Generated by Rank Math SEO, this is an llms.txt file designed to help LLMs better understand and index this website. # Orthopedic Institute ## Sitemaps [XML Sitemap](https://orthopedicinstitutesf.com/sitemap_index.xml): Includes all crawlable and indexable pages. ## Posts - [Recovery Tools That Help You Stay Active: Now Available at Orthopedic Institute](https://orthopedicinstitutesf.com/hyperice-recovery-products-orthopedic-institute/): When most people hear about recovery technology, they often think of professional athletes preparing for competition. But recovery isn't reserved for Olympians or professional athletes. Whether you're training for your next 5K, enjoying a round of golf, working long hours on your feet, recovering from surgery or injury, or simply trying to keep up with everyday life, recovery plays an important role in helping your body feel and perform its best. - [The RAMP Program Helps You Get Back in the Game](https://orthopedicinstitutesf.com/recovery-to-peak-performance/): For athletes recovering from an injury, completing physical therapy feels like a huge victory. The pain is improving, movement is returning, and everyday activities are getting easier. But there’s one question that often remains: - [Shockwave Therapy at Orthopedic Institute: A Non-Surgical Option for Pain Relief](https://orthopedicinstitutesf.com/piezowave2t-myact-non-invasive-pain-relief/): Living with ongoing pain can make even the simplest daily activities difficult and frustrating. Whether it’s lingering muscle tightness, soreness after activity, or discomfort that just won’t seem to improve, many people are looking for treatment options that don’t involve surgery or lengthy recovery times. That is why Orthopedic Institute is excited to offer Shockwave Therapy — an innovative, non-invasive treatment designed to help relieve pain, improve mobility, and support the body’s natural healing process. - [Is AI Right? Joshua J. Meaike, MD is Putting it to the Test.](https://orthopedicinstitutesf.com/is-ai-right-joshua-j-meaike-md-is-putting-it-to-the-test/) - [Orthopedic Institute Continues Legacy of Innovation in Total Ankle Replacement](https://orthopedicinstitutesf.com/orthopedic-institute-continues-legacy-of-innovation-in-total-ankle-replacement/): An estimated one million Americans live with ankle arthritis, a condition that can make walking, standing, and everyday activities increasingly difficult as the disease progresses.  - [Meet Anthony P. Fiegen, MD](https://orthopedicinstitutesf.com/meet-anthony-p-fiegen-md/) - [Does spine surgery mean more surgery later? Matthew K. Wingate, MD](https://orthopedicinstitutesf.com/does-spine-surgery-mean-more-surgery-later-matthew-k-wingate-md/) - [Sports Medicine with Dustin P. Collins, MD & Stomp](https://orthopedicinstitutesf.com/sports-medicine-with-dustin-p-collins-md-stomp/) - [Meet Joshua J. Meaike, MD](https://orthopedicinstitutesf.com/meet-joshua-j-meaike-md/) - [Eric S. Watson, MD’s Care Philosophy](https://orthopedicinstitutesf.com/eric-s-watson-mds-care-philosophy/) - [Opioids & Pain Management with James T. Brunz, MD](https://orthopedicinstitutesf.com/opioids-pain-management-with-james-t-brunz-md/) - [Top 3 Signs of an ACL Tear with Anthony P. Fiegen, MD](https://orthopedicinstitutesf.com/top-3-signs-of-an-acl-tear-with-anthony-p-fiegen-md/) - [A Family Tradition of Making A Difference | Greg M. Neely, MD](https://orthopedicinstitutesf.com/a-family-tradition-of-making-a-difference-greg-m-neely-md/) - [What Are The Top 3 Signs of Hip Arthritis? Luke H. Rasmussen, MD Discusses!](https://orthopedicinstitutesf.com/what-are-the-top-3-signs-of-hip-arthritis-luke-h-rasmussen-md-discusses/) - [How We Customize Devices for Every Body : Our Orthotic & Prosthetic Services](https://orthopedicinstitutesf.com/custom-orthotics-prosthetics-for-every-body/): Generic devices may offer temporary relief, but they rarely address the underlying causes of pain or mobility limitations. When orthotics and prosthetics are customized, they work with your body instead of against it. - [David B. Jones Jr., MD’s Golden Rule for Patient Care](https://orthopedicinstitutesf.com/david-b-jones-jr-mds-golden-rule-for-patient-care/) - [Do Achilles Tendon Injuries Always Require Surgery? Greg M. Neely, MD](https://orthopedicinstitutesf.com/do-achilles-tendon-injuries-always-require-surgery-greg-m-neely-md/) - [Anthony P. Fiegen, MD, Talks March Madness](https://orthopedicinstitutesf.com/anthony-p-fiegen-md-talks-march-madness/) - [Why James T. Brunz, MD, Chose Interventional Pain Medicine](https://orthopedicinstitutesf.com/why-james-t-brunz-md-chose-interventional-pain-medicine/) - [Does Cracking Your Knuckles Cause Arthritis? David B. Jones Jr., MD Explains](https://orthopedicinstitutesf.com/does-cracking-your-knuckles-cause-arthritis-david-b-jones-jr-md-explains/) - [From Power Plays to Sports Medicine: Meet Dustin P. Collins, MD!](https://orthopedicinstitutesf.com/from-power-plays-to-sports-medicine-meet-dustin-p-collins-md/) - [Low Back Pain with Matthew K. Wingate, MD](https://orthopedicinstitutesf.com/low-back-pain-with-matthew-k-wingate-md/) - [UNI: A Game Changer for Knee Replacement with Dr. Adler](https://orthopedicinstitutesf.com/uni-a-game-changer-for-knee-replacement-with-dr-adler/) - [Orthopedic Institute Announces James T. Brunz, MD Named an Intracept® Center of Excellence for the Treatment of Vertebrogenic Low Back Pain](https://orthopedicinstitutesf.com/james-t-brunz-md-intracept-center-of-excellence-vertebrogenic-low-back-pain/): TEA, SD – Orthopedic Institute (OI) today announced that James T. Brunz, MD, an interventional spine and pain physician, has been designated an Intracept® Center of Excellence physician. This distinction is awarded to a select group of physicians nationwide who demonstrate advanced expertise, clinical experience, and a commitment to best practices in the treatment of chronic vertebrogenic low back pain. - [What does Matthew K. Wingate, MD, tell every patient?](https://orthopedicinstitutesf.com/what-does-matthew-k-wingate-md-tell-every-patient/) - [Knee Arthritis? Get Relief Without Total Replacement](https://orthopedicinstitutesf.com/knee-arthritis-get-relief-without-total-replacement/) - [Comprehensive Sports Medicine Care](https://orthopedicinstitutesf.com/comprehensive-sports-medicine-care/): Orthopedic Institute serves South Dakota, Minnesota, and Iowa with complete sports medicine care from training to recovery. - [Understanding Insurance at Orthopedic Institute in Tea and Surrounding Areas](https://orthopedicinstitutesf.com/understanding-insurance-at-orthopedic-institute-in-tea-and-surrounding-areas-2/): Insurance can be confusing. Orthopedic Institute helps patients navigate this process with accurate information and a commitment to transparency. Located in Tea and serving surrounding communities, Orthopedic Institute prioritizes quality care while ensuring patients understand their insurance coverage, payment responsibilities, and documentation needs. - [Orthopedic Institute Improves Comfort with Nitrous Oxide](https://orthopedicinstitutesf.com/how-nitrous-oxide-treatment-is-making-injections-easier-at-orthopedic-institute/): If you’ve ever delayed a treatment because of nerves or discomfort, you’re not alone. For many patients, the thought of getting an injection—even one that could help relieve pain or speed up recovery—can cause anxiety. At Orthopedic Institute, we understand that part of excellent care is making sure you feel comfortable throughout your experience. - [Building Strong Bones and a Strong Life at Orthopedic Institute](https://orthopedicinstitutesf.com/bone-health-at-orthopedic-institute-strong-bones-for-a-strong-life/): Written by Jeanne Rud, PA-C, MPAS - [Debunking Myths About Falls at Orthopedic Institute](https://orthopedicinstitutesf.com/debunking-fall-myths-what-you-need-to-know/): Orthopedic Institute breaks down fall myths with prevention tips to help older adults stay safe, strong, and independent. - [Orthopedic Institute Expands to Luverne, Minnesota, Bringing Trusted Specialty Care Closer to Home](https://orthopedicinstitutesf.com/orthopedic-institute-expands-to-luverne-minnesota-bringing-trusted-specialty-care-closer-to-home/): Located within Freedom Family Clinic at 311 W Gabrielson Road, Suite 2, the new OI clinic will provide expert diagnosis and treatment of musculoskeletal conditions with a focus on hip, knee, foot and ankle, shoulder, elbow, and other sports-related injuries. - [A Collaborative Approach to Pain Relief at Orthopedic Institute](https://orthopedicinstitutesf.com/a-collaborative-approach-to-pain-relief-at-orthopedic-institute/): Discover non-surgical pain relief with expert care from Orthopedic Institute in Sioux Falls. Get back to living with less pain today. - [A Personalized Approach to Pain Relief at Orthopedic Institute](https://orthopedicinstitutesf.com/a-personalized-approach-to-pain-relief-at-orthopedic-institute/): Summer is a time for making memories, family trips, backyard barbecues, long walks in the sunshine, or simply chasing your grandkids through the sprinkler. But when you are living with pain, those moments can feel a little further out of reach. As pain relief physicians, we understand that pain does not take the summer off. It is there year-round, but it can feel especially frustrating when it keeps you from the things you love most. That is why we are here - to listen, to help, and to work with you toward feeling better, so you can get back to enjoying all the fun this season has to offer. - [Living with Chronic Pain? Orthopedic Institute is Here to Help](https://orthopedicinstitutesf.com/living-with-chronic-pain-orthopedic-institute-is-here-to-help/): Orthopedic Institute offers expert pain management in Sioux Falls and surrounding areas. Get personalized, non-opioid care for chronic pain in South Dakota. - [Avoid the ER: Visit Our Orthopedic Walk-In Clinic in South Dakota](https://orthopedicinstitutesf.com/avoid-the-er-visit-our-orthopedic-walk-in-clinic-in-south-dakota/): Orthopedic Institute Now Walk-In Clinic (OI Now) offers same-day orthopedic care without the long wait times or high fees of the emergency room. With walk-in clinics in Tea, Brookings, and Yankton, South Dakota, OI Now helps you get the care you need—when you need it most. - [Celebrate With Us: Ribbon Cutting for Orthopedic Institute’s New Facility!](https://orthopedicinstitutesf.com/celebrate-with-us-ribbon-cutting-for-orthopedic-institutes-new-facility/): We are thrilled to invite you to a special ribbon-cutting event as we celebrate the grand opening of Orthopedic Institute’s brand-new, 80,000 square foot facility! - [A New Era for Orthopedic Institute](https://orthopedicinstitutesf.com/a-new-era-for-orthopedic-institute/): One month ago, we opened the doors to our new state-of-the-art facility in Tea, South Dakota, and we couldn’t be more thrilled with the experience so far. This new space has been designed with our patients in mind, providing easy access, expanded services, and a more collaborative environment for our entire team. - [We Moved!](https://orthopedicinstitutesf.com/we-moved/): Orthopedic Institute has moved to a state-of-the-art facility in Tea, SD, offering expanded care, advanced technology, and enhanced patient experience. - [Giving Thanks: A Message from All of Us at Orthopedic Institute](https://orthopedicinstitutesf.com/giving-thanks-a-message-from-all-of-us-at-orthopedic-institute/): Every day, we are inspired by the strength and resilience of those we care for, and we recognize that our success in helping them is made possible by the teamwork and communication we share with you. Whether we are treating joint replacement candidates, sports injury patients, or managing any orthopedic concern, your confidence in our expertise and your commitment to patient well-being motivate us to continue delivering the highest standard of care. - [Supporting Athletes: From Injury Recovery to Getting Back in the Game](https://orthopedicinstitutesf.com/supporting-athletes-from-injury-recovery-to-getting-back-in-the-game/): But as you know, with the thrill of sports comes the risk of injuries. This time of year, we see a lot of sprains, fractures, tendonitis, and concussions that can take athletes out of the game. That's where we come in. We all are committed to providing top-tier care and support to help athletes bounce back. - [Nagging Muscle or Joint Pain? Here’s How to Treat it.](https://orthopedicinstitutesf.com/nagging-muscle-or-joint-pain-heres-how-to-treat-it-2/): When you experience pain, how do you manage it? Do you use home remedies like ice, heat, topical medication, or stretching? - [Summer is a Great Time – It Can Lead to Injuries, Too](https://orthopedicinstitutesf.com/summer-is-a-great-time-it-can-lead-to-injuries-too/): As you know, sprains, overuse, sport-related injuries and even simple accidents can peak as we all strive to make the most of this season. Our referrals range from tennis elbow or other repetitive activities like pulling weeds or hammering nails - we also see many shoulder and rotator issues from summer chores like digging, pulling a rake, lifting heavy objects or strain from other unusual motions.  - [Summer is a Great Time – Make the Most of it Safely](https://orthopedicinstitutesf.com/summer-is-a-great-time-make-the-most-of-it-safely/): Summer chores can also trigger orthopedic injuries since they can be unusual motions that our bodies aren’t always used to. We commonly see shoulder and rotator issues from activities like digging, pulling a rake, or lifting heavy objects. - [Let’s Chat Pickleball – Common Orthopedic Injuries & Tips for Prevention](https://orthopedicinstitutesf.com/lets-chat-pickleball-common-orthopedic-injuries-tips-for-prevention/): During the warmer summer months, our Foot & Ankle Team often encounters patients seeking orthopedic treatment due to pickleball-related injuries. With over 60+ years of combined experience in our team, we are here and ready to provide you with the best orthopedic care to get you back on the pickleball court! - [Better Movement Means More Independence for Veterans](https://orthopedicinstitutesf.com/better-movement-means-more-independence-for-veterans-2/): When orthopedic issues persist, all of these independent joys of life can be compromised. This can be especially true in our Veteran population. - [Better Movement Means More Independence for Veterans](https://orthopedicinstitutesf.com/better-movement-means-more-independence-for-veterans/): As we celebrate our independence during the summer months, Orthopedic Institute also recognizes that better movement is key to more independence. - [Transforming Lives Through Exceptional Orthopedic Care](https://orthopedicinstitutesf.com/transforming-lives-through-exceptional-orthopedic-care/): At Orthopedic Institute, our mission is transforming lives through exceptional orthopedic care.  We understand that injuries and pain can make life difficult and keep us all from the activities we love. And we understand that when you are hurt, you need a caring team you can trust. - [Referrals and How to Contact Us](https://orthopedicinstitutesf.com/referrals-and-how-to-contact-us/): The Orthopedic Institute physicians, nurses, and patient care teams are committed to providing you and your patients with the region’s highest quality orthopedic and sports medicine care. - [A Partnership Update from David B. Jones, Jr., MD](https://orthopedicinstitutesf.com/a-partnership-update-from-dr-david-jones/): Being a team requires humility and understanding that we cannot solve challenges or do the work alone. Strong teams discover and value the strengths of each team member and leverage those in various roles to accomplish a common goal. That’s what we do at Orthopedic Institute. - [New Plans to Better Serve Our Patients](https://orthopedicinstitutesf.com/new-plans-to-better-serve-our-patients/): Orthopedic Institute is continuing its plans to better serve our patients in the year ahead, in more places and more ways. - [5 Exercises to Activate Your Muscles & Improve Your Workout](https://orthopedicinstitutesf.com/5-exercises-to-activate-your-muscles-improve-your-workout/): Muscle activation exercises connect the body and mind to enhance your workout and optimize your results. Activation exercises are typically short, isolation exercises that target specific muscles to “wake them up”. Just like stretching, activation exercises increase blood flow to prepare the muscles for weightlifting, cardio, sports, or other physical activities. - [Popular Physical Therapy Services](https://orthopedicinstitutesf.com/popular-physical-therapy-services/): RPT is an advanced system that uses electromagnetic shockwaves to treat joint or bone pain or injury. It is one of the best treatment solutions for tennis elbow, plantar fasciitis, soft tissue pain, sports injury, and chronic foot, heel, and ankle pain. - [5 Exercises to Activate Your Muscles & Improve Your Workout](https://orthopedicinstitutesf.com/5-exercises-to-activate-your-muscles/): Muscle activation exercises connect the body and mind to enhance your workout and optimize your results. Activation exercises are typically short, isolation exercises that target specific muscles to “wake them up”. Just like stretching, activation exercises increase blood flow to prepare the muscles for weightlifting, cardio, sports, or other physical activities. - [How to Perform Monster Walks & Squats to Warm-Up Your Glutes & Hips](https://orthopedicinstitutesf.com/how-to-perform-monster-walks-squats-to-warm-up-your-glutes-hips/): Monster Walks and Monster Squats are commonly used exercises to help activate the lateral hips and glutes. They can also be used as a rehabilitation strengthening exercise. When performed correctly, these exercises may help prevent injury and muscle strain by promoting strength and stability. - [5 Ways to Prevent Back Pain During Exercise or Everyday Activities According to Experts](https://orthopedicinstitutesf.com/5-ways-to-prevent-back-pain-during-exercise-or-everyday-activities-according-to-experts/): Implementing these tips into to your exercise routine may help avoid back injuries, and prevent back pain. - [5 Stretches to Help Relieve Lower Back Pain](https://orthopedicinstitutesf.com/5-stretches-to-help-relieve-lower-back-pain/): Are you experiencing low back pain? Lower back pain is extremely common and affects nearly 8 of every 10 people at some point during their lives. Treatment for back pain can range from conservative to non-conservative methods depending on the severity of your pain or issue. If you are experiencing back pain, talk to your physician about what treatment option is best for you. - [The Best Treatment for Plantar Fasciitis and Tennis Elbow](https://orthopedicinstitutesf.com/the-best-treatment-for-plantar-fasciitis-and-tennis-elbow/): The electromagnetic shockwaves delivered from the handheld device transfer kinetic energy into impact energy, transmitted through radial pulses to the target tissue. The intensity of the shockwaves is adjusted depending on the severity of the tendinitis. The shockwaves break down scar tissue and cause an inflammatory response. This healing response improves blood circulation, range of motion and reduces pain. - [Nagging Muscle or Joint Pain? Here’s How to Treat it](https://orthopedicinstitutesf.com/nagging-muscle-or-joint-pain-heres-how-to-treat-it/): If you are like most people, you probably searched in Google for a solution to your pain in hopes that it would resolve itself over a few days or weeks. These solutions may work for bumps and bruises but aren’t effective for minor to major injuries. Your pain may temporarily be relieved but continue to show up when you exercise or play sports. What if the nagging pain never stops? What do you do when you can’t do what you love anymore? - [Nagging back or neck pain?](https://orthopedicinstitutesf.com/nagging-back-or-neck-pain/): Each day, we tend to sit often. We sit in the car, at work, at home watching TV, and even at the gym between exercises. If you look at your posture while sitting, you will likely see a slouched back, an extended forward neck, and rounded shoulders. Our spinal discs, joints, ligaments, and muscles support our bodies throughout our day, but continuous bad posture puts strain on our back and neck and causes nagging pain. The good news is that simply improving your posture while sitting can prevent and minimize nagging pain. - [Can Stretching Improve Sports Performance and Reduce Risk of Injury?](https://orthopedicinstitutesf.com/can-stretching-improve-sports-performance-and-reduce-risk-of-injury/): Whether you're just getting started in your fitness journey, trying to jump back into a routine, or looking to try a new sport – a proper warm-up and stretching routine is essential to your performance and injury prevention. - [Let’s “Jam” About Jammed Fingers](https://orthopedicinstitutesf.com/lets-jam-about-jammed-fingers/): A jammed finger is one of the more painful annoyances people can encounter in their everyday life. Whether the injury is sports-related or just an at-home accident, it can leave you with surprisingly intense pain that can make it difficult for you to complete your daily routine. While they do not generally require medical intervention, you may find yourself wondering why your finger hurts so much and how to make it feel better. - [Is the Bone Broken or Fractured?](https://orthopedicinstitutesf.com/is-the-bone-broken-or-fractured/): Your treatment options depend upon a number of things—most significantly, the location and severity of the break. At the Orthopedic Institute, we'll clearly explain the options and provide you with the best possible recovery from your injury. - [3 Causes of Stiff, Painful Fingers](https://orthopedicinstitutesf.com/3-causes-of-stiff-painful-fingers/): We use our hands every day, so putting up with intense finger pain can be impossibly frustrating and have a significant impact on our ability to do everyday tasks. If you are dealing with pain and swelling in your hands and fingers, the cause may not be immediately obvious - [“Your Back Is Crooked:” Straight Talk About Curved Spines](https://orthopedicinstitutesf.com/your-back-is-crooked-straight-talk-about-curved-spines/): Read on for common signs that you might have a curved spine: - [Back Pain in Kids: What Parents Need to Know](https://orthopedicinstitutesf.com/back-pain-in-kids-what-parents-need-to-know/): Check out our guide of common causes for back pain in kids, so you know when to worry:  - [5 Treatment Options for Carpal Tunnel Syndrome](https://orthopedicinstitutesf.com/5-treatment-options-for-carpal-tunnel-syndrome/): If you're experiencing pain, numbness, or tingling in your wrist, you may have Carpal Tunnel Syndrome (CTS).  CTS is a common condition that, according to American Family Physician, affects 3 to 6 percent of the general adult population. Having CTS can be frustrating, but there are a number of different treatments available to help you manage the condition. - [10 Facts About Microdisectomy for Leg Pain & Weakness](https://orthopedicinstitutesf.com/10-facts-about-microdisectomy-for-leg-pain-weakness/): Read on for 10 facts about microdisectomies for leg pain and weakness. - [Ice vs Heat: What’s Better for Pain Relief?](https://orthopedicinstitutesf.com/ice-vs-heat-whats-better-for-pain-relief/): Ready for some cool tips and hot advice? Read on for the basic on using ice and heat for pain relief.  - [7 Reasons Sports Medicine Is Essential for Active Athletes](https://orthopedicinstitutesf.com/7-reasons-sports-medicine-is-essential-for-active-athletes/): Here are 7 reasons sports medicine is essential for active athletes.  - [When Should You See a Doctor for Neck Pain?](https://orthopedicinstitutesf.com/when-should-you-see-a-doctor-for-neck-pain/): Check out this quick reference guide for common causes of neck pain and when it's time to see a doctor.  - [5 Signs You May Need a Hip Replacement](https://orthopedicinstitutesf.com/5-signs-you-may-need-a-hip-replacement/): Many people managing rheumatoid arthritis, osteoarthritis, osteonecrosis and other general joint health issues struggle with whether or not they should seek hip replacement surgery. They have pain, but it can be hard to decide if the pain is significant enough to warrant a hip replacement. - [Top 5 Knee Injuries for Kids and Teens](https://orthopedicinstitutesf.com/top-5-knee-injuries-for-kids-and-teens/): Check out our list of the top 5 knee injuries in kids and teens. - [4 Reasons a Walk-In Physician Is Beneficial for Your Student Athlete](https://orthopedicinstitutesf.com/4-reasons-a-walk-in-physician-is-beneficial-for-your-student-athlete/): Luckily, the services of an orthopedic walk-in clinic can be a big help in remedying this. Here are four reasons why. - [What Is DRG Stimulation and How Can It Help Your Pain?](https://orthopedicinstitutesf.com/what-is-drg-stimulation-and-how-can-it-help-your-pain/): Learn more about your DRG (yes, you have one) and this revolutionary new treatment option for pain.  - [10 Causes of Leg Cramps](https://orthopedicinstitutesf.com/10-causes-of-leg-cramps/): Leg cramps are a pain, literally! It may not always be obvious what causes them, but the pain associated with leg cramps makes them nearly impossible to ignore. The Orthopedic Institute team has compiled a list of 10 common causes of leg cramps to help you understand and avoid this pesky problem. - [Discussing ”Avocado Hand“ with Dr. David Jones](https://orthopedicinstitutesf.com/discussing-avocado-hand-with-dr-david-jones/): More people injure themselves while cutting avocados more than any other food. Why? Because people think it is a good idea to swiftly bring the largest blade in their home down toward their open palm to remove the avocado’s pit. - [Tech-Related Workplace Injuries (and How to Prevent Them)](https://orthopedicinstitutesf.com/tech-related-workplace-injuries-and-how-to-prevent-them/): Take a look at our list of the most common, tech-related workplace injuries, as well as tips on how to avoid them. - [Top 5 Orthopedic Tips for Your Workout Routine](https://orthopedicinstitutesf.com/top-5-orthopedic-tips-for-your-workout-routine/): Check out these top 5 orthopedic tips for athletes of all ages and skill levels. - [How the Way You Sleep Affects Your Orthopedic Health](https://orthopedicinstitutesf.com/how-the-way-you-sleep-affects-your-orthopedic-health/): Get comfortable, and learn how sleep position affects your orthopedic health.  - [Home Remedies For Joint Pain Relief That Truly Work](https://orthopedicinstitutesf.com/home-remedies-for-joint-pain-relief-that-truly-work/): From hands and feet to knees, arms and elbows–try these home remedies for joint pain relief. They truly work! - [Blood Flow Restriction Training for Physical Therapy](https://orthopedicinstitutesf.com/blood-flow-restriction-training-for-physical-therapy/): Learn more about Blood Flow Restriction Therapy and how it’s safely helping patients of all ages, backgrounds and mobility levels. - [3 Exercises To Strengthen Your Shoulders & Spine](https://orthopedicinstitutesf.com/three-exercises-to-strengthen-your-shoulders-and-spine/): Don’t let back pain and decreased range of motion sneak up on you. Try these three, easy-to-do shoulder and spine exercises at home. No equipment necessary. - [Top 5 Reasons to Try Cooled Radiofrequency Treatment for Chronic Hip & Knee Pain](https://orthopedicinstitutesf.com/top-5-reasons-to-try-cooled-radiofrequency-treatment-for-chronic-hip-knee-pain/): We sat down with Dr. Brunz to discuss the top 5 reasons Cooled Radiofrequency Treatment can help chronic hip and knee pain. - [3 Types of Foot and Ankle Pain You Shouldn’t Ignore](https://orthopedicinstitutesf.com/3-types-of-foot-and-ankle-pain-you-shouldnt-ignore/): Pain-free mobility is essential to your quality of life! Learn more about the three types of foot and ankle pain you shouldn't ignore.  - [5 Benefits of an Orthopedic Walk-In Clinic](https://orthopedicinstitutesf.com/five-benefits-of-an-orthopedic-walk-in-clinic/): If you suspect a muscle, bone or joint injury, here are five benefits of an orthopedic walk-in clinic. - [Osteoporosis in Men: The ”Silent Disease“ Affects You, Too](https://orthopedicinstitutesf.com/osteoporosis-in-men/): Protect your bones and your long-term health! Learn more about risk factors, diagnosis and prevention tips for osteoporosis men.  - [Shoulder Pain Relief: What You Need to Know](https://orthopedicinstitutesf.com/shoulder-pain-relief/): Check out these top causes of shoulder pain, and what you need to know to start feeling better. - [5 Alternative Non-Surgical Treatments for Head & Neck Pain](https://orthopedicinstitutesf.com/three-alternative-non-surgical-treatments-for-head-and-neck-pain/): Depending on the cause of your head and neck pain, these five non-surgical treatments might be effective for you.  - [Should You See a Physical Therapist?](https://orthopedicinstitutesf.com/should-you-see-a-physical-therapist/): Take a look at some of the following common pain points and whether they necessitate a visit to a physical therapist. - [4 Key Benefits of Going to an Orthopedic Walk-In Clinic](https://orthopedicinstitutesf.com/4-key-benefits-of-going-to-an-orthopedic-walk-in-clinic/): Here are four key benefits of an orthopedic walk-in clinic, a feature that Orthopedic Institute (OI) happens to offer. - [Hip Replacement Success Stories](https://orthopedicinstitutesf.com/anterior-hip-replacement-patient-testimonials/): Most people wouldn’t describe getting a hip replacement as a “walk in the park.” Weeks of rehab and struggling to get around can cause many people to put off getting a necessary surgery. However, Lee Goldammer and Tony Bosch had excellent experiences with OI when they decided to pursue anterior hip replacements. - [How To Tell When Your Child’s Elbow Injury Is Serious](https://orthopedicinstitutesf.com/how-to-tell-when-your-childs-elbow-injury-is-serious/): Here’s how to tell if your child's elbow injury is serious. - [Outpatient Joint Replacement Surgery: The Benefits & How to Prepare](https://orthopedicinstitutesf.com/outpatient-joint-replacement-surgery-the-benefits-how-to-prepare/): From total shoulder replacements to knee and hip procedures, why does outpatient matter—and how should you prepare? - [3 Common Causes of Thumb Pain](https://orthopedicinstitutesf.com/3-common-causes-of-thumb-pain/): Are you starting to feel pain or stiffness in your thumbs? Read into these three common causes of thumb pain.  - [6 Tips for Reversing Your Shoulder Pain](https://orthopedicinstitutesf.com/6-tips-for-reversing-your-shoulder-pain/): Try out some of these options for reversing shoulder pain. - [4 Everyday Tips for Fighting Off Foot & Ankle Pain](https://orthopedicinstitutesf.com/4-everyday-tips-for-fighting-off-foot-and-ankle-pain/): Here are 4 tips to give foot and ankle pain the boot.  - [5 Key Symptoms of a Neck Injury](https://orthopedicinstitutesf.com/5-key-symptoms-of-a-neck-injury/): To help you out, here are several symptoms that can stem from a neck injury. - [4 Ways a Hand Therapist Can Benefit Your Life](https://orthopedicinstitutesf.com/4-ways-a-hand-therapist-can-benefit-your-life/): A certified hand therapist can use his or her practice to bring the many benefits of occupational therapy to your life. - [4 Surefire Signs of a Top-Notch Carpal Tunnel Surgeon](https://orthopedicinstitutesf.com/4-surefire-signs-of-a-top-notch-carpal-tunnel-surgeon/): That's when you'll need to know these 4 Surefire Signs of a Top-Notch Carpal Tunnel Surgeon. ## Pages - [Provider Resources News](https://orthopedicinstitutesf.com/provider-resources-news/): Posted: June 16th, 2025 - [Our Specialties](https://orthopedicinstitutesf.com/our-specialties/): Our specialties include comprehensive services for neck and spine, shoulder and elbow, hand and wrist, knee, hip, foot and ankle, fractures and trauma, sports medicine, pain management, therapy and rehabilitation, imaging services, and sports performance. Whether you’re dealing with a sports injury or managing chronic pain, our experienced team is here to help. - [Rehabilitation Protocols](https://orthopedicinstitutesf.com/rehabilitation-protocols/): For the Leg Knee ACL Reconstruction Protocol OIPT.05.27.22.ver1 (PDF) Knee Arthroscopic Meniscal Repair Protocol OIPT.03.29.21.ver1 (PDF) Knee Total Knee Arthroplasty Protocol OIPT.03.29.21.ver1 (PDF) For the Foot and Ankle Ankle Total Ankle Arthroplasty Protocol OIPT.08.20.21.ver1 (PDF) For the Shoulder Shoulder Anatomic Total Shoulder Arthroplasty Protocol OIPT.08.20.21.ver1 (PDF) Shoulder Arthroscopic Rotator Cuff Repair Protocol OIPT.05.25.22.ver1 (PDF) Shoulder Reverse Total Shoulder Arthroplasty Protocol OIPT.03.25.21.ver1 (PDF) Shoulder Humeral Fracture Non Operative Protocol OIPT.02.22.22.ver1 (PDF) For the Elbow Elbow Arthroplasty Protocol OIPT.02.22.22.ver1 (PDF) Elbow Distal Biceps Tendon Repair Protocol OIPT.02.28.23.ver2 (PDF) Elbow Lateral Epicondyle Debridement Protocol OIPT.02.22.22.ver1 (PDF) Elbow Lateral Epicondylitis Protocol OIPT.02.22.22.ver1 (PDF) Elbow Medial Epicondylitis Protocol OIPT.02.22.22.ver1 (PDF) Elbow Radial Head Fracture Non-Operative Protocol OIPT.02.22.22.ver1 (PDF) For the Hand and Wrist Hand CMC Arthroplasty MCP Fusion Protocol OIPT.04.12.2022 (PDF) Hand EPL Repair Protocol OIPT.04.12.2022 (PDF) Hand Extensor Tendon Zone 1 Repair Protocol OIPT.04.12.2022 (PDF) Hand Extensor Tendon Zone 3-4 Repair Protocol OIPT.04.12.2022 (PDF) Hand Extensor Tendon Zone 5-6 Repair Protocol OIPT.04.12.2022 (PDF) Hand Flexor Tendon Zone 1-4 Repair Protocol OIPT.04.12.2022 (PDF) Hand FPL Repair Protocol OIPT.04.12.2022 (PDF) Hand MP Arthroplasty Protocol OIPT.02.22.22.ver1 (PDF) Hand PIP Arthroplasty Protocol OIPT.02.22.22.ver1 (PDF) Hand Trigger Thumb Finger Release Protocol OIPT.02.22.22.ver1 (PDF) Wrist Arthroplasty Protocol OIPT.02.22.22.ver1 (PDF) Wrist CMC Arthroplasty Protocol OIPT.02.22.22.ver1 (PDF) Wrist DRUJ Arthroplasty Protocol OIPT.02.22.22.ver1 (PDF) Wrist Fracture Non-Operative Protocol OIPT.02.22.22.ver1 (PDF) Wrist TFCC Repair Protocol OIPT.02.22.22.ver1 (PDF) For the Hip Hip Arthroscopy Protocol OIPT.04.05.21.ver.1 (PDF) Hip Proximal Hamstring Repair Protocol OIPT.02.22.23.ver1 (PDF) Hip Total Hip Arthroplasty (All Approaches) Protocol OIPT.03.29.21.ver.1 (PDF) For the Spine Spine Cervical Fusion Protocol OIPT.02.17.22.ver1 (PDF) Spine Cervical Non-Fusion Protocol OIPT.02.17.22.ver1 (PDF) Spine Lumbar Fusion Multi Laminectomy Protocol OIPT.02.17.22.ver1 (PDF) Spine Lumbar Non-Fusion Protocol OIPT.02.17.22.ver1 (PDF) Spine Pars Defect Protocol OIPT.08.29.22.ver3 (PDF) Spine SI Joint Fusion Protocol OIPT.02.17.22.ver1 (PDF) Spine Lumbar Disc Arthroplasty Disc Replacement Protocol OIPT.03.18.26.ver1 (PDF) Spine Cervical Disc Arthroplasty Disc Replacement Protocol OIPT.03.18.26.ver1 (PDF) NOTE: At Orthopedic Institute, patients may have advanced diagnostic and /or treatment options, or may receive educational materials that vary from this information. Please be aware that this information is not intended to replace the care or advice given by your physician or health care provider. It is neither intended nor implied to be a substitute for professional advice. Call your health provider immediately if you think you may have a medical emergency. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any question you may have regarding a medical condition. - [Referring Methods and Communication](https://orthopedicinstitutesf.com/referring-methods-and-communication/): We understand the marketplace offers many orthopedic options for your patients, and we value the trust you place in us. Whether you’ve referred patients to Orthopedic Institute before or not, our physicians, nurses, and care teams are dedicated to providing the region’s highest quality orthopedic and sports medicine care. - [Insurance Information](https://orthopedicinstitutesf.com/insurance-info/): If you are a new patient or have not visited Orthopedic Institute in 1 year, please provide updated information to assist with contacting you and filing insurance claims. Bring your insurance card and co-payment to your appointment. - [Patient Guides](https://orthopedicinstitutesf.com/patient-guides/): Patient Guides were created by the Physicians and Care Teams at Orthopedic Institute. Please contact our office at 605.331.5890 and ask for a Patient Navigator to answer your questions. Dr. Adler – Your Guide to Total Knee Replacement Download Dr. Alvine – OI Patient Education Guide – Lumbar Spine Download Dr. Alvine – OI Patient Education Guide – Cervical Spine Download NOTE: At Orthopedic Institute, patients may have advanced diagnostic and /or treatment options, or may receive educational materials that vary from this information. Please be aware that this information is not intended to replace the care or advice given by your physician or health care provider. It is neither intended nor implied to be a substitute for professional advice. Call your health provider immediately if you think you may have a medical emergency. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any question you may have regarding a medical condition. - [Blog](https://orthopedicinstitutesf.com/blog/): Posted: July 13th, 2026 - [Patient Referral Form](https://orthopedicinstitutesf.com/patient-referral-form/): Click this link to use our Orthopedic Institute TotalCare™️ patient Online Referral Form to safely and securely send us a referral. - [About Us](https://orthopedicinstitutesf.com/about-us/): Transforming lives through exceptional orthopedic care. - [Good Faith Estimate](https://orthopedicinstitutesf.com/good-faith-estimate/): You have the right to receive a Good Faith Estimate (GFE). The GFE provides you with an estimate of how much your medical care will cost. Under the law, health care providers are to give patients who don’t have insurance or who are not using insurance an estimate of the bill for non-urgent medical items and services. - [Sitemap](https://orthopedicinstitutesf.com/sitemap/): Pages About Us Blog Careers FAQs Good Faith Estimate Home Insurance Information Medical Records Request Orthopedic Institute Cares Our Specialties Our Team Patient Forms Patient Guides Patient Referral Form Patient Scheduling Options Pay My Bill Pricing Privacy Policy Provider Resources News Referring Methods and Communication Rehabilitation Protocols Transparency Specialties Wrist Fracture OI Now Walk-In Clinic Trigger Finger Thumb Arthritis Therapy & Rehabilitation Orthopedic Institute Performance Sports Medicine Neck & Spine Shoulder Instability & Labral Tears Shoulder & Elbow Shoulder Arthritis Scoliosis Rotator Cuff Tear Regenerative Medicine Plantar Fasciitis Physical Therapy Pain Management Orthotics & Prosthetics Non-Surgical Meniscus Tears Lumbar Spondylosis Lumbar Disc Herniation Lateral Epicondylitis (Tennis Elbow) Labral Tears Knee Ligament Injuries Knee Arthritis Knee Imaging Services Hip Fractures Hip Arthritis Hip Hand & Wrist Hand Therapy Fractures & Trauma Foot & Ankle Femoroacetabular Impingement Distal Biceps Rupture Cubital Tunnel Syndrome Cervical Spondylosis (Neck Arthritis) Cervical Disc Herniation Carpal Tunnel Syndrome Bone Health Aquatic Therapy Ankle Fractures Ankle Arthritis Achilles Tendon Rupture Physicians Matthew K. Wingate, MD Eric S. Watson, MD Timothy L. Walker, MD Corey P. Rothrock, MD Luke H. Rasmussen, MD Erik D. Peterson, MD Gregory M. Neely, MD Joshua J. Meaike, MD Matthew J. McKenzie, MD Peter A. Looby, MD David B. Jones Jr., MD Jason L. Hurd, MD Evan N. Hermanson, MD Anthony P. Fiegen, MD R. Blake Curd, MD Dustin P. Collins, MD K.C. Chang, MD James T. Brunz, MD Keith M. Baumgarten, MD Gregory F. Alvine, MD Michael J. Adler, MD Advanced Practice Providers Advanced Practice Providers Melissa Weinandt, PA-C Bryant Wieking, PA‑C Allison West, MS, ATC, PA‑C Christopher Tibbetts, MS, PA‑C Will Steineke, PA-C Debbie Spronk, CNP Parker Smith, CNP Chad Scott, MS, PA‑C Scott Rawson, PA-C John Oldenkamp, PA‑C Mike Noordsy, PA‑C Alissa Moen, MS, PA‑C Angie Majeres, MS, PA‑C Andrew S. Macgregor, PA-C Ryan Klenner, MS, PA‑C Emily Hohman, MS, PA‑C Patrick Heiser, PA‑C Scott DeMasters, PA-C Cassie Arens, PA-C, MPAS Pedorthists Ashlynn Hoback Reid Herrboldt, ATC, CPED Physical Therapists Jeremy Zens, DPT Josh VanRiper, DPT Shannon L. Van Zee, PT, Cert. MDT Jason Tjeerdsma, DPT, FAAOMPT Nikki Shoup, DPT Kristin Ripperda, MS, PT Austin Ringling, PTA Shelly Price, DPT, ATC Ryan Otto, DPT, Cert MDT Aaron Olson, DPT, OCS Emily Miller, PT Paul Kreber, MS, PT Jill Johannsen, DPT Ryan Johnson, BS, PTA Lisa Flannery, PTA Trey Bohlmann, PTA Rachael Bak, DPT Occupational Therapists Sara Sipple, MOTR/L, CHT Kate Olson, MSOTR/L, CLT Chad Harms, MOTR/L, CHT Jessyca Conaway, MS, OTR/L Leslie Cleveringa, MS, OTR/L Athletic Trainers Jordan Whitsell, MS, ATC Patrick Starr, MAT, ATC John Shape, ATC Brad Pfeifle, VP, ATC Eric Page, MAT, ATC Darred Nelson, MS, ATC Kennedi Landis, MS, ATC Tyra Jons, MS, ATC David Hopper, CSCS Chad Grotewold, ATC, CSCS Benjamin Gannon, MEd, ATC Jodi Fuerstenberg, MS, ATC Gina Fritz, MS, ATC Megan Ekern, MS, ATC Jed Dooyema, MSAT, ATC Aaron Conklin, ATC Hailey Burke, MS, ATC Ryan Brink, ATC, CSCS Griffin Anderson Performance Coaches Margie Anthony Nathnael Gizaw Bill Ollhoff Colby Orts Posts by category Category: Aquatic Therapy What Is Aquatic Therapy? Aquatic Therapy: Treatment Offers Gentle Alternative for Some Orthopedic Patients Category: Back 5 Ways to Prevent Back Pain During Exercise or Everyday Activities According to Experts 5 Stretches to Help Relieve Lower Back Pain Nagging back or neck pain? Category: Elbow The Best Treatment for Plantar Fasciitis and Tennis Elbow How To Tell When Your Child’s Elbow Injury Is Serious Category: Foot and Ankle Orthopedic Institute Continues Legacy of Innovation in Total Ankle Replacement Let’s Chat Pickleball – Common Orthopedic Injuries & Tips for Prevention Is the Bone Broken or Fractured? 3 Types of Foot and Ankle Pain You Shouldn’t Ignore Outpatient Joint Replacement Surgery: The Benefits & How to Prepare 4 Everyday Tips for Fighting Off Foot & Ankle Pain 5 Things to Look for in Orthopedic-Friendly Shoes Senior Health: When Injuries Are Serious Enough for an Orthopedic Visit 5 Solo Exercises That Improve Your Agility How to Do the Lunge Correctly The Right Fit: Choosing the Perfect Running Shoes Common Foot Problems: Plantar Fasciitis Common Foot Problems: Heel Pain Common Foot Problems: Hallux Rigidus Common Foot Problems: Bunions/Bunionette Slip and Fall Prevention Strategies Don’t Let a Fall from a Ladder Ruin Your Holiday Season Category: Fractures and Trauma Home Remedies For Joint Pain Relief That Truly Work Osteoporosis in Men: The ”Silent Disease“ Affects You, Too 5 Key Symptoms of a Neck Injury 10 Questions with Dr. Eric S. Watson 5 Everyday Tips for Fighting Off Knee Pain How to Tell When Your Child Needs an Orthopedic Visit When to Know If an ER Visit Is Necessary 3 Ways Orthopedic Care is a Gift During the Holidays 5 Outdoor Safety Tips for Parents Bone Fractures & Osteoporosis: Simple Tips for Prevention and Treatment Category: Hand and Wrist Let’s “Jam” About Jammed Fingers 3 Causes of Stiff, Painful Fingers 5 Treatment Options for Carpal Tunnel Syndrome Discussing ”Avocado Hand“ with Dr. David Jones 3 Common Causes of Thumb Pain 4 Ways a Hand Therapist Can Benefit Your Life 4 Surefire Signs of a Top-Notch Carpal Tunnel Surgeon Understanding Arthritis (And What Your Options Are) Halloween Safety Tips from Orthopedic Institute Category: Hip 5 Exercises to Activate Your Muscles & Improve Your Workout 5 Exercises to Activate Your Muscles & Improve Your Workout 5 Signs You May Need a Hip Replacement Top 5 Reasons to Try Cooled Radiofrequency Treatment for Chronic Hip & Knee Pain Hip Replacement Success Stories 5 Common Injections for Treating Orthopedic Conditions Orthopedic Update: Anterior Approach Hip Replacement Surgery The OI Way: Proven Weight Loss Support for Optimal Joint Health Category: Imaging Orthopedic Institute Earns ACR Accreditation Category: Knee Top 5 Knee Injuries for Kids and Teens 5 Key Symptoms of Knee Injuries Good Advice from the Lion Hunter’s Wife Getting Back in the Game Thank You to All of Our Veterans from Orthopedic Institute Category: Neck and Spine “Your Back Is Crooked:” Straight Talk About Curved Spines Back Pain in Kids: What Parents Need to Know 10 Facts About Microdisectomy for Leg Pain & Weakness When Should You See a Doctor for Neck Pain? What Is DRG Stimulation and How Can It Help Your Pain? Tech-Related Workplace Injuries (and How to Prevent Them) How the Way You Sleep Affects Your Orthopedic Health 3 Exercises To Strengthen Your Shoulders & Spine 5 Alternative Non-Surgical Treatments for Head & Neck Pain How to Detect Spinal Conditions in Your Children Orthopedic Spine Conditions You Should Know About 6 Common Causes of Back Pain Benefits of Radiofrequency Ablation for Your Back and Neck Arthritis Free Guide: Home Remedies for Back & Neck Pain 10 Questions with Sean Magee In Pursuit of the Perfect Game: It Might not be Your Swing that Needs Correcting   Acupuncture: An Alternative Treatment for Pain Relief Category: News A New Era for Orthopedic Institute 8 Joint-Friendly Foods to Strengthen Your Mobility A Thanksgiving Note from Orthopedic Institute Tell Your State Legislators To Not Change or Adjust IM17 Patient Choice Thank You for Voting Orthopedic Institute “The Local Best” Orthopedic Institute Teaming Up with Two Great Partners to Offer Wellness Screening Orthopedic Institute/ D1 Groundbreaking Orthopedic Institute Veterans Taking Care of Veterans Category: Orthopedic Institute How We Customize Devices for Every Body : Our Orthotic & Prosthetic Services Orthopedic Institute Announces James T. Brunz, MD Named an Intracept® Center of Excellence for the Treatment of Vertebrogenic Low Back Pain Understanding Insurance at Orthopedic Institute in Tea and Surrounding Areas Building Strong Bones and a Strong Life at Orthopedic Institute Debunking Myths About Falls at Orthopedic Institute Orthopedic Institute Expands to Luverne, Minnesota, Bringing Trusted Specialty Care Closer to Home Summer is a Great Time – Make the Most of it Safely Better Movement Means More Independence for Veterans How to Perform Monster Walks & Squats to Warm-Up Your Glutes & Hips Can Stretching Improve Sports Performance and Reduce Risk of Injury? Top 5 Orthopedic Tips for Your Workout Routine 5 Benefits of an Orthopedic Walk-In Clinic 4 Key Benefits of Going to an Orthopedic Walk-In Clinic 4 Low-Impact Exercises Everyone Should Be Doing 5 Unique Ways to Exercise Outdoors This Spring When to See a Doctor for Your Shoulder Injury 10 Questions with Dr. K.C. Chang 6 Training Tips Every Female Athlete Needs to Know The Physical Effects of Training on Your Body A Family Guide to a Healthy, Safe Halloween 14 Things You May Not Know About PA Chad Scott 5 Unique Sources of Physical Activity in Sioux Falls 5 Things Kids Learn From School Sports 9 Questions with PTs Aaron Olson and Paul Kreber 9 Questions with Lee Arnold Get to Know Brad Pfeifle Insider Tips: Exercising Like a Physical Therapist 6 Things Your Orthopedic Doctor Wants You to Know Orthopedic Institute/ D1 Groundbreaking Rescheduled Keith Baumgarten M.D. Receives Sports Injury Research Award Category: Pain Management Recovery Tools That Help You Stay Active: Now Available at Orthopedic Institute Shockwave Therapy at Orthopedic Institute: A Non-Surgical Option for Pain Relief A Personalized Approach to Pain Relief at Orthopedic Institute Living with Chronic Pain? Orthopedic Institute is Here to Help Ice vs Heat: What’s Better for Pain Relief? 10 Causes of Leg Cramps 6 Tips for Reversing Your Shoulder Pain 5 Ways to Combat Shoulder Pain What Is Causing My Shoulder Pain? Category: Physical Therapy Nagging Muscle or Joint Pain? Here’s How to Treat it 7 Reasons Sports Medicine Is Essential for Active Athletes Blood Flow Restriction Training for Physical Therapy Should You See a Physical Therapist? 4 Alternative Treatments Our Doctors Love Category: Provider Resources News A Collaborative Approach to Pain Relief at Orthopedic Institute Giving Thanks: A Message from All of Us at Orthopedic Institute Supporting Athletes: From Injury Recovery to Getting Back in the Game Summer is a Great Time – It Can Lead to Injuries, Too Better Movement Means More Independence for Veterans Transforming Lives Through Exceptional Orthopedic Care Referrals and How to Contact Us A Partnership Update from David B. Jones, Jr., MD New Plans to Better Serve Our Patients Category: Radiofrequency Ablation Category: Rehabilitation The RAMP Program Helps You Get Back in the Game Category: Shoulder and Elbow Category: Sports Medicine Comprehensive Sports Medicine Care 4 Reasons a Walk-In Physician Is Beneficial for Your Student Athlete 5 Pieces of Student Athlete Protective Gear for Outdoor Sports Kid-Friendly Fitness Activities to Keep Your Family in Motion When is Too Young for Your Child to Start Training? 5 Things About Concussions Every Parent Should Know 10 Ways to Be a Great Sports Parent Category: Uncategorized Orthopedic Institute Improves Comfort with Nitrous Oxide Celebrate With Us: Ribbon Cutting for Orthopedic Institute’s New Facility! We Moved! Nagging Muscle or Joint Pain? Here’s How to Treat it. Popular Physical Therapy Services Shoulder Pain Relief: What You Need to Know Category: Videos Is AI Right? Joshua J. Meaike, MD is Putting it to the Test. Meet Anthony P. Fiegen, MD Does spine surgery mean more surgery later? Matthew K. Wingate, MD Sports Medicine with Dustin P. Collins, MD & Stomp Meet Joshua J. Meaike, MD Eric S. Watson, MD’s Care Philosophy Opioids & Pain Management with James T. Brunz, MD Top 3 Signs of an ACL Tear with Anthony P. Fiegen, MD A Family Tradition of Making A Difference | Greg M. Neely, MD What Are The Top 3 Signs of Hip Arthritis? Luke H. Rasmussen, MD Discusses! David B. Jones Jr., MD’s Golden Rule for Patient Care Do Achilles Tendon Injuries Always Require Surgery? Greg M. Neely, MD Anthony P. Fiegen, MD, Talks March Madness Why James T. Brunz, MD, Chose Interventional Pain Medicine Does Cracking Your Knuckles Cause Arthritis? David B. Jones Jr., MD Explains From Power Plays to Sports Medicine: Meet Dustin P. Collins, MD! Low Back Pain with Matthew K. Wingate, MD UNI: A Game Changer for Knee Replacement with Dr. Adler What does Matthew K. Wingate, MD, tell every patient? Knee Arthritis? Get Relief Without Total Replacement Category: Walk In Clinic - OI Now Avoid the ER: Visit Our Orthopedic Walk-In Clinic in South Dakota Locations Luverne, MN Tracy, MN Marshall, MN Hendricks, MN Yankton, SD Watertown, SD Mitchell, SD Madison, SD Huron, SD Freeman, SD Brookings, SD Sioux Falls, SD (Physical Therapy at GreatLIFE Woodlake Athletic Club) Tea, SD (Main Office) - [Medical Records Request](https://orthopedicinstitutesf.com/medical-records-request/): You can request your medical records or log into the patient portal to access them. - [Patient Scheduling Options](https://orthopedicinstitutesf.com/orthopedic-institute-patient-self-scheduling-options/): Click a physician's name to begin scheduling: - [Careers](https://orthopedicinstitutesf.com/careers/): At Orthopedic Institute, we are dedicated to providing the best possible experience for our patients—and that starts with an exceptional team. - [FAQs](https://orthopedicinstitutesf.com/faqs/): At Orthopedic Institute, we understand that navigating treatment options and recovery can bring many questions. Our team of experienced physicians is here to provide clear, compassionate answers to help guide you every step of the way. This FAQ page is designed to address common concerns and ensure you feel informed and confident about your care. - [Pricing](https://orthopedicinstitutesf.com/pricing/): Orthopedic Institute offers transparent bundled payment options for patients and employers seeking to pay directly for their orthopedic care outside of an in-network insurance plan. 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He is also a Certified Hand Therapist (CHT), which requires additional training. He chose his career after finding out what a Certified Hand Therapist does and how they focus in orthopedics. - [Jessyca Conaway, MS, OTR/L](https://orthopedicinstitutesf.com/occupational-therapists/jessyca-conaway-ms-otr-l/): Jessyca received her Master of Science in Occupational Therapy from the University of South Dakota in 2011. Jessyca has experience in multiple settings, including outpatient therapy, inpatient rehabilitation, and acute care. While much of her experience before Orthopedic Institute was with the pediatric and adolescent populations, she has focused her career on treating upper extremity conditions. She continues to expand her skills and is currently seeking credentials as a hand therapist with the support and mentorship of the therapists and physicians at OI. - [Leslie Cleveringa, MS, OTR/L](https://orthopedicinstitutesf.com/occupational-therapists/leslie-cleveringa-ms-otr-l/): Leslie holds a Master of Science degree in Occupational Therapy from the University of South Dakota, where she earned both her undergraduate and graduate degrees. She is passionate about using patients’ most valued activities in their treatment to keep them engaged in recovery. ## Pedorthists - [Ashlynn Hoback](https://orthopedicinstitutesf.com/pedorthists/ashlynn-hoback/): Ashlynn received her Bachelor of Science in Exercise Science from Creighton University and Masters of Science in Orthotics and Prosthetics from Concordia University - St. Paul. She then completed her orthotic and prosthetic residency in the Chicagoland area in 2026. She is currently board eligible and working towards becoming an ABC Certified Prosthetist Orthotist. - [Reid Herrboldt, ATC, CPED](https://orthopedicinstitutesf.com/pedorthists/reid-herrboldt-ms-atc-c-ped/): Reid got into pedorthy the second he realized that he loved how orthopedics, physiology, and biomechanics all blend together. He received his degree from the Academy of Pedorthic Science from Kennesaw State University after getting his bachelor’s and master’s degrees in Athletic Training and Exercise Science from South Dakota State University. ## Physical Therapists - [Jeremy Zens, DPT](https://orthopedicinstitutesf.com/physical-therapists/jeremy-zens-pt/): Jeremy’s interest in physical therapy was sparked following a shoulder injury playing baseball in college. He received his Bachelor of Arts at Mount Marty College and his Doctorate of Physical Therapy at Des Moines University. He is proud to be a part of an independent orthopedic practice and enjoys specializing in outpatient rehabilitation and shoulders. - [Josh VanRiper, DPT](https://orthopedicinstitutesf.com/physical-therapists/josh-vanriper-dpt-ocs/): Josh earned a Bachelors of Science in Kinesiology at the University of Illinois followed by a doctorate in Physical Therapy (DPT) at Washington University in St. Louis. He furthered his specialization in orthopedics through a year-long residency and became a board certified orthopedic clinical specialist (OCS). - [Shannon L. Van Zee, PT, Cert. MDT](https://orthopedicinstitutesf.com/physical-therapists/shannon-l-van-zee-pt-ms-cert-mdt/): Shannon received a Bachelor’s degree in Arts and Science from South Dakota State University in 1996 and a Master’s degree in Physical Therapy from Kansas University Medical Center 1998 and Certificate of Mechanical Diagnosis and Treatment (MDT) from the McKenzie Institute. He has experience in orthopedic and sports physical therapy and more than 18 years of clinical work involving patients of all different ages, cultural backgrounds, and a large diversity of injuries and needs. Shannon is certified in blood flow restriction therapy, is a member of the American Academy of Orthopedic Manual Physical Therapists, and has contributed to Men’s Fitness magazine. - [Jason Tjeerdsma, DPT, FAAOMPT](https://orthopedicinstitutesf.com/physical-therapists/jason-tjeerdsma-dpt-faaompt/): Jason received his Bachelor of Science and Doctorate of Physical Therapy from The University of South Dakota. He completed an orthopedic residency program at HonorHealth in 2014 and a fellowship through The Manual Therapy Institute in 2017. He is dry needling certified, board certified in orthopedics, and a Fellow of the American Academy of Orthopaedic Manual Physical Therapists. Jason was drawn to physical therapy as a result of his athletic participation and injuries starting in grade school. - [Nikki Shoup, DPT](https://orthopedicinstitutesf.com/physical-therapists/nikki-shoup-dpt/): Nikki studied Sports and Exercise Science at the University of Northern Colorado and was a collegiate hurdler there. After graduation, she attended physical therapy school at the University of Miami where she received her doctorate. - [Kristin Ripperda, MS, PT](https://orthopedicinstitutesf.com/physical-therapists/kristin-ripperda-pt-ms/): Kristin was born and raised in Sioux Falls. She attended the University of Nebraska-Lincoln for her undergraduate studies, where she earned a bachelor’s degree in Biology, and then attended the University of South Dakota for a Masters in Physical Therapy. - [Austin Ringling, PTA](https://orthopedicinstitutesf.com/physical-therapists/austin-ringling-pta/): Austin earned his Associate of Arts and Sciences (AAS) degree in 2010, as a Physical Therapist Assistant from Lake Area Technical Institute in Watertown, SD. - [Shelly Price, DPT, ATC](https://orthopedicinstitutesf.com/physical-therapists/shelly-price-dpt-atc/): Shelly received her Bachelor of Science at South Dakota State University and her Master’s and Doctorate of Physical Therapy from Des Moines University. She specializes in outpatient rehabilitation of the hip and aquatic therapy, as well as general orthopedics. She finds developing relationships with her patients and their families meaningful as they strive to restore functionality. - [Ryan Otto, DPT, Cert MDT](https://orthopedicinstitutesf.com/physical-therapists/ryan-otto-dpt-cert-mdt/): Ryan earned his Bachelor of Science degree at South Dakota State University and then his Doctorate of Physical Therapy at Creighton University. He also holds a Certificate of Mechanical Diagnosis and Therapy and Functional Dry Needling. Ryan believes strongly in the emphasis on quality patient care that OI promotes. He specializes in treatments of the spine, but also sees plenty of extremity patients both non-operative and post-operatively. - [Aaron Olson, DPT, OCS](https://orthopedicinstitutesf.com/physical-therapists/aaron-olson-dpt-ocs-atc-cscs-sfma-fmsc/): Aaron majored in Athletic Training at Northwestern College in Orange City, IA, and then went on to earn his Doctorate of Physical Therapy from the University of Nebraska Medical Center. He is board certified in orthopedics and certified in functional dry needling. He was drawn to the profession after having received physical therapy for an injury as a teenager. - [Emily Miller, PT](https://orthopedicinstitutesf.com/physical-therapists/emily-miller-pt/): Emily is fortunate to have been influenced at a young age by a family member to seek a career in physical therapy. She received her Bachelor of Science at Minnesota State University-Moorhead and her doctorate of physical therapy at the University of South Dakota. - [Paul Kreber, MS, PT](https://orthopedicinstitutesf.com/physical-therapists/paul-kreber-pt-ms-scs-cafs/): Paul received a B.S. in Biology from South Dakota State University and his Master of Science in Physical Therapy from the University of South Dakota. He is nationally board certified as a sports clinical specialist and certificated in blood flow restriction training and applied functional science. He specializes in ACLR, hip arthroscopy, and general sports medicine and orthopedic rehabilitation. Paul values the opportunity to treat and rehabilitate patients at the OI Performance Center. - [Jill Johannsen, DPT](https://orthopedicinstitutesf.com/physical-therapists/jill-johannsen-dpt/): Jill attended South Dakota State University for her bachelor’s degree in Exercise Science. She graduated cumma sum laude from Creighton University in 1998 with a doctoral degree in Physical Therapy. She credits a sister who was diagnosed with spina bifida, for inspiring her to pursue a career she truly loves. - [Ryan Johnson, BS, PTA](https://orthopedicinstitutesf.com/physical-therapists/ryan-johnson-b-s-pta/): Originally from Fort Worth, TX, Ryan earned his bachelor’s degree in Kinesiology from West Texas A&M University in Canyon, TX. He then attended Western Iowa Tech Community College for their Physical Therapist Assistant program. - [Lisa Flannery, PTA](https://orthopedicinstitutesf.com/physical-therapists/lisa-flannery-pta/): As a child, Lisa had a cousin who was involved in an accident and watching his rehab sparked an interest in the field. She went to Lake Area Technical Institute in Watertown, SD and graduated with an A.A.S. degree as a Physical Therapist Assistant. She is continuing her education to further her career in aquatics. Lisa’s goal is to help people get back to doing the things they enjoyed prior to needing PT services. Outside of work, she enjoys spending time with her family, serving as a teacher in her church community, and playing volleyball, both sand and indoor. - [Trey Bohlmann, PTA](https://orthopedicinstitutesf.com/physical-therapists/trey-bohlmann-pta/): Trey grew up in Menno South Dakota where he graduated in 2019. Trey then went on to play football and also earn his Masters of Athletic Training degree at Dakota Wesleyan University (2024). He then went on to get his Associate of Applied Science degree as a Physical Therapist Assistant from Northeast Community College (2026). His interest in physical therapy began in high school playing sports and seeing how trainers and therapist helped people get through injuries using exercise. - [Rachael Bak, DPT](https://orthopedicinstitutesf.com/physical-therapists/rachael-bak-dpt/): Rachael received her bachelor’s degree in Biology from Dakota State University and her Doctorate of Physical Therapy from the University of North Dakota. She was attracted to the family-like work setting and team approach to care at Orthopedic Institute. Her special area of interest is inpatient/acute care. She enjoys getting patients motivated and up and moving after surgery. ## Athletic Trainers - [Jordan Whitsell, MS, ATC](https://orthopedicinstitutesf.com/athletic-trainers/jordan-whitsell-ms-lat-atc/): My entire athletic career began with watching the Sioux Falls Stampede. I was introduced to athletic training after being injured in college, it filled an opportunity to combine athletics and medicine. I graduated with a bachelor’s degree in Athletic Training from Northwestern College (IA) and continued my education at A.T. Still University receiving a master’s degree in Kinesiology with a focus in Sports Psychology. - [Patrick Starr, MAT, ATC](https://orthopedicinstitutesf.com/athletic-trainers/patrick-starr-mat-atc/): Throughout Patrick’s life, sports have played a key role in his development and finding his passion for helping others. This passion led him to pursue a Master of Athletic Training from Dakota Wesleyan University, from which he graduated in 2022. He approaches injuries like a puzzle. Each injury creates challenges, but the goal is to get back to performing better than before. - [John Shape, ATC](https://orthopedicinstitutesf.com/athletic-trainers/john-shape-atc/): John has always been around sports growing up, which inspired him to obtain a Bachelor of Science in Athletic Training from South Dakota State University. His passion for the Athletic Training profession came at an early age when the ATCs from Orthopedic Institute helped him and his fellow athletes recover from injuries in both Middle and High School. He also enjoys being around sports and helping athletes because of his coaches who encouraged his love for sports. - [Brad Pfeifle, VP, ATC](https://orthopedicinstitutesf.com/athletic-trainers/brad-pfeifle-vp-ms-atc/): Brad was introduced to athletic training after he was injured in college, which filled an interest in his passion for athletics, medicine, and how the body worked. Once he was introduced to the profession, he was blessed with great role models and mentors that helped him graduated with both an bachelor’s and master’s degree from South Dakota State University. - [Eric Page, MAT, ATC](https://orthopedicinstitutesf.com/athletic-trainers/eric-page-mat-atc/): Eric’s passion for athletic training started at a young age. As an athlete, he was injured and received treatment at Orthopedic Institute. - [Darred Nelson, MS, ATC](https://orthopedicinstitutesf.com/athletic-trainers/darred-nelson-ms-atc/): Darred graduated with a Bachelor of Science from South Dakota State University and a Master of Science in Physical Ed from NW Missouri State University. He enjoys athletics and was intrigued by athletic injuries and recovery. He joined Orthopedic Institute because of the outstanding reputation of the doctors and sports medicine program. He works with Lennox and Centerville High Schools. Darred likes working with patients to help them return to activities that they enjoy and being a part of a cohesive team providing services at OI. - [Kennedi Landis, MS, ATC](https://orthopedicinstitutesf.com/athletic-trainers/kennedi-landis-atc/): Kennedi grew up in Colman, South Dakota, where she attended Colman-Egan High School. She went on to South Dakota State University, earning her bachelor’s degree in Exercise Science followed by a master’s degree in Athletic Training. - [Tyra Jons, MS, ATC](https://orthopedicinstitutesf.com/athletic-trainers/tyra-jons-ms-lat-atc/): I grew up as a coach’s kid and was always in the gym, which helped create my love for sports. As I started to learn about anatomy and physiology, I knew athletic training was the perfect career for me. In my senior year of high school at Bon Homme, I suffered an injury that took me out of competition for the remainder of the year. My injury deepened my desire to become an athletic trainer to help other athletes overcome these difficulties and return to play. - [David Hopper, CSCS](https://orthopedicinstitutesf.com/athletic-trainers/david-hopper-cscs/): David walked into a weight room during his freshmen year of high school and was hooked. He loved seeing the body adapt and perform tasks it was never able to do and how it instilled camaraderie among teammates. For the last ten years, David has been working in the athletic performance field and has been able to turn his passion into a profession. After graduating with an undergraduate degree in Recreation and Exercise Science, he obtained a master’s degree in Kinesiology and Sports Science from the University of South Dakota. - [Chad Grotewold, ATC, CSCS](https://orthopedicinstitutesf.com/athletic-trainers/chad-grotewold-ma-atc-cscs/): Chad received his bachelor’s and master’s degrees from the University of South Dakota, he continued his education and obtained certifications in athletic training and strength and conditioning. After graduation, he was excited to start his career at Orthopedic Institute. “They are the leaders in sports medicine and have outstanding physicians that care for the well-being of patients from start to finish,” said Chad, “I was excited to start my career at OI!” - [Benjamin Gannon, MEd, ATC](https://orthopedicinstitutesf.com/athletic-trainers/benjamin-gannon-ma-atc-nremt/): Ben joins OI after serving the University of Sioux Falls as their Head Football/Cheer Athletic Trainer for the past two seasons. Before that, he served as the Head Athletic Trainer for Sioux Falls Canaries Baseball, where he worked with professional and Olympic baseball players. In Ben’s new role, he will represent OI as the Head Athletic Trainer for the Sioux Falls Storm professional indoor football team. - [Jodi Fuerstenberg, MS, ATC](https://orthopedicinstitutesf.com/athletic-trainers/jodi-fuerstenberg-ms-atc/): After a lifelong involvement in sports and a desire to help people feel their best, Jodi became an Athletic Trainer. Her goal was accomplished after completing her bachelor’s in Athletic Training from Buena Vista University. She spent 16 years at Southwest Minnesota State University before this position. While at SMSU, she completed her master’s degree in education with an emphasis in sport leadership. At SMSU, she provided healthcare coverage for student-athletes and spent time teaching in the classroom as an adjunct faculty member. As an athletic trainer, Jodi has a solid commitment to providing excellent care and the desire to help people feel their best. She is excited to be part of this team at OI, under the leadership of many physicians and ATs, providing quality care to patients of all ages. - [Gina Fritz, MS, ATC](https://orthopedicinstitutesf.com/athletic-trainers/gina-fritz/): When Gina was younger, she had an injury that required her to perform physical therapy and rehab at the Orthopedic Institute. “I was here at 6 a.m. almost every morning trying to recover,” said Gina. Fast forward over a decade, after completing her degree in Athletic Training from South Dakota State University and working on finishing up her master’s thesis, she is now an athletic trainer working for the doctor that helped her recover so many years ago. - [Megan Ekern, MS, ATC](https://orthopedicinstitutesf.com/athletic-trainers/megan-ekern-ms-atc/): “Helping people and sports are two interests that fuel Megan’s passion for athletic training. Her favorite part about the athletic training profession is building relationships with athletes, coaches, and other medical professionals that allow a teamwork mentality when dealing with injuries. This inspired her to obtain a bachelor’s degree in Athletic Training from the University of Nebraska-Lincoln and also, a master’s degree from South Dakota State University in Exercise Science. - [Jed Dooyema, MSAT, ATC](https://orthopedicinstitutesf.com/athletic-trainers/jed-dooyema-mat-atc/): Jed grew up in Luverne, MN, and attended Augustana University, where he ran the 400m for the Track and Field Team. He joined the athletic training program after advice from a friend and quickly fell in love with it. Jed obtained a Bachelor’s in Exercise Science and a Master’s in Athletic Training. While at Augustana, he worked with the Football, Basketball, and Baseball teams, which deepened his passion for sports coverage and the care of both acute and long-term patient needs. - [Aaron Conklin, ATC](https://orthopedicinstitutesf.com/athletic-trainers/aaron-conklin-atc/): His entire life, Aaron had wanted a job in a field where he could work with an athletic population and be able to help people as much as possible. Which is why, after he graduated with a Bachelor of Science from South Dakota State University, he pursued a career in athletic training and has continued that career to this day. - [Hailey Burke, MS, ATC](https://orthopedicinstitutesf.com/athletic-trainers/hailey-haber-ms-atc/): Growing up participating in sports and dealing with injuries is what sparked Hailey’s interest in the athletic training career. After graduating from Huron High School, she attended South Dakota State University and earned her bachelor’s degree in Exercise Science. She then stayed at SDSU for her Master’s degree in Athletic Training, graduating in 2024. Throughout the Master’s program, she was able to do clinical rotations at various high schools and colleges in South Dakota and Colorado. - [Ryan Brink, ATC, CSCS](https://orthopedicinstitutesf.com/athletic-trainers/ryan-brink-atc-cscs/): Growing up as the son of a coach and participating in athletics combined with an interest in the health and medical field led Ryan into athletic training. After receiving his undergraduate degree in Athletic Training and Health Promotion at South Dakota State University followed by a master’s degree in Exercise Physiology from the University of Northern Colorado, he also became a certified Strength and Conditioning Specialist. - [Griffin Anderson](https://orthopedicinstitutesf.com/athletic-trainers/griffin-anderson/): Griffin grew up in Hartford, South Dakota, where he developed a passion for helping others at an early age. He graduated from West Central High School before attending South Dakota State University, where he earned a bachelor’s degree in exercise science and a master’s degree in athletic training.  ## Specialties - [Orthotics & Prosthetics](https://orthopedicinstitutesf.com/specialties/orthotics-prosthetics-services/): The timeline varies depending on the type and complexity of the device. Some orthotics may be available quickly, while custom prosthetics may take several weeks to design, fabricate, and properly fit. - [Bone Health](https://orthopedicinstitutesf.com/specialties/bone-health/): Strong bones are the foundation for an active, independent life. They protect vital organs, support muscles and joints, and allow the body to move with stability and balance. At Orthopedic Institute, bone health is a core focus. Our team provides evaluation, treatment, and preventive strategies to help patients protect bone strength, reduce fracture risk, and live healthier lives at every age. - [Labral Tears](https://orthopedicinstitutesf.com/specialties/hip/labral-tears/): The hip joint is built for strength and stability. A labral tear happens when the cartilage that surrounds the hip socket, called the labrum, becomes damaged. The labrum cushions the joint and helps keep the ball of the hip bone in place. When it tears, pain, stiffness, and limited motion often follow. - [Therapy & Rehabilitation](https://orthopedicinstitutesf.com/specialties/therapy-rehabilitation/): At Orthopedic Institute, we specialize in providing therapy and rehabilitation services designed to help you recover, reduce pain, and regain function. Our expert physicians and therapists work together to deliver personalized treatment plans for every patient. Whether you need aquatic therapy, hand therapy, or physical therapy, our team is here to support you at every step of your journey. With years of experience and advanced training, we’re proud to offer trusted care that helps you achieve your goals. - [Sports Medicine](https://orthopedicinstitutesf.com/specialties/sports-medicine/): At Orthopedic Institute, our sports medicine team is dedicated to helping athletes of all levels prevent injuries, recover with confidence, and perform at their best. Whether you are a professional, a student-athlete, or simply enjoy staying active, our specialized doctors, trainers, and therapists deliver personalized care to help you achieve your goals. - [Neck & Spine](https://orthopedicinstitutesf.com/specialties/spine/): At Orthopedic Institute, our team of highly skilled physicians are dedicated to diagnosing and treating a wide range of neck and spine conditions. With advanced training and years of experience, our specialists focus on delivering personalized care that helps relieve pain and improve your quality of life. Whether you are dealing with chronic neck pain, back pain, or more complex spinal issues, we offer the latest treatments and therapies to ensure you get the best possible outcome. Our physicians use state-of-the-art techniques to identify the root cause of your symptoms and provide effective, long-lasting solutions. - [Wrist Fracture](https://orthopedicinstitutesf.com/specialties/hand-wrist/wrist-fracture/): Wrist fractures, also called distal radius fractures, are among the most common bone injuries. They can happen to anyone, whether from a simple fall or something more serious like a car accident. Fortunately, with timely and proper care, most people recover well. At Orthopedic Institute in Sioux Falls, South Dakota, the team of orthopedic experts is skilled in treating wrist fractures with the best possible outcomes. - [Trigger Finger](https://orthopedicinstitutesf.com/specialties/hand-wrist/trigger-finger/): Are your fingers catching, locking, or stiff when you try to use them? Do you struggle to straighten your fingers after gripping or wringing something out? You might be dealing with a condition called trigger finger, or stenosing tenosynovitis. - [Shoulder Instability & Labral Tears](https://orthopedicinstitutesf.com/specialties/shoulder-elbow/shoulder-instability-labral-tears/): The shoulder is the most movable joint in the body, allowing us to lift, rotate, and move our arms in almost any direction. But with this wide range of motion comes a risk of injury, particularly shoulder instability and labral tears. These conditions can cause pain, limit movement, and lead to long-term issues if not properly treated. In this guide, we will explore the symptoms, causes, evaluation, treatment, and recovery options for shoulder instability and labral tears. - [Shoulder Arthritis](https://orthopedicinstitutesf.com/specialties/shoulder-elbow/shoulder-arthritis/): Shoulder arthritis occurs when the cartilage inside the shoulder joint wears down, leading to pain, stiffness, and difficulty moving your arm. Cartilage normally cushions the bones, but as it deteriorates, the bones rub together, causing arthritis. Orthopedic Institute offers various treatment options to help relieve shoulder arthritis pain and restore movement. - [Shoulder & Elbow](https://orthopedicinstitutesf.com/specialties/shoulder-elbow/): Lateral epicondylitis, also known as tennis elbow, affects the tendons on the outside of the elbow, leading to pain and stiffness, especially during activities that involve lifting or gripping.Symptoms: - [Ankle Fractures](https://orthopedicinstitutesf.com/specialties/foot-ankle/ankle-fractures/): Ankle fractures are a common injury, especially in active people. The ankle, a major weight-bearing joint, endures significant impact, making it prone to breaks. An ankle fracture, or break, can range from minor cracks in the bone to severe breaks that displace bones or even pierce the skin. Treatment varies based on the fracture type, ranging from casts to surgical solutions with screws or plates. Orthopedic Institute has expert physicians who specialize in treating these fractures, providing a range of options to help patients recover. - [Achilles Tendon Rupture](https://orthopedicinstitutesf.com/specialties/foot-ankle/achilles-tendon-rupture/): The Achilles tendon is the largest tendon in the body, running from your calf muscles down to your heel. This strong, fibrous cord allows you to point your toes and push off the ground while walking or running. When the Achilles tendon is overstretched, it can partially or fully tear, resulting in an Achilles tendon rupture. People often experience this injury during high-impact sports, but it can also happen during everyday activities. - [Plantar Fasciitis](https://orthopedicinstitutesf.com/specialties/foot-ankle/plantar-fasciitis/): Do you experience pain in your heel when you wake up, walk, or engage in daily activities? If so, you might be dealing with Plantar Fasciitis—a common foot condition that can cause severe heel pain, particularly in the mornings or after periods of rest. At Orthopedic Institute, our team of specialists is here to help you understand the causes, symptoms, and treatment options available to get you back on your feet comfortably. - [Ankle Arthritis](https://orthopedicinstitutesf.com/specialties/foot-ankle/ankle-arthritis/): Do you experience pain, stiffness, or swelling around your ankle? These could be signs of ankle arthritis. Ankle arthritis happens when the cartilage in your ankle joint wears down over time, making everyday movement painful and limiting mobility. Our team of orthopedic specialists at Orthopedic Institute is here to help you manage these symptoms and regain comfort and function. With advanced expertise and personalized treatment options, we provide tailored care for ankle arthritis, helping you find relief and improve your quality of life. - [Rotator Cuff Tear](https://orthopedicinstitutesf.com/specialties/shoulder-elbow/rotator-cuff-tear/): A rotator cuff tear happens when one or more tendons connecting your shoulder muscles to the bones fray or tear. These tendons work with the muscles to lift and rotate your arm. Rotator cuff injuries may range from inflammation to partial or complete tears. - [Knee Ligament Injuries](https://orthopedicinstitutesf.com/specialties/knee/knee-ligament-injuries/): Knee ligament injuries can be painful and disruptive, often affecting your ability to walk, run, or perform daily activities. Common symptoms include: - [Knee Arthritis](https://orthopedicinstitutesf.com/specialties/knee/knee-arthritis/): Knee arthritis can cause several uncomfortable symptoms. The most common ones include pain, swelling, stiffness, and a loss of mobility in the knee. You may notice that the pain tends to worsen after periods of rest, like when waking up in the morning, or after extended activity, such as walking or climbing stairs. Many people with knee arthritis also experience a “clicking” or “popping” sound when moving their knee. Sometimes, the knee may feel like it is “locking” or “sticking” in place, making it difficult to bend or straighten. In some cases, there may be a sensation of weakness in the knee, which can make it harder to perform daily activities. - [Knee](https://orthopedicinstitutesf.com/specialties/knee/): At Orthopedic Institute, our expert team of orthopedic physicians is dedicated to diagnosing and treating knee conditions to help you regain mobility and reduce pain. Our specialists use advanced techniques and personalized care plans for each patient. Whether you are dealing with arthritis, a sports injury, or a sudden knee issue, our physicians are here to guide you through every step of your treatment. - [Physical Therapy](https://orthopedicinstitutesf.com/specialties/therapy-rehabilitation/physical-therapy/): At Orthopedic Institute, we believe in helping you feel your best. Our physical therapy services are designed to reduce pain, improve movement, and help you recover from injuries or surgery. Whether you are dealing with a sore knee, stiff shoulder, or recovering from a joint replacement, our team works closely with you to develop a plan that fits your needs. - [Aquatic Therapy](https://orthopedicinstitutesf.com/specialties/therapy-rehabilitation/aquatic-therapy/): Aquatic therapy is a gentle and effective treatment option for people of all ages and abilities. It’s especially helpful if you want to build strength, reduce pain, and improve your range of motion without putting stress on your joints. The water reduces swelling, supports your body weight, and allows for easier movement, making it a perfect option during any phase of rehabilitation. Whether you’re recovering from an injury, managing a chronic condition, or looking to improve your mobility, aquatic therapy can help. Sessions are customized to your needs, focusing on improving circulation, minimizing swelling, and gently building strength. - [Non-Surgical](https://orthopedicinstitutesf.com/specialties/non-surgical/): Experience personalized non-surgical orthopedic care at Orthopedic Institute, focused on relieving pain and restoring mobility. - [Regenerative Medicine](https://orthopedicinstitutesf.com/specialties/regenerative-medicine/): Discover regenerative medicine at Orthopedic Institute, supporting natural healing to relieve pain, restore mobility, and enhance recovery. - [Orthopedic Institute Performance](https://orthopedicinstitutesf.com/specialties/sports-performance/): At Orthopedic Institute Performance, athletes and individuals of all fitness levels improve strength, speed, and overall fitness through expert coaching and personalized training. OIP offers youth and adult fitness classes focused on building strength, mobility, and healthy habits. The Ramp Program, also offered within the OIP space, bridges the gap between physical therapy and return to sport by developing explosive power, agility, and sport-specific resilience so athletes are truly game-ready. Across all programs, participants build strength, increase power, and reduce injury risk, all within a supportive environment that builds confidence. - [Meniscus Tears](https://orthopedicinstitutesf.com/specialties/knee/meniscus-tears/): Are you feeling knee pain, stiffness, or swelling after a sudden twist or impact? You could be dealing with a meniscus tear, a common knee injury often caused by sports or daily activities. At Orthopedic Institute, our experts are here to help you understand and treat this painful condition. - [Femoroacetabular Impingement](https://orthopedicinstitutesf.com/specialties/hip/femoroacetabular-impingement/): Do you experience sharp or dull pain in your groin, thigh, or hip area after sitting or walking for a while? Are you losing range of motion in your hip? If so, you might have a condition called femoroacetabular impingement (FAI). - [Thumb Arthritis](https://orthopedicinstitutesf.com/specialties/hand-wrist/thumb-arthritis/): Thumb arthritis, also known as basal joint arthritis or CMC joint arthritis, affects the joint at the base of the thumb where it meets the wrist. This joint allows you to move your thumb in multiple directions. Over time, the cartilage that cushions this joint can wear down, causing pain and inflammation. Thumb arthritis is more common in women over 40 but can affect anyone. The experts at Orthopedic Institute in Sioux Falls, South Dakota, can provide treatment options to relieve your pain. - [Carpal Tunnel Syndrome](https://orthopedicinstitutesf.com/specialties/hand-wrist/carpal-tunnel-syndrome/): Carpal Tunnel Syndrome (CTS) affects millions of people across the United States, causing discomfort in the hands and wrists. If you experience numbness, tingling, or weakness in your hands, you may be suffering from this condition. Let’s break down what Carpal Tunnel Syndrome is, its symptoms, causes, how it is diagnosed, and treatment options. - [Lateral Epicondylitis (Tennis Elbow)](https://orthopedicinstitutesf.com/specialties/shoulder-elbow/lateral-epicondylitis-tennis-elbow/): You may think elbow pain cannot be tennis elbow if you have never played tennis. But lateral epicondylitis (tennis elbow) is a common condition, even in people who do not play racket sports. It can make daily activities like lifting a coffee cup or shaking hands difficult. Let’s explore what tennis elbow is, its causes, and how it is treated at Orthopedic Institute. - [Distal Biceps Rupture](https://orthopedicinstitutesf.com/specialties/shoulder-elbow/distal-biceps-rupture/): A sudden “pop” in your arm while lifting something heavy or catching a falling object might seem like just a minor tweak. 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When it becomes compressed, symptoms like tingling, numbness, and pain can disrupt hand function. - [Fractures & Trauma](https://orthopedicinstitutesf.com/specialties/fractures-trauma/): At Orthopedic Institute, our skilled team of orthopedic physicians and specialists are committed to providing advanced care for fractures and trauma-related injuries. When unexpected injuries happen, it is vital to have a team you can trust for fast, reliable, and effective treatment. Our physicians are experienced in treating a wide range of injuries and are available around the clock to support your recovery, whether it is a minor fracture or a severe trauma. 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