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Dr. Paul Grutter

Orthopedic Surgery
Gallatin, TN
24 years experience male

Locations

Office

Gallatin, TN

Address

570 Hartsville Pike, Gallatin, TN
Directions

Practice website

About

Bio

Dr. Grutter is a board certified orthopaedic surgeon with fellowship training in Shoulder and Elbow surgery from Johns Hopkins and sub-specialty certification in Sports Medicine. Dr. Grutter served in the United States Air Force and worked with the US Army in Afghanistan.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Orthopedic Surgery

Doctor Q&A

65 Answers
1 Agree
The number of answers this doctor has agreed with.
A 26-year-old male asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Rest: Treatment begins with resting. Nsaids, heel cord stretching, heel pads, and shin splint sleeves are often beneficial. A generalized treatment= 7-10 ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
In some patients: Osteotomies on the knee are a very good option for people with unicompartmental knee arthritis who are too young for knee replacement surgery. Aroun... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
6-10 weeks: Most fractures heal in 6-10 weeks. This can be considerably longer for smokers, diabetics and for comminuted fractures or fractures with soft tissue ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Yes: There are many small bones in the wrist that can be fracture and are commonly misdiagnosed as a sprain. Scaphoid fractures are a common example. Lef... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Therapy, injections: Shoulder bursitis generally responds well to conservative care including nsaids, physical therapy, icing, a home shoulder exercise program and occasio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Many, see list: Common causes of knee pain: 1-arthritis(osteo, inflammatory) 2-meniscal tear 3-chondromalacia 4-patellofemoral pain 5-chondromalacia patella 6-p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Talk to your surgeon: Talk to your orthopaedic surgeon who will give you both the non-operative treatment options and operative treatment options and the risks and benefits... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
6-10 weeks: Most fractures heal in 6-10 weeks. This can be considerably longer for smokers, diabetics and for comminuted fractures or fractures with soft tissue ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old female asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Many things: There are many things that can cause hip pain after prolonged walking. In younger people common causes are greater trochanteric bursitis, iliopsoas ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Severe arthritis: Infections in a joint space can be very serious because the joint space has minimal blood supply with limited ability to fight off the infection. Join... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Reclining chair: People are generally most comfortable sleeping in a reclining chair for 2-3 weeks after shoulder surgery. Icing the shoulder and ice machines are ver... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
6-12 weeks: The time it takes to recover varies considerably depending on the person and the actual procedures done during the surgery. Arthroscopic surgery can ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Limb salvage: Knee fusion is a salvage procedure for failed knee replacements, irreparable extensor mechanism deficits, infection, young active patients involved i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
8 weeks: Coccyx (tailbone) fractures, like most fractures, generally heal in 6-10 weeks.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
2-8 weeks: Return to work after shoulder surgery depends on what needed to be fixed at surgery and a persons job. Most people can return to a desk job with acti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Yes: A strain of the rotator cuff usually heals in 6-8 weeks. Rotator cuff tears in general do not heal unless surgically repaired. Surgical treatment is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Lateral : Nearly all knee caps that shift out of place (dislocate), go to the outside (lateral) side of the knee.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Depends on diagnosis: Knee braces are used for many reasons such as patellar tendinitis, acl deficiency, mcl injury prevention, knee arthritis, and patellofemoral pain. Ea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Expectations: A good general overview of a knee scope can be found here: http://orthoinfo.Aaos.Org/topic.Cfm?Topic=a00299.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
See a shoulder doc: Slap tears cause vague pain, sliding with overhead use, painful clicking or popping sensations with shoulder motion, especially overhead activity. Rtc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Poor tissue quality: Rotator cuff repairs can fail in many ways. More commonly this is due to poor tissue quality in the tendon itself. Repair using sutures is dependent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Bunion: Hallux valgus is the medical term for a bunion. Hallux means big toe or great toe. Valgus means bent out and is used to describe a deformity in whi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Many things: Injury prevention is sport specific, but for all sports warming up prior to practice/games and stretching before and after is key. Athletes must main... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Yes: Arthritis, especially inflammatory arthritis, can occur at any age. Juvenile rheumatoid arthritis occurs in the very young. "early onset" arthritis ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Scapular dyskinesis: Pain with throwing can be many things and can depend on the phase of throwning when the pain occurs. Late cocking: quadrilateral space syndrome, slap... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Both are good.: The active ingredients in Percocet are oxycodone and acetaminopehn. The active ingredients in locet are hydrocodone and acetaminophen. Both are good... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Yes: Throwing places extreme forces on both the shoulder and elbow. It is more common to have tendinitis or injury in the elbow from side-arm throwing, bu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Sometimes: Bursitis and partial tears often respond well to conservative treatment such as nsaids, injections, icing and physical therapy. The rotator cuff is a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Weight lifting: Bench press is a common weight lifting exercise where you lay on a bench and lift weights place on a barbell. This exercises the pectoralis major and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Unlikely: The shoulder has a lot of nerve endings in it, and it generally lets you know when its a had a surgery. Icing the shoulder, and cold therapy is very ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Yes: This depends on what the surgery was done for. The most common knee scope surgery is done for a meniscal tear where a partial menisectomy is done and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Quit smoking: Recovery from shoulder surgery can be improved by not smoking which delays wound healing. Diabetics must maintain their blood sugars at appropriate l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
20 minutes: In generally heating or icing a shoulder is done for 20 minutes out of an hour. It is important to ensure the heating pad is not left on too long as ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Depends on symptoms: Partial tears often respond well to conservative care such as injections and physical therapy. Partial thickness tears that do not improve with conse... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
4-6 weeks: This depends on the fracture pattern and patient. Wrist fractures are commonly splinted for 7-10 days after injury to allow for swelling and then pla... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Water aerobics: Water aerobics and swimming in general provide a great work out that does not load the knees and generally makes people with knee arthritis feel bette... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
No: I am unaware of any long term outcome study that demonstrates that a pes anserine transfer is preventative of knee arthritis or prevents the need for ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
See your doctor: A lymp in the groin is most commonly caused by a swollen and inflammed lymph node. It is best first evaluated by your family physician. It is most c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Tenderness: Patellar tendinitis causes pain and swelling in the front of the knee. People with patellar tendinitis will have pain when pushing directly on the pa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Maybe: Some procedures that were done for labral tears years ago are associated with arthritis later on and seeing a shoulder specialist may be a good idea i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Patellofemoral pain: Pain in the front of the knee when climbing stairs, first standing, or sitting for prolonged periods is generally from problems under the knee cap. T... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
See your doctor: Pain in the armpit is most commonly caused by a swollen and inflammed lymph node. It is best first evaluated by your family physician. It is most co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Rest: Osteolysis of the shoulder typically refers to distal clavicle osteolysis which is generally from overuse in weightlifters. This often responds well ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
6-12 weeks: This depends greatly on other injuries that may have occurred during the dislocation. A simple shoulder dislocation without other injury typically re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Yes: Shoulder tendinosis and bursitis commonly come and go over time, even years. If you have recurrent problems with the shoulder seeing a shoulder surge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Xrays and a splint: Elbow fractures are diagnosed based on xrays of the elbow. Most fractures can be splinted and referred to an orthopaedic surgeon for treatment. Seve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Generally yes: Patellar tendinitis generally resolves with appropriate conservative care. If it fails to resolve with conservative care it can be treated with surgi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
No: Shoulder tendinitis is a vague diagnosis. Shoulder pain in young people can be related to many different things such as shoulder instability, biceps... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
Synovial fold: Medial plica is a thickening or fold in the synovial lining of the knee. (plica synovialis mediopatellaris = medial plica: extends from the infrapate... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Paul Grutter
Orthopedic Surgery 24 years experience
6-8 weeks: This depends on the procedures performed, but most people are able to return to most of their activities at 8 weeks. People are typically working wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
208
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Grutter is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Grutter is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! Thank you Paul -- I will start with PT on my partial thickness bursal surface rotator cuff tear of the supraspinatus and subacromial/subdeltoid bursopathy.
HealthTap member
Thank you, your answer was very helpful! I am having this surgery soon, and wanted an answer to this as well.
HealthTap member
Thanks for your quick reply!i have now seen a orthopedic surgeon & will be having keyhole surgery thank-u

Education & Training

Medical/Graduate school

University of Missouri-Columbia School of Medicine, MO
Graduated 1999MD

Awards

Army Commendation Medal
Air Force Commendation Medal
Fellows Award - American Association for Hand Surgery

Affiliations

Southern Sports Medicine Institute
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