QC Kinetix's Knee Pain & Arthritis Specialist

If you are suffering from arthritis and knee pain, you're not alone!

  • Plasma Therapy
  • Alpha 2 Macroglobulin (A2M) Therapy
  • Bone Marrow Aspirate Concentrate (BMAC) Therapy
  • Platelet-Rich Plasma (PRP) Therapy
Knee Pain & Arthritis Treatment Fairview, TN

Knee Pain & Arthritis Specialist in Fairview, TN

Disconcerting crunching sounds as you walk up hills. Unpredictable swelling that makes it uncomfortable to move. Chronic pains that leave you laid up and reliant on ice packs and pain medications. Knee pain is, without a doubt, one of the most common and painful conditions an adult can go through. It can affect every aspect of your daily life, from picking up the kids from soccer practice to staying on a regular workout routine so you can remain healthy and active.

If you're suffering from knee pain, you're not alone - the American Academy of Family Physicians tells us that almost 25% of all adults in the U.S. suffer from some type of knee pain. In fact, diagnosed knee pain has risen almost 65% over the last couple of decades, adding up to nearly four million visits to primary care doctors annually. That's a lot of chronic knee pain that needs to be addressed.

Unfortunately, many doctors recommend prescription pain pills and invasive surgeries as knee pain treatments instead of non-invasive alternatives. But if you're looking for a way to avoid the need for a knee replacement and pain pills, there's good news to share. QC Kinetix's regenerative medicine in Fairview, TN, is an all-natural, effective way to help heal prevalent issues like knee arthritis and knee pain without painful surgeries or long recovery times.

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The Future of Knee Pain Treatment: Regenerative Medicine

Whether you have been fighting through osteoarthritis for years or you've only recently suffered a knee injury, you're probably wondering how regenerative medicine for knee pain works. Regenerative medicine is a revolutionary field of medical science that taps into the body's innate ability to heal and renew itself.

Its main objective is to restore the function and structure of damaged or diseased tissues and organs by either boosting the body's own repair mechanisms or creating new healthy cells to replace the sick ones. For instance, in regenerative ophthalmology, doctors are using retinal progenitor cells to replace damaged retinal cells and combat some causes of blindness.

Regenerative medicine aims to provide a viable alternative to conventional treatments that often involve invasive procedures or long-term medication use. These treatments can cause significant pain and harm to the patient, leading to complications, excessive scarring, and drug dependency. In contrast, regenerative medicine seeks to treat degenerative diseases, injuries, and age-related deterioration by activating the body's natural healing processes and prioritizing the body's inherent capabilities.

 Best Regenerative Medicine Fairview, TN
 Knee Pain Treatment Fairview, TN

Regenerative medicine for knee pain can provide a long list of benefits for men and women who deal with daily pain and discomfort. Some of the symptoms that knee pain can help reduce may include the following:

  • Knee Weakness
  • Knee Popping
  • Knee Osteoarthritis
  • Knee Swelling
  • Knee Arthritis
  • Knee Inflammation
  • Knee Pain
  • Much More

Does Regenerative Medicine Really Work as a Knee Pain Treatment in Fairview, TN?

The benefits of regenerative medicine have been proven through numerous scientific studies and clinical trials. Patients who have undergone regenerative therapies like PRP and stem cell treatment have reported substantial relief from chronic pain, according to a study published in The Journal of Pain Research.

Today, regenerative medicine treatments are being pursued by prestigious institutions like Harvard and the Mayo Clinic. In fact, the National Institute of Health recognizes the field of regenerative medicine as holding great promise for treating and even curing various injuries and diseases.

Regulatory bodies, including the U.S. Food and Drug Administration, maintain strict oversight of regenerative therapies to ensure they adhere to high safety and efficacy standards. Additionally, professional organizations such as the American Association of Tissue Banks (AATB) promote ethical practices and ongoing advancements in the field of regenerative medicine.

The benefits of regenerative therapies for issues like knee pain are both promising and exciting, and can alleviate symptoms without:

  • Knee Weakness
  • Knee Popping
  • Knee Osteoarthritis
  • Knee Swelling
  • Knee Arthritis
  • Knee Inflammation
  • Knee Pain
  • Much More
 Regenerative Medicine Fairview, TN

Understanding the Causes and Symptoms of Knee Pain

The knee joint is made up of bones, ligaments, tendons, and cartilage. Bursae, which are small sacs filled with fluid, help cushion the moving parts of the knee and prevent friction. Knee pain can occur due to various reasons like injury, aging, repeated stress, wear and tear on the joint, or inflammation of the bursa. Knee bursitis is a common condition that causes inflammation of the bursae and leads people to seek knee pain treatments.

Sports activities are a common cause of knee injury as they exert tremendous force on the knee joint. Although the knee can usually handle this stress, it can also cause painful injuries. Some athletes may need knee surgery to repair the damage, while others may delay surgery for years until arthritis develops due to the injury and becomes unbearable. The same goes for average men and women whose minor sprains eventually lead to osteoarthritis and other issues. Fortunately for both parties, regenerative medicine in Fairview, TN represents a more cost-effective, non-surgical solution for knee pain.

 Prevent Knee Replacement Surgery Fairview, TN

Because of the knee joint's complexity, it is susceptible to a wide range of injuries. Some of the most common knee injuries include the following:

Arthritis

Arthritis

Degeneration and inflammation can impact the knees with chronic and debilitating pain, as seen in osteoarthritis and rheumatoid arthritis. Surgery may be used in severe cases, but for many, finding ways to manage the pain is the only option. However, there is hope in regenerative knee pain therapy, which can provide authentic pain relief, enhance mobility, and lead to a more active lifestyle. Contact QC Kinetix today to learn more about our revolutionary regenerative medicines for knee pain.

Fractures

Fractures

Severe pain in the knee may result from the patella ( the kneecap), the connecting thigh bone, or one of the shin bones being fractured. Such fractures are usually caused by abrupt, high-energy impacts like falls from high altitudes or car accidents. The usual treatment for these injuries is to physically reset the broken bone. In some cases, plasma-rich growth factors can be used to help speed up the healing process associated with fractures.

Tendonitis

Tendonitis

Excessive strain on the knee tendons through activities such as running, jumping, or cycling can result in the tendons becoming inflamed (tendonitis). While rest, ice, knee brace compression, and elevation are commonly used to treat tendonitis, there are other non-surgical and proactive options available for knee pain treatment in Fairview, TN.

Dislocations

Dislocations

When the bones in the knee shift out of place due to a traumatic fall, twisting of the knee, or high-impact collisions, it causes an injury called dislocation. It is essential to put the dislocated knee back into place, and in severe cases, surgery may be necessary.

Cartilage Tears

Cartilage Tears

Injuries to the knee can result in the tearing of the cartilage or meniscus, which serves as a cushioning pad and shock absorber. Although conventional treatment options are restricted to wearing braces or undergoing surgery, regenerative knee pain therapy can be a promising solution for this type of injury.

Sprains and Strains

Sprains and Strains

When the ligaments or tendons in the knee are overstretched or torn, it can result in a knee sprain or strain. This kind of injury is usually caused by sudden twists and can be quite painful. It often results in swelling and makes it difficult to walk. To help alleviate the pain, it's recommended to apply ice, elevate the knee, and rest. Another option for treatment is regenerative knee pain therapy.

Can Regenerative Medicine in Fairview, TN, Prevent Knee Replacement Surgery?

Our non-surgical knee pain treatments can resolve your pain and restore your mobility, so it's worth exploring your options with us. During your Request Appointment, we will assess your current condition and needs with the utmost care and consideration. We understand the impact of pain, and we don't want to prolong your discomfort with ineffective treatments.

If we determine that surgery is the best option for you, we will advise you accordingly to avoid any delays in your recovery. However, if we believe that our regenerative knee pain therapy is a good fit for your needs, we will discuss your options with you in detail.

Three Reasons to Re-Think a Knee Replacement Surgery

If you're under the impression that a total knee replacement is the only answer to your knee pain problems, think carefully about these potential downfalls first:

Knee Pain & Arthritis Treatment Fairview, TN

Chronic Knee Pain

When people experience chronic knee pain, they often turn to knee replacement surgery as a solution. However, there are cases where the surgery can actually exacerbate the pain. Research has revealed that a substantial number of patients experience mild pain after the procedure, while others suffer from pain that is either equal to or more intense than their previous chronic knee pain. In some cases, patients have reported that their pain worsens even years after having undergone knee replacement surgery.

 Best Regenerative Medicine Fairview, TN

Risk of Heart Attack

Reports suggest that those who are above 60 years old are at a greater risk of experiencing a heart attack after undergoing surgery. But why? The truth is that the stress and trauma that come with knee replacement surgery can be quite intense, which leads to an increased possibility of heart attacks. If you have heart disease, have had a heart attack, have a history of heart disease in your family, or are over the age of 60, it might be time to consider regenerative medicine.

 Knee Pain Treatment Fairview, TN

Metal Ion Damage

After undergoing knee replacement surgery, there is a risk of wear particles causing harm to your body. These particles are small fragments of plastic, metal, or ceramic that break off from the replaced joint and can cause irritation to the surrounding tissue. In some cases, wear particles can even enter your bloodstream and lead to metal toxicity or the formation of pseudotumors at a genetic level.

 Regenerative Medicine Fairview, TN

Popular Regenerative Medicine Options for Knee Pain Treatment in Fairview, TN

Maintaining strong and healthy knees is essential for everyday activities such as walking, running, standing, or even just getting up from a seated position. Unfortunately, knee pain can significantly impact one's quality of life, making it difficult to perform simple tasks like bathing or dressing oneself.

Furthermore, it can prevent people from participating in enjoyable activities like hiking, biking, or gardening. It can even keep them from getting a good night's rest. Although knee surgery is a painful and extensive process, regenerative knee pain therapies can often provide relief without the need for surgery. These non-surgical treatments are accessible to individuals of all ages and backgrounds who are seeking relief from knee pain.

At QC Kinetix, we offer patients several regenerative medicine options to help treat and ultimately eliminate knee pain symptoms. Some of the most popular therapies our patients choose to help with knee pain like osteoarthritis include the following:

 Prevent Knee Replacement Surgery Fairview, TN

Plasma Therapy

You can think of plasma therapy as preparation for the other regenerative treatments we use to treat knee pain. As part of a non-surgical regeneration plan, plasma contains incredible growth healing factors that can help decrease inflammation in your knees and across your body. Once inflammation goes down, your pain is reduced, and you become more receptive to additional forms of regenerative medicine in Fairview, TN.

Knee Pain & Arthritis Treatment Fairview, TN

Alpha 2 Macroglobulin (A2M) Therapy

Research indicates that A2M has the ability to alleviate knee pain by disabling particular enzymes that have the potential to deteriorate cartilage cells. When the cells in the cartilage of the knee begin to break down, the bones that combine to form the knee joint are subjected to greater friction during movement, leading to the inflammation of tissues and irritation of nerves.

 Best Regenerative Medicine Fairview, TN

Bone Marrow Aspirate Concentrate (BMAC) Therapy

BMAC is a concentration of regenerative cells obtained from the soft, spongy tissue found in the center of bones, called your marrow. Marrow is often found in areas such as the hips or pelvic bone. These specialized cells can replicate themselves into various types of tissues and promote tissue growth, boosting the body's natural healing abilities to speed up the healing process. By allowing your treatment area to heal naturally and more rapidly, you can find relief from knee pain quickly and more effectively.

 Knee Pain Treatment Fairview, TN

Platelet-Rich Plasma (PRP) Therapy

In order for the body to heal an injury, it requires blood flow to provide the necessary cells and nutrients. Unfortunately, certain areas within the body have limited blood flow, making it more challenging to heal when injured. This is particularly true when it comes to the meniscus and cartilage in your knees, which have poor blood flow. So, how can you enhance the healing potential of tissues with inadequate blood flow? One option is to utilize PRP, which involves injecting concentrated platelets that contain high volumes of growth factors and proteins. This signals and drives the body's natural healing responses. When used as part of a personalized non-surgical regeneration plan by QC Kinetix, PRP therapy is often an MVP in regenerative medicine treatments.

Trust QC Kinetix for Non-Invasive Regenerative Medicine in Fairview, TN

Many of the physicians and regenerative health providers at QC Kinetix have a background in sports medicine, where they worked with professional athletes to mend broken bones and repair torn ligaments and tendons. It can be incredibly fulfilling to help these individuals recover, but unfortunately, many people - not just athletes - are eager to return to their activities before they have fully healed from surgery. This can be problematic because surgery can often cause more harm than good, leading to a long and painful recovery period.

Regenerative medicine for knee pain takes a different approach by tapping into your body's own healing and repair abilities to address knee pain and damage. During your free consultation, we will assess your current condition and needs and recommend the best course of recovery for your unique body. We prioritize effective treatments and minimizing pain, so if surgery is the best option, we will let you know upfront. However, if our regenerative knee pain therapy is a good match for your needs, we will explain your options in detail, so you can get relief as soon as possible.

If you're sick and tired of your knees holding you back on a daily basis, it's time to reduce your pain and reclaim your mobility. Contact QC Kinetix today to take the first step toward reclaiming your life.

Latest News in Fairview, TN

A Fairview family loses home just days before Christmas

In a heartbreaking turn of events, a home that was once a beacon of hope — constructed through the efforts of compassionate volunteers —now lies in ruins after a devastating fire.FAIRVIEW, Tenn. (WTVF) — In a heartbreaking turn of events, a home that was once a beacon of hope — constructed through the efforts of compassionate volunteers —now lies in ruins after a devastating fire.The flames ignited on the porch of the residence located on Horn Tavern Road and Brandenburg Court in Fairview around 10...

In a heartbreaking turn of events, a home that was once a beacon of hope — constructed through the efforts of compassionate volunteers —now lies in ruins after a devastating fire.

FAIRVIEW, Tenn. (WTVF) — In a heartbreaking turn of events, a home that was once a beacon of hope — constructed through the efforts of compassionate volunteers —now lies in ruins after a devastating fire.

The flames ignited on the porch of the residence located on Horn Tavern Road and Brandenburg Court in Fairview around 10:30 on Wednesday night.

Kelsey explains this devastating loss in the player above.

Witnesses in the neighborhood, speaking off-camera, revealed that when they stepped outside their homes, they were met with the sight —the house engulfed in flames within moments.

The fire is believed to have started on the front porch.

Neighbors said the homeowners had only recently moved into the home, less than six months ago now find themselves grappling with the loss of their home just days before Christmas.

December is a peak month for home fires, a trend attributed to the various activities associated with the holiday season, according to the National Fire Protection Association,

While the cause of the fire is still under investigation, fire crews confirm that it was initiated on the front porch.

Despite the devastating outcome, the Fairview Fire Department reports that no injuries were sustained during the fire, as the two people were able to evacuate safely.

As the investigation into the cause of the fire unfolds, the community comes together to support their neighbors.

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-Carrie Sharp

Copyright 2023 Scripps Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

Residents appeal to stop 500-home Bellehaven development in Fairview

A development with more than 500 homes in Fairview that’s been discussed and redrawn for years has advanced to a final vote by city leaders.Neighbors of the Bellehaven site, including Jeffrey Pape, Tamara Hyler and others, are against the proposed development planned for 250 acres along Highway 96.Pape and Hyler filed a complaint with the city, and the appeal was heard in late April by the Franklin Board of Commissioners, who ultimately on first vote approved Bellehaven.The approval comes nearly two years after the...

A development with more than 500 homes in Fairview that’s been discussed and redrawn for years has advanced to a final vote by city leaders.

Neighbors of the Bellehaven site, including Jeffrey Pape, Tamara Hyler and others, are against the proposed development planned for 250 acres along Highway 96.

Pape and Hyler filed a complaint with the city, and the appeal was heard in late April by the Franklin Board of Commissioners, who ultimately on first vote approved Bellehaven.

The approval comes nearly two years after the commission first rejected the plan.

Walton Group is the developer for the project, which is located near Interstate 40. The builder is Texas-based D.R. Horton.

The master plan calls for over 500 residential units, with lots sizes between 55- and 85-feet wide, as well as 20-foot-wide townhome lots. A small pool and cabana are also planned.

What appeal says

Pape and Hyler contend that the project needs to be rezoned and the current plans shouldn’t have made it this far into the process.

“Very simply put, if you change the plan for this particular PUD zoning it changes the official zoning map of the City and is therefore a zoning change,” their appeal states.

More:Fairview leaders still resistant to high-density development near I-40

They also argue that the master plan presented in March didn’t include all the minimum city requirements.

“Therefore, both the lack of information provided by staff as well as the statements made by staff and legal counsel unduly influenced and restricted the Planning Commission’s discretionary authority to approve exceptions and variations from the zoning ordinance as part of their approval process,” the appeal states.

Their appeal was ultimately deferred on April 20. That same date at its regular monthly meeting, the commission, with two members absent, approved the development on first reading. A public hearing and second reading and possible final vote are expected on May 18.

Attorney recommends approval

Fairview City Attorney Patrick Carter strongly recommended that the board approve the plan on first reading, stating it met the city’s zoning codes.

“If the master plan meets the zone of the property, legally, it requires you to approve it,” Cater said. “All I can tell you is what the law is. This has everything to do with the property’s zoning that was put in place in 2008.”

In a late 2021 city Planning Commission meeting, commissioners pushed back against the project’s look and density. At the time 600 homes were planned.

“I'm having a hard time falling in love with it, or kind of seeing the vision,” Planning Commission Chairman Brandon Butler said. “I’m still having a hard time with the lot size or the overall design.”

Residents at Fairview apartment complex dealing with rat infestation

FAIRVIEW, Tenn. (WKRN) — Tenants at a Fairview apartment complex are dealing with deplorable living conditions. They claim management is doing little solve a rodent infestation that has been going on for months.Residents at the Roundtree Manor Apartments in Fairview said they’ve been dealing with a rat infestation since May, but little has been done to address their concerns.News 2 toured one of the units to see the conditions. ...

FAIRVIEW, Tenn. (WKRN) — Tenants at a Fairview apartment complex are dealing with deplorable living conditions. They claim management is doing little solve a rodent infestation that has been going on for months.

Residents at the Roundtree Manor Apartments in Fairview said they’ve been dealing with a rat infestation since May, but little has been done to address their concerns.

News 2 toured one of the units to see the conditions.

Residents showed evidence of chewed towels, appliances and cabinets, mats and rugs with rodent urine as well as droppings throughout living spaces. Other tenants showed News 2 places where mold is beginning to grow.

Residents reached out to management with their concerns, but said there hasn’t been much effort to fix the issues.

“I have a 1-year-old and a 4-year-old; we’ve been dealing with rats,” said Charnequa McNemore, who has lived at the complex for two years.

She said the conditions are now impacting her children’s health.

“They can’t walk around without shoes on in the apartment. We have mold. They’re not doing anything. It’s ridiculous. My kids are staying sick. We have to sleep with the doors boarded up to protect our kids from the rats, but they’re still finding a way to get in,” said McNemore.

News 2 reached out to the manager of the Roundtree Manor apartments, however, staff decided not to comment on the situation. News 2 also reached out to the Atlanta-based real estate owner of the complex, Hallmark Companies, but have not received a response yet.

Read today’s top stories on wkrn.com

Tenants said they contacted the health department and codes. They said they were told their messages were received, but they are still waiting for action to be taken.

Until they get responses from management, McNemore said she is left to spend her own money until a solution is found.

“They’re not fixing anything, like nothing. It’s always, ‘We have to come out of pocket.'”

Fairview High Jackets defeat Indians in Homecoming Game

The Fairview Yellow Jackets capped off an exciting Football Homecoming Week with a 34-20 win over the Montgomery Central Indians before a huge hometown crowd under the Friday night lights.On first possession, the Jackets were forced to punt. However, the Indians fumbled the ball and Fairview’s #21 Travon Murry recovered the ball to put the Jackets in good field position. Following carries by Murry, #13 Zedek Chambers and #2 Wendell Billingsley, quarterback #5 Jax McCoy rushed into the end zone for the first score of the game. Fa...

The Fairview Yellow Jackets capped off an exciting Football Homecoming Week with a 34-20 win over the Montgomery Central Indians before a huge hometown crowd under the Friday night lights.

On first possession, the Jackets were forced to punt. However, the Indians fumbled the ball and Fairview’s #21 Travon Murry recovered the ball to put the Jackets in good field position. Following carries by Murry, #13 Zedek Chambers and #2 Wendell Billingsley, quarterback #5 Jax McCoy rushed into the end zone for the first score of the game. Fairview kick Beckham Adams’ extra point kick was good, putting Fairview up 7-0.

The Indians were quick to strike when #9 Bo Bowers ran the kickoff back for a Montgomery Central touchdown to tie up the game 7-7.

Fairview failed to secure a first down on their next possession and a short punt gave the Indians solid field position which they used to score their second touchdown and first lead in the game.

Unable to gain yardage, the Jackets’ punt went deep as the first quarter ended. At the start of second quarter, the Indians met r esistance from a tough Jacket defense. Big tackles from Wendell Billingsley and Tristan Roberts forced the Indians to punt.

A penalty and bad snap was recovered by Fairview’s #21 Travon Murry who ran the ball to the 22-yard line. Murry followed up with two big gains before reaching the end zone on his third carry. Adams’ point after was good, making it a tie score 14-14.

The Jacket defense forced the Indians to turn possession over on downs with only a minute left in the half. A short march down field and time running out, Jax McCoy connected on a 12-yard pass to Billingsley in the end zone with seven seconds remaining in the half. Extra point was good, giving Fairview a 21-14 lead at half time.

Returning to play, the Indians #12 Anthony Holland intercepted a Fairview pass, but they could not generates a score from the turnover, punting to Fairview. The battle raged on in the third quarter.

With four minutes left in the third quarter, Fairview’s #7 Lincoln Kelley rushed 7 yards for the touchdown with extra point good. Fairview was up 28-14.

Moving into the fourth quarter, the two teams seemed matched. The teams punted back and forth until late in the fourth quarter when Mccoy threw a 29-yard pass to #2 Wendell Billingsley for a Jacket touchdown. The score pushed the Jacket lead to 34-14.

After Montgomery Central’s #11 Kanyon Conner blocked a kick, the Indians found themselves on their own 5-yard line with a lot of field in front of them. They moved down field allowing the Indians’ #3 Jackson Mullins to complete a five-yard pass to #12 Anthony Holland for a touchdown. However, it was not enough as the clock ran out, giving Fairview the victory.

The Jackets travel to Independence October 6 and host Sycamore on October 20.

The Jackets and Indians battled through most of the first half. In the final minute of the second quarter, Fairview scored their third touchdown to go into halftime ahead 21-14.

Check back for more FHS Homecoming game and parade photos!

Fairview apartment complex residents battle ongoing rat infestation: A cry for help ignored

WARNING: Photos and video attached to this story may be disturbing for some viewers. Discretion is advised.FAIRVIEW, Tenn. (WZTV) — It's a nightmare for some living in a Middle Tennessee apartment complex. Residents said they've been dealing with a rat infestation since early spring.Charity Taylor was in tears when FOX 17 News sat down to speak with her. She lives at Roundtree Manor Apartments in Fairview with her daughter and son, and she said she's at her breaking point.Taylor and her da...

WARNING: Photos and video attached to this story may be disturbing for some viewers. Discretion is advised.

FAIRVIEW, Tenn. (WZTV) — It's a nightmare for some living in a Middle Tennessee apartment complex. Residents said they've been dealing with a rat infestation since early spring.

Charity Taylor was in tears when FOX 17 News sat down to speak with her. She lives at Roundtree Manor Apartments in Fairview with her daughter and son, and she said she's at her breaking point.

Taylor and her daughter say they clean regularly, and the next day rats come back.

A few months ago, the family saw a rat and noticed holes under her kitchen sink. Taylor put a bucket with grease in it to catch the rodents, thinking she wouldn't find anything.

“I caught 31 rats in a bucket under my kitchen sink. Within a matter of two days,” Taylor said.

“Nobody's doing anything about it. It's got to the point where you can’t sleep peacefully without hearing noises and scratches in the wall. And it's just it's a nightmare at this point.”

Taylor said she has tried to get help from the apartment complex, showing them the pictures and the only response, she got is "I’m sorry" and some rat traps in hand.

“You can't even enjoy it here because of the rats; the smells,” she said.

An advocate working with renters at the complex said another family with small children is also facing this issue.

That family is not ready to speak with FOX 17 News. Reporter Payton Muse went to the management office. The manager said she was "advised to say no comment."

Muse asked when these problems are going to be addressed.

The complex said they’re in the process of "doing everything" and they’re hoping things will be resolved by the end of next week.

Another problem Taylor’s family said they’re dealing with is no hot water. Taylor said maintenance came Thursday and it is still broken.

Get reports like this and all the news of the day in Middle Tennessee delivered to your inbox each morning with the FOX 17 News Daily Newsletter.

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