General Practitioners

• Osteoporosis
• Plantar Fasciitis
• Smoking Cessation
  'Me use of tobacco products is detrimental to the skeleton as well as to overall health. The NOF strongly encourages a smoking cessation program as an osteoporosis intervention for patients who smoke.
• Family Practice
• Emergency Care
  Emergency Care If you have an urgent problem, call our office for instructions. After hours, the answering service will have the doctor on call get back to you promptly, or go to your nearest EMERGENCY ROOM.

Internists

• Internal Medicine
  Dr. Richard S. McCain B.S. Degree with honors Washington & Lee Univ. 1974 Alpha Epsilon Delta.. Warner Scholar W&L. CAC Conference Swimming Champion MD. Degree Medical University of South Carolina 1978.Student Research Fellowship 1975 "Host Responses to Solid Tumors." Research Study: Queen Square Institute of Neurology 1978 with Dr. W Ian McDonald Multiple Sclerosis Visual Evoked Potentials, London, England. Tulane Medical Center 1979 Internship Internal Medicine. 1983 Residency in Orthopaedic Surgery Medical University of South Carolina Charleston, S.C.Chief Resident in Orthopaedic Surgery 7/82-6/83. Additional Training Pediatric Orthopaedics, Greenville, S.C. 1982. Private Practice in Columbia, S.C. since 1983. Memberships AMA, SCOA, Amer Acad of Orthopaedic Surgery. Board Certified by the American Board of Orthopaedic Surgery. Cola Medical Society. SCMA.Member Delegate SCMA 1998. Chairman Dep of Orthopaedics Baptist Medical Center 96-98. Arthroscopy Association of North America. Orthopaedic Trauma Association. Research Studies and /or Papers 1-5 Residency Presentations; 6 SCOA 1995. 7 SCOA 2007 1.Etiology of Blounts Disease 2.Immunological Aspects of Osteogenic Sarcoma. 3. Intraarticular Fractures of the Hand. 4. Slipped Capital Femoral Epiphysis. 5. Posterior Dislocation of the Sterno-Clavicular Joint.6. Discoid Lateral Meniscus Case Report. 8. Use of Pediatric Locked Flexible Femoral Nail in Adult Subtrochanteric Hip Fracture with Adult Osteoporosis and abnormal bowing of femur. Hospital Staff Membership. Baptist Hospital-Active, Richland Memorial-Courtesy, Lexington-Active, Provident-Active. Parkridge Surgery Center-Active

Neurologists

• Neurology
• Multiple Sclerosis

Radiologist

• MRI
  Patella glide was 2+, patella tilt was 1+, and there was no significant tenderness in the patellofemoral joint. X-rays including AP and Lateral of the knee joint were negative. the impression was rule out discoid meniscus and an MRI scan was requested. The MRI report revealed normal medial meniscus. There was abnormal increased signal throughout the lateral meniscus and the meniscal tissue was thicker and more medially located than is the norm. No definite Grade III tears were identified, but there were diffuse Grade II changed throughout the entire lateral meniscus.
• Radiology
• X-Rays

Surgeons

• Arthroscopy
  Using the small joint arthroscopy instruments, a portion of the discoid meniscus was excised. After this initial trimming of the meniscus, the instruments were removed and the knee was put through a range of motion with persistence of the clunking. A mini arthrotomy was performed. Kocher clamps (small), and a disposable fish-mouth arthroscopy blade were used to excise the central portion of the discoid meniscus. The knee was put through a range of motion and it was felt that the clunking was eliminated.
• Arthroscopy
  Arthroscopy and mini-arthrotomy were performed under general enesthesia using small 2.7mm instruments. Prior to prepping and draping but with the patient asleep, the knee was put through a range of motion, again confirming subluxation of the discoid meniscus on near extension of the knee producing an audible clunk or pop.

Dermatologists

• Cyst
• Lesions
  FREQUENCY In 347 consecutive scopes for meniscal lesions, Dickhaut and DeLee found 18 lateral discoid meniscal lesions (5.2%). A recent French study found bilaterality in 17 of 84 children (20%).

Physical Therapists

• Sports Medicine
  Welcome! The physicians and staff are pleased that you have chosen us to participate in your health care. We want to do everything we can to make you comfortable while you are at our web pages, to respond to your questions, and to assist you with the health concerns which you bring to us. Our office phone is 8032549130, FAX 8032549130..DR. MCCAIN treats orthopaedic trauma of the extremities, sports medicine, pediatric fractures, hand and foot surgery, arthroscopy of the shoulder, elbow, knee and ankle. He is a member of the AAOS, ABOS, ANA, OTA.
• Physical Therapy
  Another problem we see is called adhesive capsulitis. Both tendinitis and capsulitis initially present the same way though the predominant problem in adhesive capsulitis is a scarring of the inferior joint capsule. Though the cause is unknown this problem is seen more often in women and involves three stages which consist of the pain stage, the stiffness stage, and the recovery stage. Physical therapy is largely successful at restoring function in the shoulder with this problem. A few patients need closed manipulation of the joint under general anesthesia. Refractory cases occassionally need arthroscopic lysis of adhesions.
• Occupational Therapy
  Each plan specifies covered and non-covered services. You are responsible for your co-payment and deductable at time of visit. Your copay will appear as a separate charge on your encounter form. Other charges are discounted to your insurance company. EOB will omit the copay charge as it is paid at the time of service by the patient to the practice. The insurance company is not responsible for copay. Many diagnostic studies, and most durable medical equipment, and physical or occupational therapy require pre-approval. Second opinions are required for some surgical procedures. Patients may have restrictions on which hospital they may go to, and who they receive second opinions from.
• Tennis Elbow
  Most commonly, patients present with pain on the outer aspect of the the elbow. This is referred to as lateral tennis elbow or lateral epicondylitis. Though a nerve can be compressed in this area, it is the tendons that originate on the outer aspect of the joint that are often irritated.
• Heel Pain
• Back Pain

Podiatrists

• Heel Spurs
  The vast majority of compaints regarding pain in the bottom of the heel are due to plantar fasciitis or heel spur syndrome. Actually heel spur syndrome is a misnomer as the heel spur is thought to be secondary. The primary cause is an overuse or inflammation of the thick fibrous tissue that supports the medial arch of the foot. The primary site of inflammation is the origin of this fascia from the bottom of the heel.
• Heel Pain
• Foot Neuroma
• Plantar Fasciitis
• Podiatric Surgery
  McCain Orthopaedic Center is an orthopaedic surgical practice. Dr. McCain has interests in general orthopaedic surgery which includes disorders and injuries of the musculoskeletal system. Specifically, this includes arthritic surgery, arthroscopic surgery of major joints, sports medicine, trauma to the extremities or spine, hand and foot surgery, pediatric orthopaedics. Patients may be referred to McCain Orthopaedic Center by their primary physicians (e.g., family practitioners, pediatricians or internists). Other patients select our doctor on the recommendation of friends or family members.