Author: The Orthopaedic Center (TOC)

Dr. Nadella to Begin Seeing Patients in Guntersville

Dr. Saranya Nadella will begin seeing patients at TOC Guntersville, effective August 11, 2022. Dr. Nadella specializes in physical medicine and rehabilitation. She provides her patients with spinal injection procedures, including:

  • Facet injections
  • Epidurals (cervical, thoracic and lumbar)
  • Sympathetic blocks
  • Discograms
  • Myelograms
  • SI joint injections
  • EMG/nerve conduction studies
  • Botox® injections

About Dr. Nadella

Dr. Nadella completed her residency in Physical Medicine and Rehabilitation at National Rehabilitation Hospital in Washington, D.C. in 1998. She practiced psychiatry for 3 ½ years in Florence, AL, and completed her Interventional Spine Fellowship at Alabama Orthopaedic and Spine Center in Birmingham, AL. She is board certified in Physical Medicine and Rehabilitation and in the subspecialties of Pain Medicine and Electro Diagnostic Medicine (EMG/NCS). She is also certified with the American Board of Independent Medical Examiners.

Dr. Nadella will be seeing patients at TOC Guntersville every two weeks, and she will continue her practice at TOC Huntsville. If you’d like to schedule an appointment with Dr. Nadella, you can do so by calling (256) 539-2728 or by clicking below.

Schedule an Appointment

Memorial Day Hours

Soldiers Raising the American FlagIn observance of the Memorial Day holiday, all TOC locations will be CLOSED on Monday, May 30.  The Walk-In Clinic and the Pediatric Injury Clinic will also be closed.  We wish you a safe and peaceful holiday!

Eshan Pokhrel – Athlete of the Week – March 2022

Congratulations to Eshan Pokhrel from Sparkman High School. He is the TOC Sports and Huntsville Hospital Sports Center Athlete of the Week for March 2022!




Eshan Pokhrel

Sparkman High School

Football / Soccer

4.25 GPA



-3-Year Soccer Captain / 4x Club Soccer State Finalist / School Leader in Goals for a Defender / Varsity Football Team Starter

-National Honors Society Cabinet Member / Student Government Representative / ACT 30 Club / AP Course Workload

-450+ Volunteer Hours / Madison Co. Middle & High School Scholar Bowl Organizer / Boys State Summit Representative

COVID-19 Screening Notice

In order to protect our patients and staff, people with suspected or confirmed COVID-19 are not permitted to enter The Orthopaedic Center (TOC). If you have any of the following, please refrain from entering any TOC facility:

  • If you are COVID-19 positive
  • Suspected of being COVID-19 positive
  • Had recent loss of taste and/or smell
  • Fever greater than 100.4 °F
  • New unexplained cough associated with shortness of breath

By entering a TOC facility you attest that you do not have any of the above, and are COVID-19 free.

This policy is applicable to any and all persons entering any TOC facility. If you meet any of the above criteria, please call (256) 539-2728 to reschedule your appointment or to schedule a Telehealth appointment option.

While inside TOC facilities we ask that all patients and visitors strictly follow the safety recommendations below:

  • Maintain six feet of separation from persons of different households.
  • Lobbies/waiting rooms/clinical areas are limited to “patient only” unless they are accompanying a patient who is a minor, someone needing mobility assistance, a caregiver, or have prior approval from the physician.
  • Face masks are strongly encouraged while in a TOC facility.

Aaliyah Washington – Athlete of the Week – March 2022

Congratulations to Aaliyah Washington from Bob Jones School. She is the TOC Sports and Huntsville Hospital Sports Center Athlete of the Week for March 2022!




Aaliyah Washington

Bob Jones High School

Track / Cheer

3.7 GPA



-2021 7A State Champion – Track / Indoor Record Holder – 60 Meter Dash & Long Jump / UCA All-American Cheerleader

-National Honors Scholars Society Member / A-B Honor Roll Throughout High School / “Athletes of the School” Program

-Best Buddies Volunteer-3 Years / YMCA Summer Program Volunteer / Cheer Camp Volunteer / Breakfast w/ Santa Association

Austin Givens – Athlete of the Week – March 2022

Congratulations to Austin Givens from Huntsville High School. He is the TOC Sports and Huntsville Hospital Sports Center Athlete of the Week for March 2022!




Austin Givens

Huntsville High School


3.95 GPA



-United Soccer Club (USC) State Cup Champion / Varsity Soccer Starter / Awarded Best Offensive Player – Sophomore Year

-A/B Honor Roll / National Honors Society Member / Future Health Professionals (HOSA) Member / Chemistry Club Member

-Meals on Wheels Volunteer / Church Volunteer / Community Projects & Fundraising (HOSA)

Amanda Davis – Athlete of the Week – March 2022

Congratulations to Amanda Davis from Sparkman High School. She is the TOC Sports and Huntsville Hospital Sports Center Athlete of the Week for March 2022!





Amanda Davis

Sparkman High School


3.5 GPA


-3x Varsity Track Letterman / 4×4 Meter Relay Record Holder / Member – 2021 7A 4×1 Relay State Championship Team

-National Honors Society Member and Cabinet Leader for Medical Group / 3x Delta Convocation Scholar / A-B Honor Roll

-Church Volunteer / Manna House Volunteer / Youth Church Leader / Volunteer – Sparkman JV Meets

Employee Appreciation Day 2022

To ALL of our exceptional employees,

Thank you for your warmth, compassion, and commitment to taking care of our patients! We are so grateful for your dedication to your work and your involvement in Team TOC. We wanted to highlight some employees from all corners of TOC who exemplify the core values of our company: compassion, integrity, purpose, servanthood, stewardship, and teamwork.


Kelley Chance
MA, Rad Tech for
Dr. Patrick Boyett


Kelley has been with TOC for 10 years. She is committed to her team and is a problem solver. She is confident, hardworking, and reliable. “Kelley is an asset to TOC. She is trustworthy and always finishes the job.”
-Shea Whitt

Joan Clark
Medical Records


Joan has been with TOC for 19 ½ years! She has a great personality, good work ethic, and is reliable. She is fun to work with, knowledgeable, and caring. “Joan is a dedicated and loyal employee who likes her job. She has been a good employee for TOC, and she deserves recognition.”
-Karen Whiteley

Shiela Coleman
4th Floor Registration


Shiela has been with TOC for just under 6 months and has already made a huge impact on her team! She never fails to do everything to help any situation, and other employees can vouch that she can always be relied on. “Shiela is a strong addition to our team and a huge benefit to TOC.”
-Bailey Mitchell

Kristi Conner
R/OT MA for Dr. Smith


Kristi has been with TOC for 15 years. You can always depend on her to get the job done. She stands out in her leadership, teamwork, dependability, and enthusiasm for her job. “Kristi is such an asset to our team. She is a great leader that always goes above and beyond. We are not only a team, we are a family.”
-Jeremy Gaertner

Amy Fowler
Call Center Specialist


Amy has been with TOC for 4 years. Her personality and commitment to her job make her a valuable team member. She is always very helpful, a great employee, and is a joy to be around. “She means a lot to all of us in the department. She is very helpful, always willing to help when anything is needed to be done. She is a delight to work with, and very hardworking.”
-Robin Duey

Brian Kimbugwe
DME Lead Fitter


Brian has been with TOC for over 6 years. He goes above and beyond for his patients and the TOC staff. He is very knowledgeable and patient. Everyone says, “I love Brian!” His smile and positive attitude are infectious. “Brian is an integral part of our team. Not only is he very knowledgeable, but he is such a caring, kind, positive person.”
-Brandon Strode

Renee Mann
Physical Therapist Assistant


Renee has been with TOC for 17 ½ years. She is a constant team player and is always willing to do whatever is needed to take care of our patients. She often stays late or works through lunch to get patients in. Renee has an incredible demeanor and attitude and is very professional. “Renee is a leader in the clinic in both professionalism and teamwork. I am thankful for the way that she makes the Huntsville clinic a better place to work by improving the culture.”
-Jeff Keith

Lisa Mitchell
Call Center Specialist


Lisa has been with TOC for 4 years. Her personality and perseverance make her stand out. She is very helpful and always available and willing to listen when needed. She is a team player. “Lisa means a lot to all of us. She is always available, dependable, helpful, dedicated, and willing to do the job that is needed to be done.”
-Robin Duey

Susan Patterson


Susan has been with TOC for 4 years. She is always willing to step up to anything new that’s thrown at her and never without a loss in productivity. She is a wonderful asset to the coding team professionally and personally. “Susan is one of our seasoned clinic coders, and her work is always very dependable. She has a very strong work ethic and is a wonderful asset to TOC.”
-Julie Zuidema

Sharon Sentell
AR Appeals


Sharon has been with TOC for 24 years. She is ALWAYS willing to go the extra mile to go to bat for our providers and make sure claims are processed properly and fairly. She is an excellent teammate and a genuine friend who strives for us all to be successful. She is great at answering questions and is a wonderful mentor. “Sharon is a superstar when it comes to her expertise with the claims appeal process.”
-Julie Zuidema

Tracey Syler
LPN/Team Lead for Dr. Parks


Tracey has been with TOC for 10 years. Tracey will help anyone that asks. She is kind to patients, very dependable, and provides medical assistance for emergencies almost always. She is also generous and a great cook! “Tracey is a leader to not only her team, but for many others at TOC. And she puts up with Dr. Parks and Tom!”
-Kathleen Miller

Jennifer Tompkins
X-Ray Tech


Jennifer has been with TOC for almost 6 years. She is a problem solver and is willing to learn new skills for the benefit of her team. Jennifer is not only awesome to work with, but you can always count on her for a nonjudgmental ear and helpful words. “Jennifer is always willing to help out others, and not just in the radiology department. She is very resourceful and looks at the big picture when solving problems.”
-Marti Roland

Derrick Townsend
MA – Floater


Derrick has been with TOC for 9 months. Everyone loves Derrick! He is kind, hardworking, and always helpful. Teams ask for Derrick regularly and always sing his praises. Many teams have tried to steal Derrick, but he remains a free spirit! “Derrick is dedicated, dependable, very flexible, kind, funny, and an asset to TOC!”
-Kathleen Miller

Desiree Wallace
Athens Registration

Desiree has been with TOC for 6 months. She is a hard worker, and her positive attitude helps her stand out. She is dependable and always willing to help others. “Desiree is an asset to her team. She is a dedicated employee.”
-Shea Whitt

What to Expect in Your First Physical Therapy Appointment

by Scott Stein

“Physical terrorist!”

I’ve heard it so many times. Most new patients are uncomfortable with the idea of physical therapy because they are afraid or unsure of what to expect regarding how much pain they will experience during their first physical therapy session.

However, during your first visit, your therapist will discuss your injury or surgery, your medical history, and your current pain level. At this point in the process, we really just want to get to know you.

Following your initial consultation, your therapist will collect some baseline data concerning your condition. They’ll measure your range of motion, strength, and other important points. Your therapist will then discuss their findings with you and develop a treatment plan.

As part of your treatment plan, your therapist will help you restore your range of motion and strength, as well as provide you exercises to do at home.

Our goal as physical therapists is to give you a treatment plan that helps reduce your pain, rather than prolong it.

Scott Stein has been a licensed physical therapist for over 30 years. Scott recognizes that many types of treatments are necessary for optimal healing. Scott continues to practice this philosophy utilizing both traditional and non-traditional treatment approaches as he develops programs and assists his patients. Working with many types of athletes, Scott is also a certified Retül Bicycle Fitter and Cycling Coach.  He is married and the father of two children. He loves to bicycle, exercise, and cook healthy meals.

Request an appointment today!