Dustin P. Collins, MD

Orthopedic Institute’s Specialized Foot & Ankle Care

At Orthopedic Institute, we understand how essential foot and ankle health is to staying active and pain-free. Our team of specialized physicians brings years of experience in treating a wide range of foot and ankle conditions, from arthritis to fractures. Our experts are committed to personalized care and effective treatment options. Below, you’ll find an overview of common foot and ankle conditions with links to more detailed information on each treatment approach.

Orthopedic Institute Foot & Ankle Care

Feeling anxious about an injection?

Getting the care you need should not be stressful. Orthopedic Institute now offers nitrous oxide to help you relax during your procedure. Ask your provider today if nitrous oxide could be right for you.

Common Conditions of the Foot & Ankle

Ankle Arthritis

Ankle arthritis occurs when the smooth cartilage that covers the joint wears down, leading to painful, stiff, and swollen ankles. This cartilage is what allows the joint to move smoothly. When it breaks down, movement becomes challenging and painful. Ankle arthritis can develop from previous injuries or general wear and tear over time. Arthritis in the ankle can affect daily movement, from walking to climbing stairs. While there’s no cure, treatments can significantly reduce pain and improve mobility, often involving a mix of physical therapy, medication, and sometimes surgical intervention.

Symptoms:

• Persistent pain around the ankle
• Stiffness and limited range of motion
• Swelling, especially after activity

Plantar Fasciitis

Plantar fasciitis is a common cause of heel pain, affecting the thick band of tissue at the bottom of your foot called the plantar fascia. When this tissue becomes irritated, it causes sharp, localized pain, especially during the first steps of the day. This condition is sometimes referred to as “heel spur syndrome” when a bony spur forms at the base of the heel. Managing plantar fasciitis often involves rest, physical therapy, supportive footwear, and in some cases, injections or custom orthotics. Early intervention can help prevent long-term pain.

Symptoms

• Sharp heel pain, often felt first thing in the morning
• Pain that worsens with prolonged walking or standing
• Sensation of walking on a stone or bruise

Achilles Tendon Rupture

The Achilles tendon, located at the back of the ankle, connects your calf muscles to your heel. This tendon allows you to point your toes and push off when walking. An Achilles tendon rupture is a tear that can occur from sudden, forceful movements, common in sports but can also happen during daily activities. An Achilles tendon rupture can limit mobility for months. Treatment may include immobilization, physical therapy, or surgery to restore full function, depending on the severity.

Symptoms
A sudden “pop” or “snap” sound, followed by intense pain in the calf
Cramping or aching pain, often spreading to the calf
Trouble with walking or pushing off the injured leg

Ankle Fractures

Ankle fractures are one of the most common fractures, especially among active individuals. The ankle is a weight-bearing joint, so any break in the bones can cause significant discomfort and limit mobility. Fractures can range from minor cracks to severe breaks that require surgical repair. Ankle fractures vary in severity. Mild fractures may heal with immobilization, while more complex breaks might require surgical intervention. A full recovery plan often includes physical therapy to restore strength and balance.

Symptoms

• Immediate pain, often followed by swelling and bruising
• Visible deformity in severe cases
• Difficulty or inability to bear weight on the injured foot
• Tenderness or throbbing at the fracture site

Orthopedic Institute's Comprehensive Foot & Ankle Treatment

Orthopedic Institute provides comprehensive evaluation and care plans for each foot and ankle condition. By focusing on each patient’s specific needs, our team helps you find the best treatment options and a path to relief. Whether you’re managing chronic arthritis or recovering from an ankle fracture, we’re here to support you.

Our treatment approach combines advanced techniques with compassionate care. For each condition, we offer a range of treatments, from conservative therapies to state-of-the-art surgical solutions. Our goal is to help you get back to what you love, pain-free.

Orthopedic Institute: Hand & Wrist Specialists

Our hands and wrists contain intricate networks of bones, muscles, and nerves, making them both powerful and delicate. Injuries or conditions affecting even a single component can disrupt daily life, making it painful or difficult to complete routine tasks. The team at Orthopedic Institute brings exceptional expertise in treating hand and wrist conditions. With fellowship-trained hand surgeons and certified hand therapists (CHTs), our physicians are dedicated to helping patients regain comfort and mobility in their hands and wrists. From minor aches to complex injuries, our team’s comprehensive approach to hand and wrist care ensures personalized treatment and optimal recovery.

Carpal Tunnel Syndrome

Carpal tunnel syndrome is a common condition that affects the median nerve, which runs through the carpal tunnel in your wrist. This nerve controls feeling in the thumb, index, middle, and part of the ring finger. When it becomes compressed, symptoms like tingling, numbness, and pain can disrupt hand function.

Symptoms

• Tingling or numbness in the thumb, index, middle, and ring fingers
• Feeling like the hand is "falling asleep"
• Weak grip, leading to frequent drops or difficulty picking up objects
• Pain that may extend up the arm

Thumb Arthritis

Thumb arthritis affects the base of the thumb and can cause aching pain, making it hard to perform tasks requiring a firm grip. This condition is common with age as cartilage wears down. Thumb arthritis may be managed with splints, anti-inflammatory medication, or joint injections. Surgery, such as joint fusion or replacement, may be an option for severe cases.

Symptoms

• Pain and stiffness at the base of the thumb
• Swelling or a noticeable bump on the thumb’s backside
• Weakness when gripping or pinching
• Difficulty performing tasks like opening jars or turning keys

Wrist Fractures

A wrist fracture typically results from a fall onto an outstretched hand, which can cause immediate pain, bruising, and swelling. Depending on the severity, fractures can be treated non-surgically or may require surgical fixation. Treatment options vary based on the fracture’s complexity. Mild fractures may heal with casting, while more severe cases could require surgical intervention to realign the bones.

Symptoms

• Intense pain at the time of injury
• Swelling and bruising around the wrist
• Limited movement or weakness in the wrist
• Deformity or visible bending

Trigger Finger

Trigger finger, or stenosing tenosynovitis, is a condition where the tendons in the fingers or thumb become inflamed, causing painful clicking or locking. It often affects people who perform repetitive gripping activities. Treatment options include splinting, anti-inflammatory medications, or corticosteroid injections. Severe cases may require surgery to release the affected tendon sheath.

Symptoms

• Pain and tenderness at the base of the affected finger
• Stiffness and difficulty straightening or bending the finger
• Clicking or popping sensation with movement

More Hand & Wrist Conditions Our Orthopedic Specialists Treat

At Orthopedic Institute, our hand specialists also treat a wide range of other conditions. From fractures to tendon injuries and arthritis, our team provides cutting-edge treatments, including both surgical and non-surgical options:

• Wrist Ligament Injuries: Ligament injuries, like TFCC or scapholunate tears, can limit wrist movement and cause pain on the thumb or pinky side.
• DeQuervain’s Tenosynovitis: This condition, common among new parents or those who perform repetitive thumb movements, causes pain on the thumb side of the wrist.
• Dupuytren’s Contracture: A tightening of tissue under the palm skin that can cause fingers to curl inward over time.
• Hand and Finger Fractures: Fractures in fingers and hands require careful treatment to avoid long-term stiffness or deformity.

Request an Appointment

If hand or wrist pain is affecting your life, contact Orthopedic Institute to schedule an appointment. Our experts are here to provide top-quality care so you can get back to work, hobbies, and everything you enjoy.

Non-Surgical Orthopedic Treatments

At Orthopedic Institute in Tea, SD, we prioritize personalized care and explore non-surgical or minimally invasive treatment options as the first step in your journey to recovery. Whether you are dealing with chronic pain, a recent injury, or an ongoing orthopedic condition, our experienced team works closely with you to determine the best course of action.

Our non-surgical treatment options may include:

• Arthroscopy: A minimally invasive procedure that allows your provider to diagnose and treat joint issues using a small camera and specialized tools.
• Injections: Targeted treatments designed to reduce inflammation, relieve pain, and improve mobility.
• Medications: Prescribed as part of a comprehensive care plan to manage pain and inflammation.
• Rapid Recovery Techniques: Innovative approaches to promote mobilization, healing, and overall recovery.
• Referrals to Specialists: Including physical therapy, orthopedic biologics, sports medicine, and athletic trainers to support your recovery.

Feeling anxious about an injection?

Getting the care you need should not be stressful. Orthopedic Institute now offers nitrous oxide to help you relax during your procedure. Ask your provider today if nitrous oxide could be right for you.

Non-Surgical FAQs

Ready to Take the Next Step?

We are here to help you get back to doing what you love. Contact us today to schedule a consultation and explore the treatment options that best suit your needs.

Regenerative Medicine at Orthopedic Institute

What Is Regenerative Orthopedics?

Regenerative orthopedics is an advanced approach to treating orthopedic conditions by encouraging the body’s ability to repair and renew damaged tissues. This can be particularly effective for:

• Tendon and ligament injuries
• Muscle strains or tears
• Bone and cartilage conditions
• Meniscus injuries of the knee
• Spinal disc-related discomfort
• Other musculoskeletal tissue concerns

Our team of specialists develops personalized treatment plans tailored to your specific needs, empowering you to recover faster and return to the activities you enjoy.

Benefits of Regenerative Medicine

• Pain Relief: Helps reduce discomfort caused by chronic conditions or injuries.
• Tissue Recovery: Supports the body’s ability to repair and restore damaged tissues.
• Minimally Invasive: Offers an alternative to surgery for certain conditions.
• Improved Mobility: Aims to enhance movement and functionality.
• Long-Term Results: Focuses on sustainable recovery and overall joint health.

Regenerative Medicine FAQs

Ready to Begin Your Healing Journey?

Discover how regenerative medicine at Orthopedic Institute can help you regain your strength and mobility. Contact us today to schedule your consultation.

Orthopedic Institute Shoulder & Elbow Pain

At Orthopedic Institute, our team of specialized physicians are here to provide personalized care for your shoulder and elbow issues. Whether you are an athlete with a throwing injury or experiencing joint pain from daily activities, our doctors bring extensive experience in diagnosing and treating conditions of the upper extremities. From advanced non-surgical treatments to minimally invasive surgeries, we are committed to helping you return to work, sports, and daily activities as pain-free as possible.

Cubital Tunnel Syndrome

Cubital tunnel syndrome occurs when the ulnar nerve—the "funny bone" nerve—becomes compressed as it passes through the elbow. This nerve compression can result in numbness, tingling, and sometimes weakness in the hand and fingers.

Symptoms:

• Numbness and tingling in the ring and pinky fingers
• Pins-and-needles sensation in the inner hand or forearm
• Pain or weakness, especially with repeated bending of the elbow

If left untreated, cubital tunnel syndrome may lead to chronic pain and loss of grip strength. Early intervention helps prevent long-term damage and restore functionality.

Distal Biceps Rupture

A distal biceps rupture is a tear in the lower part of the biceps tendon, often caused by lifting heavy objects or catching a falling object. This injury can cause significant weakness and difficulty with arm movements.
Symptoms:

• Sudden “pop” or tearing sensation in the arm
• Change in the shape or contour of the biceps
• Bruising and swelling that extend into the forearm
• Pain and weakness with bending or twisting the arm

Treatment for distal biceps ruptures varies but may involve surgery to reattach the tendon. Without treatment, long-term weakness and reduced arm function are common.

Lateral Epicondylitis (Tennis 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:

• Persistent, achy pain on the outer elbow
• Pain when lifting objects or shaking hands
• Weakness in the hand and wrist
• Stiffness in the elbow, particularly after activity

This condition is common in athletes but also affects people who engage in repetitive arm and hand movements. Both surgical and non-surgical treatments can alleviate symptoms and restore strength.

Rotator Cuff Tear

The rotator cuff is a group of four muscles and their tendons that stabilize the shoulder. Tears in the rotator cuff can occur from injury or wear and tear, causing pain and limited shoulder movement.

Symptoms

• Pain on the outer or top of the shoulder
• Weakness when lifting or rotating the arm
• Limited range of motion
• Pain at rest and especially at night

Treatment may involve physical therapy, medications, or surgery depending on the tear's severity. Early treatment can help prevent further damage and improve shoulder function.

Shoulder Arthritis

Shoulder arthritis is a degenerative condition that causes the cartilage in the shoulder joint to wear away, leading to pain and stiffness.

Symptoms:

• Deep ache in the shoulder joint, worsening with activity
• Limited range of motion
• Shoulder pain that intensifies with changes in weather
• Clicking, grinding, or snapping sounds with movement

Treatment options range from medication and physical therapy to shoulder joint replacement in advanced cases. The goal is to reduce pain and improve mobility.

Shoulder Instability & Labral Tears

Shoulder instability occurs when the shoulder joint becomes loose, often due to repeated dislocations or overuse, making it prone to further dislocations. Labral tears can occur due to repetitive shoulder motion or injury.

Symptoms:

• Shoulder slipping in and out of the joint
• Pain during overhead activities
• Popping, grinding, or locking sensations
• Pain that limits everyday activities

Treatment for shoulder instability and labral tears may involve physical therapy or, in more severe cases, surgery to stabilize the joint and repair torn tissue.

Additional Conditions We Treat

In addition to the above conditions, Orthopedic Institute also treats:

• Medial epicondylitis (golfer’s elbow)
• Elbow fractures and dislocations
• Elbow ligament injuries, including Tommy John surgery
• Elbow arthritis and osteochondritis dissecans

Orthopedic Institute’s shoulder and elbow specialists are here to help with personalized care tailored to your specific needs. For more details on any condition or to request an appointment, reach out to Orthopedic Institute today.

Orthopedic Institute: Expert Hip Care

At Orthopedic Institute, our team of expert physicians is dedicated to providing top-quality care for a range of hip conditions, helping patients regain mobility and live pain-free. Our specialists use advanced techniques and personalized treatment plans to meet each patient’s unique needs. From conservative treatments to advanced surgical procedures, our team works to improve every patient's quality of life and alleviate hip pain effectively.

Femoroacetabular Impingement (FAI)

Femoroacetabular impingement (FAI) is a condition where extra bone growth around the hip joint prevents smooth movement. In FAI, the ball (head) of the femur does not move freely within the hip socket, causing pain and limited range of motion. This condition can occur in two forms: cam impingement, where extra bone forms around the femoral head, or pincer impingement, where the hip socket has an irregular shape. Some individuals experience both types, known as mixed impingement.

Symptoms

• Persistent or sharp pain in the hip, especially in the groin area.
• Discomfort after sitting for long periods or after activities like walking.
• Sensations can range from a dull ache to a sharp, popping feeling when moving the hip.

Hip Arthritis

Hip arthritis refers to the deterioration of cartilage around the hip joint, leading to pain, stiffness, and decreased mobility. There are several types of arthritis that can affect the hip, with osteoarthritis being the most common. Arthritis wears down the cartilage covering the joint, which is necessary for smooth, pain-free movement. Without enough cartilage, bones rub together, causing inflammation and pain that can worsen over time.

Symptoms:

• A general ache or pain around the hip, including areas like the groin, thigh, or buttocks.
• Stiffness in the hip that is most noticeable after sitting, resting, or lying down but improves with activity.
• Pain that causes limping or difficulty walking comfortably.

Hip Fractures

A hip fracture is a break in the upper part of the femur, commonly seen in older adults due to osteoporosis, falls, or other injuries. There are three primary types of hip fractures:

• Intracapsular fractures: Breaks that occur within the hip joint capsule.
• Intertrochanteric fractures: Breaks that occur between the greater and lesser trochanter of the femur.
• Subtrochanteric fractures: Breaks that occur just below the lesser trochanter.

Hip fractures require immediate attention and often surgical intervention, as the break can severely impact mobility and quality of life.

Symptoms:

• Significant pain in the upper leg or hip area.
• Pain may radiate across the leg, including the inner or outer thigh.
• Increased pain with any attempt to rotate or move the hip joint.

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.

Symptoms

• Pain in the hip or groin area during activity or long sitting</
• Clicking, locking, or catching sensations inside the hip
  
• Stiffness or loss of flexibility
• Pain that increases with twisting, pivoting, or sudden changes in direction

Choosing the Right Treatment

At Orthopedic Institute, we understand that each patient’s needs are unique, so our physicians collaborate with patients to determine the best treatment approach. From advanced surgical options to personalized non-surgical care, we aim to provide the highest quality care for every hip condition.
Our skilled team ensures that each patient is informed about their options and involved in every step of the care process. With our state-of-the-art facilities and specialized expertise, we are here to help patients manage hip pain and regain their active lifestyles.

Knee Treatment at Orthopedic Institute

Knee Arthritis

Knee arthritis occurs when the cartilage in the knee wears down, causing pain, stiffness, and limited mobility. Arthritis can develop due to aging, overuse, or as a result of an autoimmune condition. This condition often worsens over time, especially if left untreated, impacting daily activities and overall quality of life.

Symptoms of Knee Arthritis

• Pain, stiffness, and swelling in the knee, especially after rest or heavy use
• A “clicking” or “popping” sound during movement
• Joint locking or “sticking” sensation when bending the knee
• Weakness in the knee, making it difficult to stand or walk for extended periods

At Orthopedic Institute, we offer treatments for knee arthritis, including physical therapy, medications, injections, and, in severe cases, surgical options to restore knee function.

Knee Ligament Injuries

Knee ligament injuries are common among athletes but can happen to anyone. The knee has four main ligaments – ACL, PCL, MCL, and LCL – that support stability. A sudden impact, twist, or awkward movement can stretch or tear these ligaments, causing pain and instability.

Symptoms of Knee Ligament Injuries

• Pain, swelling, and instability around the knee joint
• Reduced range of motion and difficulty fully straightening the leg
• Sensation of the knee “giving out” during movement
• Popping sound or feeling at the time of injury, often indicating a torn ligament

Our specialists offer treatments that range from conservative options like bracing and physical therapy to advanced surgeries, including ligament reconstruction.

Meniscus Tears

The meniscus is a piece of cartilage in the knee that absorbs shock and stabilizes the joint. Meniscus tears often occur during activities involving quick pivots, twists, or heavy impact. This injury can cause lingering pain and stiffness, making even simple movements uncomfortable.

Symptoms of a Meniscus Tear

• Knee pain, swelling, and stiffness, especially after activity
• Popping sensation at the time of injury
• Limited knee movement and difficulty fully bending the knee
• Ongoing pain and swelling for days or weeks after the injury

Treatment for meniscus tears may involve rest, physical therapy, or, in some cases, surgical repair. Our team at Orthopedic Institute will work with you to choose the best option for a full recovery.

Feeling anxious about an injection?

Getting the care you need should not be stressful. Orthopedic Institute now offers nitrous oxide to help you relax during your procedure. Ask your provider today if nitrous oxide could be right for you.

Orthopedic Institute Sports Medicine: Caring for Every Athlete

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.

Our Approach

Injuries can be frustrating and disruptive, but our experts are here to guide you toward a full and confident recovery. Our team of orthopedic physicians, athletic trainers, and physical therapists work together to create a recovery plan tailored to your needs, ensuring a safe, effective return to your favorite activities. With advanced clinical and surgical techniques, we are committed to providing you with top-quality care.

Trusted by the Pros

Orthopedic Institute is proud to be the official sports medicine provider for the Sioux Falls Stampede, Dakota Wesleyan athletes, Southwest Minnesota State University athletes, as well as high school athletes across the region. When you come to us, you will be treated by the same trusted team that works with professional and competitive athletes to help them stay in the game.

OI Performance: Your Athletic Training Resource

OI Performance includes an indoor turf field, certified coaches, and sports physical therapists. This space offers everything from agility and strength training to injury prevention and fitness classes. Whether you are rehabbing an injury or aiming to boost your athletic performance, OI Performance provides the support and expertise to help you reach new goals.

Common Sports Injuries We Treat

Our specialists treat a wide range of sports injuries. Each link below offers more in-depth information on symptoms, treatments, and recovery options.

Shoulder

At Orthopedic Institute, we specialize in comprehensive shoulder care, addressing conditions such as separations, dislocations, rotator cuff tears, and SLAP (shoulder labral) tears. Our team focuses exclusively on diagnosing and treating shoulder injuries to restore strength, stability, and mobility. Whether you’re dealing with a sports injury or chronic shoulder pain, we offer advanced non-surgical options and minimally invasive procedures tailored to your needs. Our goal is to help you recover quickly and return to the activities that matter most.

Elbow

At Orthopedic Institute, our experts specialize in diagnosing and treating elbow conditions, including Little League elbow, osteochondritis dissecans, and ligament injuries requiring Tommy John surgery. We understand the unique demands placed on the elbow, especially for athletes and individuals performing repetitive arm motions. Our team uses advanced diagnostic tools and treatment techniques to provide personalized care, from non-surgical options to specialized surgical procedures. With a focus on restoring strength, flexibility, and function, we are here to help you return to the activities you love with confidence.

Wrist & Hand

At Orthopedic Institute, we offer expert care for a wide range of hand and wrist conditions, including Cubital Tunnel Syndrome, Distal Biceps Rupture, and Lateral Epicondylitis (Tennis Elbow). Our team understands the critical role your hand and wrist play in everyday tasks and athletic activities, providing accurate diagnoses and customized treatment plans. Whether through advanced non-surgical treatments or specialized surgical procedures, we focus on reducing pain, enhancing mobility, and strengthening functionality. Our mission is to restore full hand and wrist performance, empowering you to return to your daily life and activities without restrictions.

Hip

At Orthopedic Institute, our specialists are dedicated to diagnosing and treating hip conditions, including labral tears, femoroacetabular impingement and hip arthritis. We understand the critical role the hip plays in mobility and overall quality of life, and our team tailors treatment plans to each patient’s specific needs. Using advanced diagnostic tools and techniques, we offer a range of options, from conservative therapies to state-of-the-art surgical procedures. Our focus is on reducing pain, improving mobility, and helping patients achieve long-term comfort and function.

Leg & Knee

At Orthopedic Institute, our expert team specializes in diagnosing and treating knee and leg conditions, including ACL and other ligament injuries, meniscus tears, hamstring injuries, knee arthritis, and Achilles tendon ruptures. We understand the importance of knee and leg health in maintaining an active lifestyle and tailor every treatment plan to meet your unique needs. Using advanced techniques and the latest therapies, we address both chronic and acute conditions to help alleviate pain and improve function. Our goal is to support your recovery journey with expert care, allowing you to move with confidence and ease.

Ankle

At Orthopedic Institute, we provide expert care for a range of foot and ankle issues, including injuries, arthritis, plantar fasciitis, and fractures. Our specialized team combines years of experience with advanced techniques to create personalized treatment plans tailored to your needs. We focus on addressing pain, instability, and mobility challenges to ensure effective, long-lasting results. From conservative therapies to surgical solutions, we are committed to helping you move with ease and confidence.

Our team’s expertise and state-of-the-art treatments ensure that you are in good hands for each of these injuries, from evaluation to recovery.