About
Dr. Justin T. Smith is a double board-certified, fellowship-trained orthopaedic sports medicine and shoulder surgeon based in Fort Mill, SC. He completed ten years of post-graduate medical training under some of the top orthopaedic surgeons in the world. He holds dual board certifications in Orthopaedic Surgery and Orthopaedic Sports Medicine, and maintains membership in the American Orthopaedic Society for Sports Medicine.
Dr. Smith specializes in athletic injuries of the shoulder, elbow, hip, knee, and ankle. His surgical expertise spans ACL reconstruction, meniscus repair, rotator cuff repair, shoulder instability surgery, carpal tunnel release using the WALANT technique, and joint replacement. He integrates orthobiologics, including PRP, BMAC, and Lipogems, into his non-operative care. He also uses StemWave shockwave therapy for tendon and soft tissue conditions. Dr. Smith cares for a broad patient range, from professional and collegiate athletes to weekend warriors, youth athletes, and older adults seeking active lives. He founded Journey Orthopaedic Institute to pair high-level surgical skill with honest, transparent, patient-first care delivery.
Education & Training
Fellowship
Fellowship-trained Orthopaedic Sports Surgeon (institution not specified)
Additional Training
10 years of post-graduate medical training
Certifications
Conditions Treated
Who is Dr. Smith right for?
Dr. Smith is a strong fit for active adults and athletes who need a clear diagnosis and a direct treatment plan. Patients dealing with ACL tears, meniscus injuries, rotator cuff tears, or shoulder instability find a surgeon comfortable with both operative and non-operative paths. Youth and collegiate athletes benefit from his sports-focused clinical approach. Older adults managing knee arthritis, plantar fasciitis, or joint pain also fit his practice well. Anyone who wants transparent pricing and direct surgeon access from the first visit will feel at home with Dr. Smith.
Similar Doctors Nearby
Dr. Jessica MendelsohnM.D.
Family Medicinechronic disease, hypertension, diabetes +3 more
Dr. Richard Patrick LopezDO
Internal Medicinechronic disease, musculoskeletal injuries, preventive health +3 more
Dr. Jason Perey
Family Medicinechronic disease, acute illness, preventive care conditions +1 more
Frequently Asked Questions
Dr. Smith treats a wide range of orthopaedic and sports medicine conditions. These include ACL tears, meniscus tears, rotator cuff tears, shoulder instability, carpal tunnel syndrome, trigger finger, tennis elbow, knee arthritis, plantar fasciitis, fractures, sprains, cartilage injuries, and ligament and tendon damage. He cares for patients across all activity levels, from professional athletes to older adults managing joint conditions.
Yes. Dr. Justin T. Smith holds dual board certifications in Orthopaedic Surgery and Orthopaedic Sports Medicine. He is also fellowship-trained as an orthopaedic sports surgeon and completed ten years of post-graduate medical training.
Dr. Smith performs ACL reconstruction, meniscus repair and reconstruction, rotator cuff repair, shoulder instability surgery, joint arthroscopy, cartilage restoration procedures, ligament and tendon repair, joint replacement, and carpal tunnel surgery using the WALANT technique. He performs cash-pay surgeries at a surgery center in Spartanburg, SC.
WALANT stands for Wide Awake Local Anesthesia No Tourniquet. Dr. Smith uses this approach for carpal tunnel release, allowing patients to remain awake and comfortable without general anesthesia. It eliminates the risks associated with general anesthesia for appropriate candidates and typically simplifies recovery.
Yes. Dr. Smith integrates a full range of non-surgical options into his practice. These include physical therapy, performance rehabilitation, image-guided injections, cortisone injections, hyaluronic acid injections, PRP therapy, BMAC, Lipogems, and StemWave shockwave therapy. He recommends surgery only when the clinical evidence supports it.
Dr. Smith offers three orthobiologic treatments: PRP (Platelet-Rich Plasma), BMAC (Bone Marrow Aspirate Concentrate), and Lipogems. These treatments use components from the patient's own body to support healing in joints, tendons, and soft tissue. Dr. Smith takes a direct approach to advising patients on when these options make clinical sense.
Yes. Dr. Smith cares for patients from youth through collegiate and professional levels. JOI's Mobile Medical Unit also supports pediatric orthopaedic care on-site at schools, gyms, and events.
Dr. Smith holds membership in the American Orthopaedic Society for Sports Medicine (AOSSM) and carries ABOS Sports Medicine certification, among other professional affiliations.
Yes. Dr. Smith operates a Mobile Medical Unit that brings surgeon-level orthopaedic care directly to patients at homes, workplaces, gyms, and sporting events. The unit includes on-site X-ray and ultrasound capabilities. This service also covers sideline sports coverage and rural care settings.
Doctor profile last updated August 17, 2026