Dr. Srikanth Nithyanandam - Integrative Family & Sports Medicine

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Lexington, KY
Dr. Srikanth Nithyanandam - Integrative Family & Sports Medicine

Dr. Srikanth, Integrative Family & Sports Medicine Doctor. Here to guide your healing journey with expert advice beyond the clinic. Let's thrive together.

Welcome to the official page of Dr. Srikanth Nithyanandam (Dr. Sri). As a physician board certified in Family Medicine, Sports
Medicine, and Integrative Medicine, my mission is to offer
"Whole-Health" navigation — care that treats the whole person,
not just the symptom in front of me — and to help patients
better understand and advocate for their own healthcare. THE VISION: OPENING AUGUST 2026

I'm proud to announce the founding of Lexington Integrative
Sports Medicine — an independent, membership-based clinic
opening August 1st, 2026. After years of serving the Lexington
and Georgetown communities through UK HealthCare and as team
physician for Georgetown College Athletics, I'm building a
practice designed around unhurried time, deep listening, and
whole-person healing — the kind of care I've always believed in
and now have the chance to build from the ground up. THE PHILOSOPHY: MOVE, HEAL, LIVE
True healing — especially from sports injuries and chronic
conditions — takes more than a brief appointment. My practice
integrates conventional precision with evidence-based
complementary strategies, including Medical Acupuncture, to
treat the whole tree, not just the broken branch. YOUR RESOURCE FOR HEALING
This page is an extension of my practice — a bridge between
clinic visits. Here, I share:
- Integrative strategies for chronic condition management
- Sports medicine insights to optimize performance and recovery
- Evidence-based tips to help you navigate your own healing
journey at home
- Healthcare advocacy education, so you can better navigate and
understand the system on your own behalf

My goal is to empower you not just to recover, but to thrive. Your health is your greatest asset, and I'm honored to be your
partner in achieving lasting wellness.

08/24/2026

For six years, I practiced as an insurance-based physician. And for six years, there was one question I dreaded more than any clinical challenge I ever faced:

"Dr. Sri, how much is this going to cost me?"

A patient with knee osteoarthritis. Swelling that wasn't going away. We'd talk through it, and if we needed to do an injection, they'd ask the obvious question — and I'd have to give them the most unsatisfying answer in medicine: "I don't know."

Not because I didn't care. Because I genuinely didn't have access to that information. Pricing in the insurance system isn't just complicated — it's opaque by design. Codes, contracts, negotiated rates, deductibles that reset without warning. I could tell you exactly what was wrong with your knee. I couldn't tell you what fixing it would cost you.

And then, weeks later, I'd hear it. A patient blindsided by a bill they never saw coming. Hundreds, sometimes thousands of dollars, for a procedure I performed with the best intentions in the world.

I want to be clear about something: this isn't a story about bad doctors. Good physicians everywhere are doing excellent work inside a system that wasn't built for transparency. I'm not interested in pointing fingers at colleagues who are navigating the same broken structure I was.

But I couldn't keep practicing that way. I couldn't reconcile doing right by a patient clinically while leaving them financially blindsided — and having no way to prevent it.

That's a huge part of why I built my direct care practice the way I did. Every price, on the table, before we ever touch a joint. No surprise bills. No mystery codes. Just honest care and honest numbers.

LISM is cash-pay, so depending on the service, your current insurance might still be the cheaper option — acupuncture, hydrodissection, and orthobiologics, for example, are often poorly covered or not covered at all. And sometimes what insurance doesn't pay for is simply time. What I focus on is value, not a checklist.

If you're in Lexington or Georgetown and this resonates with you, come find us — I'd love to show you what transparent care actually looks like. Lexington Integrative Sports Medicine Clinic

08/21/2026

It's been almost three weeks, and I've been enjoying the challenge of running a cash-based practice. Here's why.

When you're an insurance-based provider, there's already a system in place. You just have to operate inside it.

Everyone needs primary care, so patients aren't hard to find. Some actively search me out. But even when they want to see me, sometimes they can't. Insurance won't cover me, or my panel's full.

An insurance-based model fills up fast. The average provider panel runs anywhere between 1,000 and 2,000 patients or more. Once you're there, it's genuinely hard to keep adding people, even if a patient wants to be seen. I've been in that place multiple times over the last six years of my career.

When you step outside the insurance-based system, the game changes. You're not fighting for a slot in someone's network anymore. Now the question is: can you actually prove your value?

That's a harder sell, I'm not going to lie. Asking someone to pay out of pocket, in spite of having insurance — at Lexington Integrative Sports Medicine, membership runs anywhere between $55 and $150 a month, depending on age — for a doctor who's focused on the Whole Tree approach, rather than just chasing symptoms or working off an insurance checklist. That takes more than a sign on the door. But I love that challenge, and I want to earn it.

I think that's the happiness that comes from this type of practice — you're truly on every patient in your practice. Which is why, at every meet and greet, I tell people: "If you ever stop finding value in this, cancel it. No cancellation fee, no strings. It just needs to be a good fit — and if it's not, you shouldn't feel stuck."

I'm loving this challenge.

LISM is cash-pay, so depending on the service, your current insurance might still be the cheaper option — acupuncture, hydrodissection, and orthobiologics, for example, are often poorly covered or not covered at all. And sometimes what insurance doesn't pay for is simply time. What I focus on is value, not a checklist.

If you're interested in a meet and greet appointment without having to make a decision right away, DM me or text us directly at our clinic number, 859-374-3529, or email us at [email protected]. Make sure to follow us Lexington Integrative Sports Medicine Clinic for more clinic updates

08/20/2026

Building a clinic from scratch, they don't tell you this part: there's always a faster version. Skip the workout, grab the comfort food, grind through on fumes — and you'll get more done this week. Or, there's the slower version: keep the habits that actually protect your long-term health, and accept that some things take longer because of it. It is SO tempting to take the fast one.

I don't think this is unique to medicine, either. I was talking to someone in IT recently who said the exact same thing about their work. I think it's a universal trap, honestly — especially once life gets hectic and you're just trying to survive the hardest parts of the day. Long-term thinking is the first thing to get sacrificed.

So here's my small act of defiance: even on the long days, even with my brain fried from decision-making, I still get my exercise in. Not because I have extra time (I don't), but because I know it's the difference between resilience and burnout six months from now.

That's the same philosophy I'm building into this clinic. You deserve a direct primary care doctor who actually walks the walk — who treats the whole tree, not just the branch that's currently on fire. Root causes, lifestyle, mindset, the whole picture, not a rushed diagnosis and a prescription pad.

If a cash-based direct primary care membership sounds like something you've been looking for, come find us over on the Lexington Integrative Sports Medicine Clinic page — that's the clinic I'm building from the ground up as I step away from the traditional insurance model.

LISM is cash-pay, so depending on the service, your current insurance might still be the cheaper option — acupuncture, hydrodissection, and orthobiologics, for example, are often poorly covered or not covered at all. And sometimes what insurance doesn't pay for is simply time. What I focus on is value, not a checklist.

If you're interested in a meet and greet appointment without having to make a decision right away, DM me or text us directly at our clinic number, 859-374-3529, or email us at [email protected].

08/19/2026

Have you ever noticed modern healthcare can feel like ordering off a fast-food menu?

Knee hurts → X-ray. X-ray shows arthritis → pick Option A (physical therapy) or Option B (a cortisone shot). High cholesterol, high blood sugar → match the pill to the number. There's nothing wrong with that if the goal is just managing a symptom on paper.

But managing a symptom isn't the same as fixing what's causing it.

That's the difference I try to bring to every knee, every joint, every "just get me through the day" complaint that walks through the door. I want to know how this is actually affecting your life, not just what box it checks. Can we tweak the lifestyle piece first? Can we often skip reaching for high-dose steroids and instead use something more targeted — targeted exercises, viscosupplementation, platelet-rich plasma (PRP), medical acupuncture, or the right supplement to calm an irritated nerve?

That's the Whole Tree approach — root causes and the whole person, not just the loudest symptom.

It's also why my practice, Lexington Integrative Sports Medicine, runs on a direct-pay model. An insurance checklist often means limited time with you, limited say in what actually gets covered, and — even when it is covered — a surprise bill waiting on the other end. I'd rather spend that time and energy on figuring out what actually helps you.

LISM is cash-pay, so depending on the service, your current insurance might still be the cheaper option — acupuncture, hydrodissection, and orthobiologics, for example, are often poorly covered or not covered at all. And sometimes what insurance doesn't pay for is simply time. What I focus on is value, not a checklist.

Come say hi over on the Lexington Integrative Sports Medicine Clinic if you want to see what this looks like in practice. 🌳

08/18/2026

Here’s something that doesn’t get talked about enough: not having insurance and having a medical problem is its own special kind of trap.

Say you get hurt. No insurance. An outpatient visit could genuinely help — except good luck getting seen without coverage in the first place. And even on the rare occasion someone will see you, there’s often still a price tag steep enough to make you flinch. So what happens? Most people end up in the ER, which means a bill that even someone doing just fine financially would struggle to absorb. That’s the system working as designed, not a glitch in it.

This is a big part of why I built my clinic Lexington Integrative Sports Medicine Clinic the way I did. We’re direct cash-pay — no insurance company standing between you and your care. And I’ve made it a priority to keep access genuinely within reach — not just for people who are uninsured, but for anyone who’s tired of a system deciding what their care is worth. I know what it costs someone to be shut out of basic care entirely — the kind of situation where you’re looking at $500+ just to be seen. Closing that gap is exactly what I care about.

This is a story I hear on repeat. Someone shows up with nowhere else to turn, uninsured, bracing for a fight just to be seen — and we’re able to help them anyway. Every single time, it hits the same way. It’s one of the best parts of this job.

Honestly, my bank account was probably happier under the old model. But I sleep better now. Knowing the care I’m giving isn’t being filtered through what an insurance company decided it was worth — that’s worth more to me than the comfort was.

If this resonates, do me a favor and share it with someone who believes in whole-person care and a model that doesn’t have a middleman deciding what your health is worth.

08/17/2026

During a meet-and-greet appointment, one of our visitors asked if my clinic was even for him since he doesn't play organized sports. My answer, every time: you're an athlete whether the field is a job site, your neighborhood sidewalk, or a stadium. The biology doesn't care what you call it.

This is the whole reason Lexington Integrative Sports Medicine exists — the Whole Tree approach means movement, nutrition, and lifestyle come first, before we ever reach for a prescription pad.

LISM is a cash-pay direct care practice, which means I can focus on you — not an insurance checklist or rules set by a company that isn't in the room for your care. Depending on the service, your current insurance might still be the cheaper option. But for some people — especially those with a high deductible — LISM can actually work out to be the more affordable choice. And sometimes what insurance doesn't pay for is simply time. What I focus on is value, not a checklist.

If a practice like this sounds like what you've been looking for, come see for yourself. If you're interested in a meet and greet appointment without having to make a decision right away, DM me or text us directly at our clinic number, 859-374-3529, or email us at [email protected].

At the end of the day, relationship matters — and you deserve a primary care doctor you can trust.

Follow Lexington Integrative Sports Medicine Clinic for more updates like this.

08/16/2026

Sports physicals are officially open at LISM! 🏃‍♂️

Whether it's for school, a new season, or just peace of mind before your athlete gets back on the field, your physical is performed directly by a board-certified Primary Care Sports Medicine physician.

Here's what that looks like, pricing-wise:

💵 $75 — Base Sports Physical Evaluation
➕ $40 — EKG Add-on, if clinically indicated
➕ $25 — Concussion Baseline Add-on, if clinically indicated

Straightforward, transparent, and built around what your athlete actually needs — not a one-size-fits-all form.

📲 Booking is simple: click the HIPAA-compliant form, let us know your day and time preferences, and we'll get your appointment scheduled right away.

Here is the link for the appointment form: https://form.jotform.com/262197711301148

Just come to the clinic, get seen, and your paperwork is completed during the visit — no extra steps beforehand.

08/14/2026

Two weeks ago, I was deep in the unglamorous side of starting a practice — comparing supply prices, negotiating with vendors, and trying to figure out what I actually needed versus what I was told I needed. It was stressful in a way that's hard to explain unless you've done it yourself.

I started with Direct Primary Care at LISM just one week ago. As of today, every single service is open and ready: acute injury evaluations, comprehensive integrative medicine consultations, medical acupuncture (following consultation), and sports physicals with on-site EKG capability.

I'm calling this my first real win as a practice owner. Not because the hard part is over — it's not — but because it's proof that the "Whole Tree" approach I believe in is now something I can actually offer, start to finish, to real patients.

None of this happens solo. I'm endlessly grateful for my nurse, Pam, who's been steady through all of it, and for the support of my family who've been behind me every step of the way.

One honest note: LISM is cash-pay, so depending on the service, your current insurance might still be the cheaper option — acupuncture, hydrodissection, and orthobiologics, for example, are often poorly covered or not covered at all. And sometimes what insurance doesn't pay for is simply time. What I focus on is value, not a checklist.

More wins ahead. Thank you for being part of this one.

Follow along with everything happening at the clinic → Lexington Integrative Sports Medicine Clinic

08/13/2026

One of the most common things I ask during meet and greet appointments is some version of:

“Why are you interested in joining this practice?”

And almost every time, the answer comes back to the same thing: “My care feels fragmented.” They see one doctor who says “that’s not really my department, go see a specialist.” They see a specialist who fixes the one thing they were sent in for, but doesn’t have the full picture of what else is going on. Everyone’s treating a piece.

Nobody’s looking at the whole tree.

Every time I hear it, it confirms exactly why I built LISM the way I did. I spent years stacking credentials — Family Medicine, Sports Medicine, Integrative Medicine — because I wanted to be the kind of primary care doctor who could actually help patients connect the dots, instead of saying “that’s not my department.”

Here’s the honest part: practicing that way, inside a short, rushed visit model, for six years… it was hard. Not because the medicine was hard. Because truly listening is hard to do in 15 minutes. It’s important to follow evidence-based guidelines — always will be. But guidelines aren’t the whole job. The art of medicine is knowing your patient well enough to understand which modalities make sense for them, and being honest about the risks and tradeoffs of each one.

That’s the whole reason LISM exists. It’s a whole-health model, built two ways:
🌳 Direct Primary Care membership — an ongoing relationship where I’m your primary care doctor, not a rotating cast of providers

🌳 Pay-as-you-go consultations — including comprehensive integrative/sports medicine evaluations, which can also double as a second opinion when you just need someone to look at the whole picture

LISM is cash-pay, so depending on the service, your current insurance might still be the cheaper option — acupuncture, hydrodissection, and orthobiologics, for example, are often poorly covered or not covered at all. And sometimes what insurance doesn’t pay for is simply time. What I focus on is value, not a checklist.

If you’re interested in a meet and greet appointment without having to make a decision right away, DM me or text us directly at our clinic number, 859-374-3529, or email us at [email protected]. For more clinic updates follow our Lexington Integrative Sports Medicine Clinic page

08/12/2026

"Plantar Fasciitis" is kind of a misnomer — and I tell patients this more often than you'd think.

That "-itis" suffix implies acute inflammation. If that were the whole story, ice and rest should fix it. But for a lot of people walking into my clinic with that diagnosis already stamped on their chart, what's actually going on is Plantar Fasciopathy — a chronic, degenerative change in the tissue itself, not just an angry, inflamed one.

Why does the distinction matter? Because it completely changes the treatment plan. Rest doesn't rebuild degraded tissue. What does is loading it — strategically and progressively — to rebuild resilience in the fascia and the entire kinetic chain that supports it. Rest might calm things down temporarily, but it doesn't teach the tissue to tolerate stress again. Only reloading it does.

This is a big part of why I approach MSK pain the way I do — treating the whole system, not just slapping a label on a symptom and sending you off with a "just ice it and stay off it."

If you've been dealing with stubborn heel or foot pain and want my home rehab guide, comment "REHAB" below and I'll send it your way. And if you want to talk through what's going on with your own foot pain, my clinic is always a call away. Lexington Integrative Sports Medicine is the cash-pay clinic I started, built around a whole-health approach to care.

Follow our Lexington Integrative Sports Medicine Clinic page for more clinic updates.

Address

Lexington, KY

Website

http://srikanthnithyanandammd.com/, https://www.lexingtonintegrativesportsmed.com/

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