAC, microfragmented adipose)
Shockwave therapy (StemWave)
Bracing, casting, splinting, and injury protection
Performance modification and return-to-sport planning
When surgery is indicated, it is discussed clearly, honestly, and without pressure.
Integrated care—not siloed medicine
Traditional systems separate diagnosis, rehab, imaging, and procedures into disconnected steps. JOI integrates them.
One physician guiding the full care plan
Close coordination with physical therapy and performance providers
Imaging used to guide treatment—not just label pathology
Clear timelines and expectations for recovery
This model reduces delays, confusion, and unnecessary escalation of care.
Athlete-focused across all ages
JOI treats:
Youth and high school athletes
Collegiate and competitive athletes
Active adults and “weekend warriors”
Fit, motivated older adults who want joint preservation—not replacement
Care is individualized to what your body needs now and what your sport demands next.
Mobile and concierge access
JOI delivers care where it makes sense:
In-clinic visits
Mobile Medical Unit (home, gym, school, field, or workplace)
Virtual follow-ups when appropriate
This removes barriers to care and keeps athletes training instead of waiting.
What you can expect
Direct access to a fellowship-trained orthopedic sports surgeon
Transparent recommendations and pricing
No assembly-line visits
No unnecessary procedures
A clear plan from diagnosis to recovery
If something will not help you, we will say so—clearly and directly.
Who JOI is built for
Journey Orthopaedic Institute is for patients who:
Value expertise and time
Want conservative, evidence-based care
Prefer joint preservation over quick fixes
Expect clarity, accountability, and results
This is sports medicine designed around outcomes—not volume.
Schedule a consultation to experience a modern, holistic approach to sports and orthopaedic care.






