Foot and Ankle Care - Blue Ridge Surgery Center

Founded 1982
www.broa.com
Blue Ridge Orthopaedics Associates, PA
10630 Clemson Blvd., Ste. 100
Seneca, SC 29678
Phone: (864) 482-6000
Fax: (864) 482-7000
Blue Ridge Surgery Center
10630 Clemson Blvd., Ste. 200
Seneca, SC 29678
Phone: (864) 482-5100
Fax: (864) 482-9100
Blue Ridge Orthopaedics Associates, PA
AnMed Cardiology & Orthopaedic Center
100 Healthy Way, Ste. 1200
Anderson, SC 29621
Phone: (864) 260-9910
Fax: (864) 328-1451
Founder
Larry S. Bowman, MD
President
Sean McCallum, MD
Secretary/Treasurer
John H. Murray, MD
Blue Ridge Orthopaedics is an educational and
informative resource for physicians, health care
professionals, employer groups, and the general
public. Blue Ridge Orthopaedics’ goal for this
publication is to introduce its staff and facilities
and provide a forum for communicating news and
trends involving orthopaedic-related injuries and
treatments, as well as other health-related topics
of interest.
Opening Remarks
Welcome to the new fall edition of the Blue Ridge Orthopaedic
Journal. We welcome fall with the beginning of a new
school year and all the excitement and anticipation of a new
season for our high school and college athletes.
We hope this season is a healthy and successful one for all the athletes in the upstate
area, and we at Blue Ridge Orthopaedics remain firmly committed to ensure their
safety at all levels of play.
Please join us in supporting all our athletes, band members, cheerleaders, and volunteers
who put in countless hours of hard work to make this area a very special place
every fall.
Sincerely,
P. Sean McCallum, MD
The information contained in this publication is not
intended to replace a physician’s professional consultation
and assessment. Please consult your physician
on matters related to your personal health.
Blue Ridge Orthopaedics is published by Quest-
Corp Media Group, Inc., 885 E. Collins Blvd., Ste.
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or (888) 860-2442, fax (972) 447-0911, qcmedia.
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at qcmedia.com. November 2007
4
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In This Issue
Foot and ankle care
Solutions to common orthopaedic conditions
Treating knee osteoarthritis
Options include drugs and varied surgical procedures
Healing at home
Home health services after your total joint replacement
Two medical professionals join Blue Ridge Orthpaedics
Photo credit: Cover photograph by Drew Jeffries
Blue Ridge Orthopaedics 3

Foot and ankle care
Solutions to common orthopaedic conditions By W. Bruce Richmond II, MD
Our feet and ankles average more than
1,000 miles a year and withstand
forces equal to several tons during
an average day of standing and walking.
So it is no wonder most of us experience
significant foot and ankle pain during
some point of our lives. Orthopaedic care
of worn out joints, torn tendons, broken
bones, and overuse injuries of athletes at
all levels gets more complex each year.
To address these complex problems some
orthopaedic surgeons spend an extra year
of training, called a fellowship, to learn
how to identify and treat these challenging
disorders.
This report highlights a few of the many
types of patients and problems that an
orthopaedic specialist practicing foot and
ankle care typically treats.
4 Blue Ridge Orthopaedics
The foot and ankle are common sites of
overuse injuries in athletes, including sprains,
broken bones, and tendinitis.
The athlete
For athletes from weekend warriors to
elite college players, the foot and ankle
are the most often injured parts of the
body. Broken bones, tendinitis, stress
fractures, sprains, ankle instability, shin
splints, plantar fasciitis, and exercise-induced
leg pain (also known by the term
exertional compartment syndrome) can
halt athletes in their tracks.
Rapid return to sports participation with
an emphasis on preventing recurrent
problems is the primary goal of an orthopaedic
surgeon specializing in foot and
ankle care. Combinations of medications,
physical therapy, and, when appropriate,
minimally invasive arthroscopic surgery
help promote the body’s natural healing.

Traumatic injury to bones in the foot or ankle
requires immediate attention and extended
follow-up care.
The trauma victim
Acute injuries to the foot and ankle with
open wounds are surgical emergencies
that need urgent attention in the operating
room. For injuries without open
wounds, recent medical research demonstrates
that waiting a week or two and
allowing swelling to decrease first leads
to fewer problems and better overall
healing. Displaced fractures (the medical
term for a broken bone) are treated with
open reduction and internal fixation. The
orthopaedic surgeon makes an incision in
the skin to visualize the fracture. Then he
manipulates and reduces the fracture by
putting the broken fragments in normal
alignment. Next, metal screws, wires, and
plates stabilize the bones until the body
restores the bone to its normal state.
Too much standing can contribute to fallen
arches or flat feet, a painful and disabling
orthopaedic condition.
Flat feet on middle-aged patient
The posterior tibial tendon begins as a
muscle in the lower leg and passes behind
the bony prominence on the inside of
our ankles. Long periods of standing,
sometimes combined with inherited disorders,
can cause the tendon to weaken
and stretch out over time. The end result
is pain, frequently debilitating, and flattening
of the arch. As the problem progresses,
the person may actually start to
walk on the inside of the foot and develop
pain on the outside of the foot from the
ankle bone bumping up against the heel
bone. Early intervention with medication,
orthotics (or arch supports), and physical
therapy reduce pain and improve function.
However, late stages of the disease
require surgical reconstruction.
Surgery for toe deformities such as hammertoes,
corns, and bunions (shown here) can
resolve pain and restore mobility.
Toe deformities
Bunions, hammertoes, claw toes, corns,
and calluses can merely be cosmetic problems,
but for most people these disorders
significantly limit their daily activities and
affect their quality of life. Neuromas near
the toes are also quite disabling. Many
nonoperative techniques also are available
to straighten the toes, thus relieving
pain and allowing people to increase their
overall daily activity level.
There are hundreds of different ways
to correct these deformities with surgery,
but performing the wrong surgery
can make the problem worse.
Summary
The foot and ankle encompass 30
bones. Holding these bones together
are ligaments, which allow normal
motion but prevent excessive motion.
Many muscles attach to these bones
with tendons to move the bones and
propel us as we walk and run.
An intricate pattern of blood vessels
and nerves supply the bones, ligaments,
muscles, and tendons. Injury, overuse, or
general wear and tear to any one of
these parts of the foot and ankle can
lead to pain and disability.
The physicians and staff of Blue Ridge
Orthopaedics are committed to relieving
pain and improving people’s ability
to resume normal activities. The office
is proud to offer specialized care in
the treatment of foot and ankle problems
by an orthopaedic surgeon with
fellowship training in foot and ankle
surgery. BR
A native of Greenville, South
Carolina, W. Bruce Richmond
II, MD, joined Blue Ridge
Orthopaedics in 1999. He
earned a Bachelor of Science
degree in biology from
Wofford College in Spartanburg, South Carolina,
and received his medical degree from
the Medical University of South Carolina in
Charleston. After his internship, Dr. Richmond
served in the United States Army for
four years and completed his medical training
at Erlanger Medical Center of the University of
Tennessee College of Medicine-Chattanooga
Unit, with residency in Orthpaedic Surgery
and a fellowship in Orthpaedic Trauma. He
completed an additional fellowship in Foot
and Ankle surgery in August of 2007. Dr.
Richmond is board certified by the American
Board of Orthopaedic Surgery. Dr. Richmond
is a member of the American Academy
of Orthopaedic Surgery and the American
Orthopaedic Foot and Ankle Society.
Blue Ridge Orthopaedics 5

Treating knee
osteoarthritis
Options include drugs and varied
surgical procedures
By James C. Mills III, MD
6 Blue Ridge Orthopaedics

Osteoarthritis is the most common
joint disease in humans. It is generally
referred to as “wear and tear”
arthritis, unlike rheumatoid arthritis,
which is hereditary. Osteoarthritis is
generally age related, affecting about 80
percent of people over age 55. It correlates
closely with high body mass index,
a measurement of obesity. As the baby
boomers age and obesity increases, the
rate of osteoarthritis will continue to
increase in the weight bearing joints. In
osteoarthritis, the rate of cartilage (or
joint lining) repair and cartilage breakdown
is out of balance. The result is progressive
cartilage deterioration that leads
to osteoarthritis.
Clinical presentation
Patients with osteoarthritis of the knee
generally present with pain. The pain
usually worsens with activity and gets
better with rest. In addition, there is
pain when going up and down stairs
and rising from the sitting position. In
more advanced cases, there maybe pain
at night. Examination of an arthritic
knee generally reveals a decrease in the
motion or bending ability of the knee,
pain with bending, and swelling and
popping sounds with motion. One may
also feel the bony overgrowths, called
osteophytes, that are associated with
more advanced cases.
The wear that typically occurs with
osteoarthritis involves the inner part of
the knee, called the medial compartment,
which results in a “bowlegged” deformity
called varus (see Figure 1). Occasionally,
the outer part of the knee wears
out, resulting in a “knock-kneed” deformity
called valgus (see Figure 2). One
does not see such deformity with rheumatoid
arthritis, which generally results
in a worse uniform collapse of the knee
without the associated bony spurs.
Treatment options include nonoperative
measures such as activity modifications,
over-the-counter and prescription nonsteroidal
anti-inflammatory medications,
dietary supplements, cortisone injections,
and hyaluronic acid injections. Operative
treatment includes arthroscopic treatment,
unicompartment replacement, and
total knee replacement.
Lab findings
There are no abnormal lab studies
with osteoarthritis.
Nonoperative treatments
Nonoperative measures attempt to
decrease pain as well as slow the rate of
further joint wear. This includes weight
reduction in cases of obesity coupled
with low impact activities such as water
aerobics and swimming. It is important
to keep active so that muscle strength
and joint motion do not decrease as well.
During times of excessive pain, patients
may have to decrease activity temporarily
to control the pain. For the most part,
a moderate exercise regimen is recommended
to maintain strength and preserve
the quality of life in patients with
mild to moderate osteoarthritis.
Nonsteroidal anti-inflammatory drugs
(NSAIDs) are the mainstay of treatment
for pain associated with osteoarthritis.
Narcotics are seldom used
to treat acute pain associated with
Figure 1. Varus, bowlegged deformity.
Figure 2. Valgus, Knock-kneed deformity.
osteoarthritis. NSAIDs are used to
decrease the inflammation and pain
associated with osteoarthritis, but they
do not affect the progressive deterioration
of the joint. Over-the-counter
(OTC) acetaminophen is widely used to
treat osteoarthritis pain. It is inexpensive
and well tolerated, but high doses
(4 grams a day) are associated with liver
and kidney damage.
Other OTC medications would
include ibuprofen (Motrin, Advil) and
naproxen (Aleve). For pain not relieved
with OTC medications, the physician
may specify a prescription medication.
However, one must be cautious of
potential side effects including gastritis,
reflux disease, and possible development
of gastric ulcers.
Glucosamine, a dietary supplement, has
also been identified as an oral agent to
treat osteoarthritis. Studies have shown
some benefit in treating osteoarthritis
pain and decreasing the need for use of
NSAIDS. It has to be taken at least two
months continually to see if there will
be any therapeutic benefit. Glucosamine
is generally well tolerated by all patients
except those with shellfish allergies.
For those who do not obtain adequate
benefit from oral medications, a cortisone
injection or hyaluronic acid injection
may be an alternative. Cortisone
is a potent anti-inflammatory agent,
which can be injected two to three times
per joint per year. It generally decreases
the acute inflammation associated with
osteoarthritis. If cortisone is not effective
or if the patient needs treatment after
two to three injections, the hyaluronic
acid injections are another option. These
shots, which range from three to five
administered weekly, work by increasing
the joint viscosity. Hyaluronic acid
injections have been shown to be
effective in patients with mild to moderate
arthritis.
Operative treatments
Surgical treatment is reserved for
patients having pain on a daily basis that
interferes with activities of daily living.
In addition, surgical treatment is
continued >>
Blue Ridge Orthopaedics 7

Knee Osteoarthritis
necessary for patients where conservative
nonoperative techniques have been
unsuccessful. Surgical options include
arthroscopic debridement, unicompartment
replacement, and the more common,
traditional total knee replacement.
Arthroscopic debridement – the surgical
removal of loose debris inside the
knee through a small incision – has very
limited indications in the treatment of
osteoarthritis of the knee. At best, it is
a temporizing measure but will not alter
the natural history of the disease.
Unicompartment knee replacement has
gained interest as a treatment option for
patients who have osteoarthritis generally
limited to essentially one compartment
of the knee. In this process, the
doctor must functionally divide the knee
into three compartments. Most patients
who present with moderate to severe
arthritis have two or all three compartments
involved, which necessitates total
knee replacement. At least 250,000
total knee replacements are done annually
in the United States, a number
expected to increase dramatically over
the next 20 years as the baby boomers
age and continue to live longer, more
productive lives.
Total knee replacement (TKR) is the
most common operation done for moderate
to severe osteoarthritis after nonoperative
treatment has failed (see Figure
3). The operation effectively removes
all of the arthritis from the knee joint.
The surgery can be done for all types of
arthritis and is very successful in relieving
pain and changing
the quality
of life. Postoperatively,
the key
is to achieve the
proper rehabilitation
or physical
therapy required
to obtain mo-
tion and strength
that is needed to
return the patient
to activities of
daily living. Motion is usually obtained
within six weeks postoperatively. Full,
maximum recovery, however, can take
up to nine to 12 months. To achieve such
8 Blue Ridge Orthopaedics
FIgure 3. Total knee
replacement.
a recovery, patients must be committed
to their rehabilitation program because
they play a major part in reaching their
ultimate outcomes.
New advances
What factors
increase my
chances of
developing
knee
osteoarthritis?
The American
Academy of Orthopaedic
Surgeons (www.orthoinfo.
org) cites these factors:
Heredity: Your genetics may make
you more susceptible.
Weight: Overweight adds pressure
on your knee and other joints.
Age: The ability of knee cartilage to
heal itself decreases as you age.
Gender: Women older than 50 years
of age are more likely than men to
develop knee osteoarthritis.
Trauma: Previous sports or other
injury to your knee.
Repetitive stress injuries: Certain
occupations that involve kneeling,
squatting, walking more than two
miles a day, or lifting at least 55
pounds can increase your risk.
High impact sports: Elite players
in soccer, long-distance running,
and tennis face increased risk.
Recent techniques such as minimally
invasive (smaller incisions) surgery
continue to evolve, working toward
achieving less pain, less blood loss, and
a quicker return to activity. The latest
technique in knee replacement surgery
involves the use of computer assisted
technology to help make more precise
bone cuts and to correct preoperative
deformities (see Figure 4). With more
precise cuts and better overall final
Figure 4. Computer assisted surgery.
alignment of the components, computer
navigated TKR holds the promise of a
longer lasting total knee replacement.
This technique will continue to evolve
and, most likely, will become the standard
for knee replacement surgery in
the future.
Overall, the treatment of osteoarthritis
continues to evolve with nonoperative
and operative measures. Total knee
replacement will continue to be the
mainstay of treatment for moderate to
severe arthritis that has failed conservative
treatment. With proper surgical
techniques that continue to evolve and
appropriate postoperative physcal
therapy, one can expect good to excellent
results from an uncomplicated total
knee replacement. BR
A native of New Orleans, James
C. Mills III, MD, joined Blue
Ridge Orthopaedics in 2005.
He received his medical degree
from Tulane Medical School in
New Orleans, where he completed
an Orthopaedics Surgery Residency in
the Department of Orthopaedics. Dr. Mills also
completed a Sports Medicine, Arthroscopy, and
Joint Replacement Fellowship at the Hughston
Orthopaedic Hospital in Columbus, Georgia.
He is Board Certified by the American Board of
Orthopaedic Surgeons. Dr. Mills is a member of
the Arthroscopy Association of North America,
American Academy of Orthopedic Surgeons,
Southern Medical Association, South Carolina
Medical Association, Eastern Orthopaedic
Association, American College of Surgeons, and
Southern Orthopaedic Association.

Blue Ridge Orthopaedics 9

Healing at home
By Shannon Pierce, RN, BSN
Home health services after your total joint replacement
10 Blue Ridge Orthopaedics
Congratulations! You have decided
to climb the mountain. You have
decided to act. Most total joint
replacement patients endure the hardships
of a degenerated hip or knee for a
period of time, before eventually making
the decision to have surgery. It is crucial
that you choose the right surgeon, the
right procedure, and the right follow-up
care. I compare total joint surgery to
climbing a mountain. As I tell my sons,
“Anything that is worth doing is rarely
easy, but it is much more beneficial to be
proactive and decide to act than it is to be
passive and see what happens.”
Preparing for climbing the mountain is
imperative. Likewise, it is crucial that
you be prepared for your surgery. Prior
to your hospitalization is the time to
ask multiple questions. Your doctor will
detail the procedure and allot time for
you to ask questions.
In addition to your surgeon, ask his/her
nurse, the office staff, friends and family
that have had previous experience with
joint replacement. I would also advise
that you conduct research on the internet
and read all that you can.
The more you know, the better prepared
you will be. Pat yourself on the back! You
are learning and being proactive now.
Passive folks don’t read articles on “Healing
at Home.”
In addition to asking multiple questions,
you will need to make numerous arrangements.
Many patients go straight home
from the hospital; others choose an inpatient
rehab immediately after hospital
discharge. Should the decision be made to
go home, it is vital that you have adequate
assistance. Recovery is not something
that you should experience alone. Assistance
from family members and friends,
supplemented by home health and/or private
duty services prove invaluable. The
more resources, the better!

Surgery is over
You have reached the summit. Imagine
it. The day has come. You have a shiny
new joint. All over, right? Well, no, not
quite. True, you have a new joint. However,
your journey is not over. To use my
analogy, you decided to climb a mountain.
You made it to the top, and yet you
still have a long journey down the other
side toward your destination.
You must recover and rehabilitate to
get to the place you have been dreaming
of. Proper help while healing can make
recovery a positive time. It helps to be
encouraged by your progress and not
discouraged by the road ahead. Home
health services play a vital role in getting
you to your destination. Consider us your
experienced guide. I’ll give you a brief
description of who we are and what we
do so you will know what to expect.
Usually within 24 to 48 hours after
your discharge or referral notification
from your doctor, a home health professional
will meet you in your home
to make a thorough safety assessment
of your home, your condition, your
history, and medication regimen. Your
therapist will do a comprehensive
assessment of your abilities and limitations
during this first visit. We communicate
our findings to your doctor.
Orders from your physician will be the
basis for your specific rehabilitation
goals and therapy plan.
“The great thing about home care is that
we can adapt the individual exercises
and mobility training to the patient’s
home setting,” says Alan James, Interim
Healthcare Physical Therapist for more
than 20 years. “Our goal is to ensure that
the patient is safe in all areas where they
actually live every day.”
with you for the duration of your care. It
is beneficial for your guides to know you
and for you to be comfortable with them.
They are not just there for your joint but
for all of you. “We treat the entire patient,
not just the joint,” says Cheryl Banister,
Anderson director of health services and
Interim team member since 1992.
Most often, you can expect each home
health discipline to visit you two to three
times during that first week. You may
also require assistance from friends, family
members, and possibly private duty
care during this initial recovery phase.
Second week until discharge
Navigating the hills and valleys. You are
making great progress. Imagine that you
are down the mountain. This is where
you need perseverance. We will continue
to monitor and teach safety. However,
we are now shifting our focus to your
independence. “Our goal is to foster
independence by assisting you and providing
information so that you can independently
care for yourself at home,”
says Connie McCammond, executive
Ordered by your physician, home health services provide qualified
nurses, therapists (physical, occupational, and speech), aides, and
medical social workers to support your recovery – all in the comfort
of your home. continued >>
Ordered by your physician, home health
services provide qualified nurses, therapists
(physical, occupational, and speech),
aides, and medical social workers to support
your recovery – all in the comfort
of your home, whether you live in a
private home, independent- or assistedliving
community. Home health services
are covered as part of your benefits for
Medicare, Medicaid, VA benefits, workers’
compensation, and most private
insurance policies. The good news is that
your coverage is verified before your
admission to home care.
Your first week home
Going down the mountain. Finally, your
surgery is over and you are at home after
your hospital and, possibly, rehabilitation
stay. This is where we come in. You have
reached the pinnacle of the mountain.
Your new joint is in place. Your first week
home is like the trek down the mountain.
Your home care nurse and therapist are
your experienced guides.
Safety is crucial during this trying time.
You will most likely be on a blood thinner.
Your nurse will draw your blood
regularly to monitor your prothombin
times – a measure of blood clotting. We
communicate these levels to your doctor.
Your nurse or therapist also will assess
your surgical wound and change your
dressing as ordered.
“Of course we are constantly assessing
the surgical site and the patient’s comfort,”
says Donna Wetherell, RN, a Seneca
home health and Interim team member
since 1990. “However, I want patients to
know that they can and should discuss
any concerns with us. We can help with a
lot while providing care in the home.”
In the beginning, our goals for you focus
on safety. There are certain precautions
after a joint replacement. We assess and
teach you how to avoid potential complications.
In addition, we educate you
about what you should report. Your
assigned nurse and therapist will work
Blue Ridge Orthopaedics 11

HEALING AT HOME
director of Patient Services and Interim
team member since 1989.
It is important here that you focus on
your destination – recovery and wellness.
Comfort will follow. We strive to
comfort and strengthen, but not coddle.
Should the patient or family members
get discouraged, we will remind you of
your progress. Diligently following the
instructions your physician and home
health staff communicate will shorten
your recovery time. Giving up now may
hinder your recovery.
In addition, we will caution you not to
attempt to do too much too soon. Good
days will come. You may feel great and
think you are home free. Some patients
do more than what their physicians
advise. A “bad day” often follows overactivity.
Experienced guides will help you
avoid the pitfalls. Your surgical wound is
healing. You are getting stronger.
Time passes. You are recovering and
resuming your presurgery activities and
lifestyle. The home health goals that you,
your physician, and your home health
professionals set at the beginning of your
care are met. It is now time for us to discharge
you from our care. Our services
are available to homebound patients. As
much as we hate to say good bye, we are
happy to see you get out and go places.
Your destination is in sight. Your physician
will determine whether you will
require follow up therapy or continue
independently with your individualized
home exercise program.
Mission accomplished
We may no longer see you as a patient,
but we consider you a friend. Our clinicians
often see our previous total joint
patients out and about. They all seem
to say the same thing: “My only regret
is that I did not do it sooner.” Perhaps
you have heard that before from a friend
or a loved one. We see our patients out
at little league games, church picnics,
or sometimes doing yard work. The list
goes on. It takes about a year until it is
all a distant memory and the occasional
twinges of pain seem to vanish. To paraphrase
C.S. Lewis, “It is like the dream is
over and it is morning.” BR
Home Health Care Consultant
Shannon Pierce, RN, BSN,
works with Interim Healthcare.
The magna cum laude graduate
of Clemson University has
been a nurse for more than
14 years. She is a firm believer in the benefits
of Home Care and is committed to seeing
in-home services used to improve patient
outcomes across the Upstate. “I was amazed
when I learned of the services available for
homebound patients – I now have a sense of
urgency to share the impact of home health,
private duty, and hospice care in our community.”
Pierce spent more than 10 years as
an RN at St. Francis Bon Secours Hospital in
Greenville, South Carolina, where she received
awards and recognition by peers, patients, and
physicians for consistent and compassionate
care. She lives in Greenville with her husband
and two sons. She considers it a privilege to
serve the upstate area.
For any home health questions, call Interim Healthcare:
Anderson County...........................................................................................225-2007
Oconee County..............................................................................................855-4421
Pickens County..............................................................................................885-0461
Greenville County...........................................................................................627-1200
Spartanburg County.......................................................................................587-6129
Cherokee County...........................................................................................487-3401
Private Duty/HomeStyles...............................................................................225-2007
Should you need home health services, you have the right to choose the agency of
your choice. If you have questions about who can best meet your needs, ask your
physician for a recommendation.
Two medical professionals
join Blue Ridge Orthopaedics
Anthony L. Alexa
n d e r, PA - C ,
joined Blue Ridge
Orthopaedics in
August 2007. In
1996 he graduated
from the
United States Air
Force Physician Assistant Training
Program with a BS degree from the
University of Nebraska, where he
earned a master’s degree in Physician
Assistant Studies in 1998.
In 2002 he graduated from the Air
Force’s Orthopaedic Surgery Fellowship
Program at Wright Patterson
Air Force Base in Dayton, Ohio.
Mr. Alexander served the past three
years at Misawa Air Base, Japan,
where he was staff orthopaedic physician
assistant. He retired from the
Air Force with 23 years of service.
Mr. Alexander is board certified by
the National Commission on Certification
of Physician Assistants. He
is a fellow member of the American
Academy of Physician Assistants,
Society of Air Force Physician Assistants,
and Physician Assistants in
Orthopaedic Surgery. Mr. Alexander
is married to Jacqueline and has
four children.
Mark A. Pierce,
MD, joined Blue
Ridge Orthopaedics
in 2007. The
native of Lincoln,
Illinois, completed
his premedical
education with
a BS degree in Biology from Illinois
State University and obtained his
medical degree at Rush Medical
College in Chicago. He completed
his orthopaedic surgery residency
program at The Campbell Clinic at
the University of Tennessee in Memphis.
He is in the process of becoming
board certified by the American
Board of Orthopaedic Surgery.
12 Blue Ridge Orthopaedics

Blue Ridge Orthopaedics 13

14 Blue Ridge Orthopaedics

Directory
AnMed Health
see page 9
Biomet, Inc.
see inside back cover
Blue Ridge Eye Center
see inside back cover
Carolina Home Health Care
see page 9
Clemson Sports Medicine
& Rehabilitation
see back cover
CMS Imaging
104 Richborough Dr.
Spartanburg, SC 29307
(800) 867-1821
(843) 571-5996 Fax
www.cmsimaging.com
DePuy Orthopaedics, Inc.
see page 14
Erwin & Duncan CPA Firm, PA
see page 13
Hubbard-Young
Pharmacy, Inc.
see inside back cover
Blue Ridge Orthopaedics
thanks the following companies:
Interim HealthCare Inc.
see inside front cover
Lake Ridge Neurological, PA
see page 14
Mountainview
Medical Imaging
see page 14
On-Site Solutions, Inc.
see page 13
OrthoPro, Inc.
see page 13
Palmetto Vital Care, Inc.
see page 13
Pazdan-Smith
Group Architects
200 E. Broad St., Ste. 300
Greenville, SC 29601
(864) 242-2033
(864) 242-2034 Fax
www.pazdan-smith.com
SRS Software
see page 14
Zimmer, Inc.
see inside back cover

Blue Ridge Orthopaedics Associates, PA
10630 Clemson Blvd., Ste. 100
Seneca, SC 29678