When pain, injury, or mobility issues interrupt your daily life, having access to trusted orthopaedic care makes all the difference. At CNOS, our Orthopaedics team provides comprehensive evaluation and treatment for joint pain, fractures, sprains, strains, arthritis, and a wide range of conditions affecting the bones, muscles, and connective tissues. Our goal is simple: to help you move better, heal faster, and get back to the activities you enjoy.

What Orthopaedics Covers at CNOS

Orthopaedics focuses on diagnosing and treating conditions of the musculoskeletal system. This includes:

• Joint and arthritis pain
• Muscle, tendon, and ligament injuries
• Sprains, strains, and overuse injuries
• Fractures and dislocations
• Back, neck, hip, and shoulder pain
• Sports-related injuries

Because these conditions can limit strength, mobility, and quality of life, early evaluation is essential. CNOS orthopaedic specialists use advanced imaging, evidence-based diagnostics, and personalized treatment plans to provide the highest level of care.

A Full Spectrum of Orthopaedic Services

CNOS offers a complete range of orthopaedic services, ensuring continuity of care at every stage.

Accurate Evaluation and Diagnosis

Our providers use X-rays, MRI, ultrasound, and physical assessments to understand the exact cause of pain or injury.

Nonsurgical Treatment Options

Whenever possible, CNOS takes a conservative approach using:

• Physical therapy
• Bracing, splinting, and casting
• Injections
• Medication management
• Activity and lifestyle modification

Many patients experience relief and improved function without surgical intervention.

Advanced Orthopaedic Surgery When Needed

When surgery is the best option, our orthopaedic surgeons provide expertise in:

• Joint replacement
• Tendon and ligament repair
• Fracture repair and trauma surgery
• Arthroscopic procedures
• Hand, wrist, and upper extremity surgeries
• Foot and ankle procedures

Our surgical approach emphasizes minimally invasive techniques, faster recovery, and long-term results.

Orthopaedic Urgent Care: Fast, Specialized Treatment Without the ER Wait

Injuries don’t follow a schedule — and when something suddenly hurts, swells, or stops working the way it should, you need care right away. That’s why CNOS offers Orthopaedic Urgent Care, providing immediate access to specialists who focus solely on bones, joints, muscles, and connective tissue.

Unlike general urgent care or the ER, CNOS Orthopaedic Urgent Care gives patients direct access to providers trained specifically in musculoskeletal injuries. This means faster evaluations, more accurate diagnoses, and treatment plans tailored to orthopaedic needs.

Orthopaedic Urgent Care is ideal for:

• Sports-related injuries
• Sprains and strains
• Suspected fractures
• Acute joint pain or swelling
• Tendon or ligament injuries
• Falls or sudden trauma
• Work-related injuries

Patients benefit from on-site imaging, coordinated follow-up care, and immediate access to CNOS specialists — all in a convenient, walk-in setting.

Whether you’re a student athlete, an active adult, or someone who simply took a wrong step, Orthopaedic Urgent Care ensures you receive the right care at the right time, without unnecessary delays or emergency room wait times.

Why Patients Trust CNOS for Orthopaedic Care

Patients across the region rely on CNOS for many reasons:

1. A Highly Skilled Orthopaedic Team

Our providers include fellowship-trained specialists with expertise across all areas of orthopaedic care.

2. Coordinated, Multidisciplinary Care

Orthopaedics, sports medicine, pain management, physical therapy, and imaging all work together to create a personalized plan.

3. Advanced Technology and Diagnostic Tools

We use leading-edge imaging and surgical techniques that improve precision, reduce discomfort, and accelerate recovery.

4. Regional Access Across Multiple Locations

CNOS continues to expand access to orthopaedic care throughout western Iowa, southeast South Dakota, and northeast Nebraska.

Expanded Access Coming Soon to Holstein, Iowa

To better serve patients in northwest Iowa, CNOS will open an additional orthopaedic clinic in Holstein beginning in January. This expansion will make it even easier for patients in the region to access trusted, specialized care close to home.

Your Partner in Orthopaedic Healing

Whether you’re managing chronic joint pain, recovering from an injury, or seeking expert guidance on mobility and function, CNOS is here to help you move with confidence. With dedicated specialists, advanced tools, and a compassionate approach to care, we’re committed to helping patients feel their best — today and long into the future.

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Each October, Breast Cancer Awareness Month reminds us of the importance of early detection, support, and quality care. For many patients, hearing the words “you have breast cancer” can feel overwhelming. Questions flood in: Where do I go? Who do I see first? What’s my treatment plan?

At CNOS, we believe those questions should never be faced alone. That’s why our Comprehensive Breast Care Team exists—to surround patients with expert support and coordinated care every step of the way.

A Team Approach That Reduces Stress

Breast cancer care is rarely handled by one provider alone. It often involves surgeons, oncologists, radiologists, and more. Without coordination, the process can feel confusing and stressful.

At CNOS, patients benefit from a multi-disciplinary approach that simplifies the journey.

What Is Coordinated Breast Care?

Coordinated Breast Care at CNOS means you are supported by a team of specialists who collaborate to create the best treatment plan for you. Instead of bouncing from one provider to another, your case is reviewed weekly by a multi-disciplinary team that includes:

• Your family physician or OBGYN
• A CNOS general surgeon
• Radiologists and pathologists
• Radiation oncologists and medical oncologists
• Plastic surgeons specializing in breast reconstruction
• Dedicated breast care coordinators

This approach ensures every detail of your diagnosis and treatment is discussed, reviewed, and agreed upon by a team of experts. The result is a clear, unified treatment plan that eliminates confusion and reduces stress—so you can focus on what matters most: healing.

The Coordinators Who Guide You

At the heart of the program are Breast Care Coordinators Sophia Sommervold and Nicole Trudeau. They are the first people you meet after a referral or diagnosis, and they remain by your side throughout your care. Their role is to schedule consultations, answer questions, and serve as your personal advocates.

Whether you’re meeting with Dr. Craig R. Nemechek, MD to review surgical options, connecting with oncology, or considering reconstruction, Sophia and Nicole ensure you always know what comes next.

Personalized Care for Every Patient

Every breast cancer journey is different. That’s why our team meets weekly to review cases and adjust treatment plans as needed. This collaboration ensures that decisions are based on the most up-to-date information—medical records, imaging, and pathology slides—so you can trust your care is in the best hands.

And because everything is coordinated, you don’t lose valuable time. Treatment begins quickly, giving patients confidence that their health is the top priority.

Beyond Treatment: Support for Healing

Comprehensive breast care at CNOS extends far beyond diagnosis. Patients have access to:

• Breast surgery with experienced general surgeons
• Oncology specialists who guide treatment decisions
• Plastic surgeons skilled in breast reconstruction
• Support services designed for recovery and long-term health

From the first appointment through follow-up care, the CNOS team is there—providing continuity, compassion, and clarity at every stage.

Why CNOS for Breast Cancer Care?

Choosing where to receive breast cancer care is a life-changing decision. At CNOS, you will find:

• A coordinated care team working together on your behalf
• Expert specialists like Dr. Craig R. Nemechek, MD
• Breast care coordinators Sophia Sommervold and Nicole Trudeau, dedicated to supporting you every step of the way
• A supportive environment that ensures you’re never alone

At CNOS, you’re not just a patient—you’re part of a team that’s committed to helping you heal.

Take Action This Breast Cancer Awareness Month

Breast Cancer Awareness Month is a time to take action. Whether it’s scheduling your annual mammogram or seeking care after a diagnosis, remember that help and hope are available.

At CNOS, you’ll never be alone with breast cancer. You’ll be with the best.

Learn more about our Comprehensive Breast Care Team here: https://www.cnos.net/specialties/breast-care/

Or call us at 605-217-2667 to schedule your appointment today.

The post Comprehensive Breast Care at CNOS: Your Coordinated Team appeared first on CNOS.

At CNOS, we are proud to support ongoing learning and professional growth by hosting two comprehensive symposiums this fall. These events provide the opportunity to earn continuing education credits while hearing directly from leading experts in occupational medicine, orthopaedics, and sports medicine. Students are welcome to attend free of charge and are especially encouraged to join, as the symposiums provide a unique chance to learn from experienced physicians and therapists, network with professionals, and gain early exposure to career-shaping insights.

Both symposiums will be held in Dakota Dunes, South Dakota, and offer a mix of keynote speakers, case presentations, and interactive panel discussions. Here’s what you need to know about these upcoming events.

2025 Occupational Medicine Symposium

Date: Friday, September 19, 2025
Time: 8:00 a.m. – 4:00 p.m.
Location: Holiday Inn Express & Suites, 885 Cottonwood Lane, Dakota Dunes, SD
Ticket Price: $165 (plus taxes and fees)
Students: Free admission, students are encouraged to attend

This symposium is designed for healthcare providers, safety professionals, HR leaders, and anyone involved in occupational health and workplace injury management. Attendees will learn about the latest trends in workers’ compensation, causation of musculoskeletal conditions, and practical pathways for returning employees to work after injury.

Featured Speakers and Topics

Dr. Douglas Martin

Board-certified in Family Medicine with a specialization in Occupational and Environmental Medicine, Dr. Martin will share insights on the evolving landscape of workers’ compensation care. His confirmed sessions include:

• Trends in Workers Compensation Care Over the Last Few Years
• What Really Happens in an Occupational Medicine Clinic but Were Afraid to Ask (Panel Discussion with CNOS team members Sarah Plueger, Amanda Eifert, Leah Shatswell, Julie Nelson, Camille Schindler, Tracy Althaus, Kaleb Martin, and Deisy Magana).

Dr. Mark Melhorn

An orthopaedic surgeon specializing in the hand and upper extremity, Dr. Melhorn is a Fellow of the American Academy of Orthopaedic Surgeons and board-certified with subspecialty expertise. He will present on:

• Causation of Musculoskeletal Conditions: Evidence, Facts, and Clarity
• Returning to Work After Upper Limb Injury: Pathways and Considerations

Jodi Zmiewski, LPN

With over 36 years of nursing experience and 24 years in workers’ compensation, Jodi brings a unique perspective as a Nurse Paralegal. She will discuss the role of Workers’ Compensation: Where Medical & Legal Collide.

Why Attend the Occupational Medicine Symposium?

• Staying Current: Learn about the latest research, guidelines, and regulatory changes in occupational health, safety, and medicine.
• Networking: Connect with peers, industry leaders, and experts from various sectors including healthcare, industry, government, and academia.
• Professional Development: Earn continuing medical education (CME) credits and stay on track with board certification or licensure requirements.
• Practical Tools: Discover new diagnostic tools, preventive strategies, and case management approaches for workplace injuries, illnesses, and exposures.
• Problem Solving: Share and learn solutions for real-world occupational health challenges across different work environments.

More information and registration details can be found here: CNOS Occupational Medicine Symposium.

2025 Orthopaedic & Sports Medicine Symposium

Date: Friday, October 17, 2025
Time: 8:00 a.m. – 4:00 p.m.
Location: Holiday Inn Express & Suites, 885 Cottonwood Lane, Dakota Dunes, SD
Ticket Price: $125 (plus taxes and fees)
Students: Free admission, students are encouraged to attend

For orthopaedic surgeons, sports medicine specialists, physical therapists, and athletic trainers, the Orthopaedic & Sports Medicine Symposium is an unmatched opportunity to deepen knowledge in musculoskeletal care. This event focuses on case presentations, panel discussions, and cutting-edge treatments for common and complex injuries.

CNOS Orthopaedic Surgeons

• Dr. Aaron Althaus: Hip Arthritis/Total Hip Arthroplasty Case Presentation
• Dr. Benjamin Bissell: Femoroacetabular Impingement/Hip Impingement Case Presentation
• Dr. Joseph Carreau: Shoulder Impingement/Rotator Cuff Case Presentation
• Dr. Brian Johnson: Shoulder Arthritis & Arthroplasty Case Presentation
• Dr. Joshua Locker: AC Joint Injuries and Scapulothoracic Conditions Case Presentation
• Dr. Ryan Meis: Labrum, Biceps, Throwing Shoulder Case Presentation
• Dr. Elijah Miller: Hip Panel Discussions
• Dr. Daniel Nelson: Greater Trochanteric Pain Syndrome, Gluteal Tendinopathy Case Presentation

CNOS Physical Therapy Team

Additional expertise will be provided by Carol Copeland, Tiffany Becker, Nick Nielson, and Shauna Hoak, highlighting the critical role of rehabilitation in recovery.

Why Attend the Orthopaedic & Sports Medicine Symposium?

• Advances in Care: Hear the latest on hip, shoulder, and joint conditions from CNOS orthopaedic surgeons.
• Interactive Panels: Participate in discussions that bridge surgery, therapy, and return-to-play decisions.
• Continuing Education Credits: Fulfill requirements while building your expertise in sports medicine.
• Collaboration: Connect with physicians, therapists, and trainers dedicated to musculoskeletal health.

For more details, visit: CNOS Orthopaedic & Sports Medicine Symposium.

The Value of Continuing Education at CNOS

At CNOS, we believe education is a lifelong commitment. Our symposiums are carefully designed to combine practical case studies with research-based insights, helping healthcare professionals bring the best possible care to their patients.

By attending, you not only earn continuing education credits—you also gain:

• Access to nationally recognized speakers and CNOS experts
• Opportunities to connect with peers in your specialty
• Hands-on learning through case-based presentations
• Knowledge that translates directly into improved patient outcomes

For students, these symposiums are especially valuable. They provide an early look into the real-world application of medical education, networking opportunities with established professionals, and a clearer vision of potential career paths in occupational medicine, orthopaedics, and sports medicine.

Register Today

Seats for these symposiums are limited, and early registration is encouraged. Whether you are a seasoned provider or a student beginning your career in healthcare, these events offer valuable opportunities for growth.

Occupational Medicine Symposium – September 19, 2025
Register Here

Orthopaedic & Sports Medicine Symposium – October 17, 2025
Register Here

Join us in Dakota Dunes this fall and take the next step in your professional development with CNOS.

The post Continuing Education Opportunities for Healthcare Providers and Students at CNOS appeared first on CNOS.

At the center of our approach is Semaglutide, a once-weekly injectable medication that has shown significant success in helping people with obesity or overweight lose weight when combined with healthy habits. And with online scheduling now available, it’s easier than ever to get started.

What Is Semaglutide?

Semaglutide belongs to a class of medications called GLP-1 receptor agonists. It mimics a natural hormone released in your gut when you eat, helping your body produce more insulin, regulate blood sugar, and—importantly—signal fullness to your brain. That appetite-suppressing effect can lead to substantial weight loss when paired with diet and exercise.

Originally developed to treat Type 2 diabetes, Semaglutide has gained FDA approval in higher doses for weight management. At CNOS, we’re proud to offer this trusted therapy as part of our medical weight loss program for patients who want a structured, non-surgical option.

How Our Program Works

This isn’t a quick-fix plan or a trendy diet—it’s a medically supervised program designed around your individual needs. Once you complete a brief online intake form, our team will review your information to determine if you’re a candidate for Semaglutide injections. From there, you’ll meet with our bariatric coordinator and provider team to establish a personalized plan and monitoring schedule.

Our goal is to help you use the lowest effective dose possible to achieve results while minimizing side effects. You’ll start with a small weekly dose—typically between 5 to 10 units—and gradually increase it as your body adjusts. Some patients will maintain their initial dose, while others may work up to a higher amount. The upper limit is 240 units weekly, and dosing adjustments are made carefully based on how you respond.

Safety, Support, and What to Expect

As with any medication, side effects can occur, but they’re often mild and manageable. Some people report nausea, fatigue, constipation, or bloating, especially early on—but starting at a lower dose can help ease your adjustment. If side effects do become uncomfortable, you’ll be guided on how to scale back your dose temporarily before increasing again.

Semaglutide should always be stored in a refrigerator, and injections are self-administered once weekly. If you miss a dose, simply take it as soon as you remember—your new dose day will shift accordingly.

This program is not appropriate for everyone, which is why our intake process and ongoing check-ins are so important. Individuals with a history of medullary thyroid cancer or Multiple Endocrine Neoplasia syndrome type 2 should not take Semaglutide. Patients who are pregnant, planning to become pregnant, or breastfeeding should also avoid the medication or consult closely with their provider.

We also want to know if you’re currently managing diabetes, kidney or pancreas problems, or taking insulin, as these can affect your treatment plan. Our providers take time to understand your full medical history, including any prescription or over-the-counter medications, supplements, or lifestyle factors like smoking or alcohol use that may interact with Semaglutide.

Convenient Online Appointment Scheduling

We’ve made it easier than ever to start your weight loss journey. With our secure online appointment form, you can request a consultation in just a few clicks—no phone tag, no waiting room lines.

Visit www.cnos.net/medical-weight-loss-form to complete the form, and a member of our team will follow up with scheduling options.

What Does It Cost?

The cost of the CNOS Medical Weight Loss program is $500 every three months, which includes your care plan and follow-ups. Medication is billed separately, as costs may vary depending on your pharmacy and insurance plan.

We’re happy to help you understand what your coverage may include and provide additional guidance. For questions about pricing or program details, you can always reach out to Heather Garlinghouse, at (605) 217-5511 or email heather.garlinghouse@cnos.net.

A Program Built Around You

Weight loss isn’t just about numbers—it’s about feeling stronger, gaining confidence, and protecting your long-term health. Whether you’ve struggled with weight for years or are looking for help getting back on track, CNOS offers a medically supported, non-surgical path forward.

With the clinical benefits of Semaglutide, the convenience of online scheduling, and the expert guidance of our weight loss team, you have everything you need to take control of your journey.

Ready to begin?

Visit www.cnos.net/medical-weight-loss to learn more or complete the online form to get started today.

The post Medical Weight Loss at CNOS: Real Support, Real Results—Now Easier to Access Than Ever appeared first on CNOS.

Your feet and ankles take a pounding—whether you’re an athlete, on your feet all day for work, or simply going about your routine. These complex structures support your entire body and absorb the force of every step. Over time, or with one wrong move, that wear and tear can lead to injuries and chronic pain.

At CNOS, our goal is simple: keep you moving. Our Foot & Ankle specialists, led by board-certified surgeon Dr. David Rettedal, provide advanced care for everything from minor sprains to complex fractures and chronic deformities. And with Orthopaedic Urgent Care, you can access same-day treatment when foot & ankle issues can’t wait.

If you’re in pain, don’t ignore it. The right care today could prevent bigger problems tomorrow. Here’s why more patients are choosing CNOS Foot & Ankle services for fast, expert care.

Common Foot & Ankle Injuries and Conditions We Treat

At CNOS, our Foot & Ankle team takes a comprehensive approach to your care—evaluating every aspect of your condition and designing a personalized treatment plan. Whether you’ve suffered an acute injury or are dealing with a long-standing issue, we’re equipped to help.

We regularly treat:

Ankle Sprains & Instabilities
Ankle sprains are one of the most common injuries, especially among athletes and active adults. Without proper treatment, a simple sprain can lead to chronic instability and repeated injuries. CNOS offers both conservative treatment and surgical repair when needed to restore full ankle strength and stability.

Foot & Ankle Fractures
Our specialists are experienced in treating fractures of the toes, foot, ankle, and lower leg. We manage both simple and complex fractures—including those requiring surgical intervention to ensure proper alignment and healing.

Heel Pain & Plantar Fasciitis
Persistent heel pain can sideline even the most active individual. Plantar fasciitis is a common culprit, but other issues such as nerve entrapments or stress fractures may also be involved. We offer advanced diagnostics to pinpoint the cause and a full spectrum of treatments to relieve pain and restore mobility.

Achilles Tendon Injuries
The Achilles tendon is the strongest tendon in the body—and when it tears or degenerates, your mobility is severely impacted. We provide both surgical and nonsurgical care for Achilles tendon injuries, helping patients regain strength and flexibility.

Sports & Overuse Injuries
Active individuals frequently develop stress fractures, tendonitis, and other overuse injuries. Our team works with athletes of all levels to optimize recovery while protecting long-term performance.

Arthritis of the Foot & Ankle
Arthritis can cause pain, stiffness, and deformity in the small joints of the foot and ankle. We offer both conservative management and surgical options, including fusion procedures and total ankle replacement for advanced cases.

Urgent Foot & Ankle Care When You Need It Most

Injuries to the foot and ankle can happen without warning—and when they do, waiting for an appointment can put your recovery at risk. That’s why CNOS offers Orthopaedic Urgent Care at our Dakota Dunes clinic.

Our Urgent Care team provides same-day walk-in access to Foot & Ankle specialists, including:

• Sprains and strains
• Fractures of the foot, ankle, and toes
• Sports injuries
• Small dislocations (toe, foot)
• Work-related injuries
• Overuse injuries

Unlike general urgent care clinics, CNOS Urgent Care is staffed by providers who specialize in orthopaedics—including foot & ankle care.

We also offer:

• On-site x-ray and MRI
• Casting and bracing services
• Access to advanced durable medical equipment
• Physical and occupational therapy to aid recovery

If your injury turns out to be more complex, you’ll have seamless access to the full capabilities of CNOS Foot & Ankle services—without having to switch providers or start your care over.

Advanced Surgical Options for Complex Foot & Ankle Cases

When conservative treatments aren’t enough, Dr. David Rettedal offers advanced surgical expertise to help restore mobility and relieve pain. His areas of specialization include:

• Total ankle replacement for advanced arthritis
• Mid-foot and hind-foot fusion for stability and deformity correction
• Ankle arthroscopy for minimally invasive joint treatment
• Complex fracture repair with internal fixation
• Achilles tendon repair and reconstruction
• Tendon transfers and soft tissue reconstruction
• External fixation for severe injuries and deformities

Surgery is always the last resort—but when it’s needed, you can trust the CNOS team to deliver excellent outcomes with the highest standards of care.

Why Choose CNOS for Foot & Ankle Care?

Expertise You Can Trust
Dr. David Rettedal is a board-certified foot & ankle surgeon with specialized training in trauma, reconstruction, and advanced surgical techniques. He works closely with the entire CNOS care team to provide comprehensive treatment tailored to your individual needs.

Comprehensive Services Under One Roof
From Urgent Care to advanced imaging and therapy, CNOS in Dakota Dunes offers a complete care continuum to support every stage of your treatment and recovery.

Convenient Access
With walk-in Orthopaedic Urgent Care and appointment-based specialty care, CNOS makes it easy to get the right care when you need it—without unnecessary delays.

Team-Based Care
Our Foot & Ankle program includes:

• Orthopaedic surgeons and podiatrists
• Specialty nurses
• Rehabilitation therapists
• Athletic trainers

Working together to help you achieve the best possible outcome.

Take the First Step Toward Relief

If you’re dealing with foot and ankle pain, don’t wait for it to worsen. The expert team at CNOS is here to help—whether you walk in to our Orthopaedic Urgent Care or schedule a personalized consultation with Dr. David Rettedal.

You can call 605-217-2667 to schedule an appointment or learn more about our Foot & Ankle services and treatment options by visiting www.cnos.net.

At CNOS, we are passionate about helping you stay active, mobile, and pain-free. Let us help you take your next step—comfortably and confidently.

The post Foot & Ankle Pain? CNOS Offers the Expertise You Need—Fast. appeared first on CNOS.

If you’ve been working hard on your fitness and nutrition but still have stubborn pockets of fat that just won’t budge, you’re not alone. Many people struggle with small areas of fat that resist diet and exercise—especially in places like the abdomen, thighs, back of the arms, and love handles. At CNOS, we’re proud to offer a proven solution: SculpSure® body contouring treatments.

SculpSure is a non-invasive, FDA-cleared laser treatment that helps you reduce fat in targeted areas—without surgery, needles, or downtime. Whether you’re looking for more definition or just want a smoother silhouette, SculpSure can help you get there.

What Is SculpSure® and How Does It Work?

SculpSure uses a non-invasive laser to deliver heat directly into your body’s adipose tissue (fat cells). This process, called laser lipolysis, gently heats and damages the structure of fat cells without harming surrounding skin or tissues. Over time, your body naturally flushes out the damaged fat through the lymphatic system, gradually revealing a slimmer, more contoured shape.

• Treatment Time: Each session takes only about 20 minutes
• Recovery: No downtime; mild tenderness may last 1–3 days
• Results: Most patients see noticeable results in 6–12 weeks
• Cost: Approximately $800 per session, or $200 per treatment block

Areas We Treat at CNOS

At CNOS, our Cosmetic Clinic offers SculpSure treatments for the following body areas:

• Abdomen (belly fat)
• Flanks (love handles)
• Inner and outer thighs
• Back of arms

Please note: While SculpSure also offers treatments for the chin (submental area), CNOS does not offer SculpSure for the chin at this time. We focus exclusively on non-invasive body contouring for the arms, abdomen, thighs, and love handles.

What to Expect During and After Treatment

A typical SculpSure treatment at CNOS is fast, comfortable, and stress-free. During your session, you’ll lie back while our provider applies the laser device to your target area. Most patients describe the sensation as a warm tingling or deep heat—intense but tolerable.

There’s no downtime, so you can return to normal activities immediately. You may feel mild tenderness or swelling in the treated area for a day or two, but it won’t interfere with your routine.

Because the body eliminates fat gradually, you’ll start seeing changes within 3–6 weeks, with optimal results around 12 weeks. Best of all, the fat cells are permanently destroyed, meaning they won’t come back in the treated area (though maintaining a healthy lifestyle is still important).

How Many Treatments Will I Need?

One of the most common questions we get is: “How many SculpSure treatments will I need to see results?” The answer depends on your individual goals and the area being treated. Some patients are happy with the results after just one session, while others may choose to return for 2–3 treatments spaced several weeks apart for optimal results.

At your initial consultation at the CNOS Cosmetic Clinic, our provider will assess your body type, target areas, and desired outcome to create a customized treatment plan tailored just for you. There’s no one-size-fits-all when it comes to body contouring, and our team is here to guide you every step of the way.

Is SculpSure Right for You?

SculpSure is designed for people who are already at or near a healthy weight but want help refining specific areas that won’t respond to traditional weight-loss methods. It’s not a weight-loss treatment, and it’s not intended for individuals who are obese.

You may be a great candidate for SculpSure if:

• You have localized fat deposits that are resistant to diet and exercise
• You prefer a non-surgical option for fat reduction
• You want minimal recovery time and no disruption to your daily life
• You’re looking for gradual, natural-looking improvements

Not sure if you qualify? Our experienced cosmetic dermatology team at CNOS will walk you through everything and help you determine if SculpSure is the best choice for your goals.

Combining SculpSure with a Healthy Lifestyle

While SculpSure permanently destroys treated fat cells, maintaining your results depends on your overall lifestyle. Fat cells that remain in untreated areas can still grow larger if you gain weight, so pairing your treatment with regular exercise and balanced nutrition helps you maintain long-term success.

Our patients often feel more motivated after seeing results from their SculpSure sessions, using it as a catalyst for healthier habits. Whether you’re already active or just starting your wellness journey, SculpSure can be a powerful boost toward your body goals.

Why Choose CNOS for Body Contouring?

At CNOS, we combine medical expertise with personalized care. Our Cosmetic Clinic offers a welcoming, professional setting where your safety and comfort come first. Unlike pop-up med spas or cosmetic centers with limited oversight, our providers are part of a trusted healthcare team with a full range of specialties under one roof.

When you choose CNOS for non-invasive body sculpting, you can feel confident that you’re getting expert care, honest guidance, and real results.

Start Your Body Contouring Journey Today

Ready to take the next step toward a more confident you? SculpSure treatments at CNOS are fast, effective, and tailored to your goals. With no downtime and long-lasting results, it’s the ideal solution for people who want to enhance their shape without the hassle of surgery.

Explore our full range of cosmetic services and schedule a consultation at our Cosmetic Clinic today: https://www.cnos.net/specialties/cosmetic-dermatology/

The post Sculpt Your Shape with SculpSure® at CNOS: Non-Invasive Body Contouring That Works appeared first on CNOS.

Whether you’re a student-athlete, a parent, or a coach, mental performance matters. With the right support from Tracy, high school athletes can build the mindset and skills needed to thrive in college athletics.

What Is a Mental Performance Consultant?

As the Mental Performance Consultant at CNOS, Tracy Meis works with individuals across the performance spectrum to strengthen their inner edge and maximize their potential. Tracy’s services include helping clients reach their performance goals, address performance challenges, and improve their overall well-being.

Whatever the need, Tracy partners with athletes to develop the mindset and skills necessary to meet the demands of sport—and life—through a personalized and evidence-based approach.

Why Sports Psychology Matters for High School Athletes

High school athletes face growing pressures as they pursue collegiate-level opportunities. Sports psychology provides essential tools to manage these pressures and perform at their best.

At CNOS, Tracy Meis helps student-athletes navigate mental challenges like stress, fear of failure, burnout, and pressure to perform. Through mental toughness training, Tracy helps athletes build resilience, sharpen focus, and boost confidence—qualities that directly translate to better performance and a smoother transition to college sports.

Developing Mental Toughness

Mental toughness is more than a buzzword. It’s a key trait that allows athletes to stay focused, bounce back from setbacks, and perform under pressure.

Through one-on-one coaching, Tracy Meis teaches athletes how to:

• Stay composed in high-pressure moments
• Recover quickly from mistakes
• Maintain a positive mindset even during setbacks
• Persist when others might give up

These skills, taught through structured mental conditioning, give athletes the competitive edge needed to succeed both on and off the field.

Goal Setting for Athletes

Goal setting is one of the most effective tools in any athlete’s mental performance toolkit. At CNOS, Tracy Meis helps athletes use the SMART goals framework—Specific, Measurable, Achievable, Relevant, and Time-bound—to stay focused and motivated throughout their athletic journey.

Tracy guides athletes through:

• Setting meaningful short- and long-term goals
• Tracking progress and staying accountable
• Adjusting goals when challenges arise
• Celebrating small wins to build momentum

With clear goals in place, athletes maintain motivation and navigate the tough transition from high school to college sports with confidence.

Essential Techniques from Sport & Performance Psychology at CNOS

Through CNOS’s Sport & Performance Psychology program, Tracy Meis offers a wide variety of evidence-based tools and techniques tailored to each athlete’s individual needs.

Visualization & Mental Imagery

Visualization is a powerful technique that primes the mind and body for peak performance. Tracy teaches athletes how to mentally rehearse success—whether it’s making the game-winning shot or staying calm under pressure.

Daily visualization strengthens confidence, focus, and overall performance.

Breathing Techniques

Controlled breathing is a critical tool for managing stress in competition. Tracy Meis trains athletes in diaphragmatic breathing to help them stay grounded, control nerves, and maintain composure during intense moments.

Self-Talk & Affirmations

An athlete’s inner dialogue shapes performance. Tracy helps athletes recognize negative self-talk patterns and replace them with positive affirmations, such as:

• “I am prepared and capable.”
• “I can recover from any mistake.”
• “Pressure is a privilege.”

Consistent use of affirmations fosters a mindset of resilience, growth, and self-belief.

Preparing for College Athletics

The demands of college athletics can feel overwhelming without the right preparation. Tracy Meis works with student-athletes to mentally prepare for what lies ahead, ensuring they’re ready to thrive both on and off the field.

Managing Expectations

College athletes must juggle high performance expectations, new responsibilities, and greater independence. Tracy helps athletes set realistic expectations and build the mental flexibility needed to adapt and excel.

Balancing Academics and Athletics

With intense schedules and academic requirements, time management becomes crucial. Tracy Meis works with athletes to develop effective routines, prioritize tasks, and stay balanced—ensuring success both in the classroom and on the field.

Building a Support Network

Success is a team effort. Tracy helps athletes identify and build their support networks, including coaches, teammates, academic advisors, and family members. CNOS also encourages athletes to use campus mental health and academic resources when needed.

CNOS: Supporting the Whole Athlete

At CNOS, we are proud to offer Sport & Performance Psychology services led by Tracy Meis, empowering athletes to unlock their full potential. Whether you’re developing mental toughness, setting strategic goals, or learning how to manage the mental pressures of competition, Tracy is here to support you every step of the way.

With the right mindset—and the right team behind you—college athletics becomes more than a goal. It becomes your next big win.

The post Sports Psychology at CNOS: Preparing Future College Athletes appeared first on CNOS.

Offering a comprehensive range of urgent care services, CNOS Urgent Care in Dakota Dunes, SD is equipped to handle orthopedic injuries, fractures, sprains, strains, and more—without the long wait times typically found in emergency rooms. Their streamlined process and patient-first approach make them the go-to choice for immediate orthopedic relief and high-quality medical care.

Overview of CNOS Urgent Care

CNOS Orthopaedic Urgent Care stands out as the region’s premier walk-in clinic for orthopedic injuries and urgent musculoskeletal care. Located in Dakota Dunes, SD, this facility offers convenient access to patients from Sioux City, North Sioux City, and surrounding areas. At CNOS, you’ll find a team of board-certified orthopedic specialists and experienced medical professionals ready to deliver personalized, compassionate care.

As an extension of CNOS, a trusted leader in orthopedic excellence, CNOS Urgent Care in Dakota Dunes, SD provides immediate access to diagnostic imaging, expert evaluations, and advanced treatment options. The clinic’s modern facilities and walk-in flexibility ensure that patients receive quick, effective treatment without the need for an appointment or a referral.

Importance of Immediate Orthopedic Relief

Orthopedic injuries, such as fractures, sprains, and dislocations, require swift medical attention to prevent long-term complications and minimize pain. At CNOS Orthopaedic Urgent Care, quick intervention is a top priority. Delaying treatment for musculoskeletal injuries can lead to chronic pain, mobility issues, and extended recovery times.

CNOS Urgent Care in Dakota Dunes, SD focuses on providing immediate orthopedic solutions that promote faster healing and improve patient outcomes. Whether you’re dealing with a sudden sports injury or an unexpected fall, the expert team at CNOS is prepared to deliver the specialized care you need—when you need it most.

Services Offered

Pediatric Urgent Care

CNOS Urgent Care provides comprehensive pediatric urgent care services, addressing the unique medical needs of children. From minor fractures and sprains to other common pediatric injuries, the team at CNOS ensures young patients receive gentle, effective treatment in a comforting environment. Families trust CNOS Orthopaedic Urgent Care for skilled, compassionate care that puts children’s health first. Reminder, minors must be accompanied by an adult for their appointment!

Walk-in Clinic Features

One of the most convenient aspects of CNOS Urgent Care in Dakota Dunes, SD is its walk-in clinic model. No appointment is necessary—just walk in and receive prompt attention from highly trained healthcare professionals. This accessibility helps reduce wait times and allows patients to focus on recovery rather than the hassle of scheduling.

Urgent Care Services

Medical Treatment for Orthopedic Injuries

As a leader in orthopedic care, CNOS Orthopaedic Urgent Care specializes in treating a wide range of musculoskeletal injuries. Services include treatment for fractures, dislocations, sprains, strains, and other acute injuries. Whether you’re an athlete seeking quick recovery from a sports injury or an individual dealing with a sudden joint issue, CNOS provides expert care tailored to your specific needs.

Diagnostic Services

The CNOS Orthopaedic Urgent Care clinic is equipped with advanced diagnostic tools, including on-site X-rays and other imaging technologies. This allows for immediate assessment and accurate diagnosis of orthopedic injuries, ensuring patients receive timely and effective treatment.

Meet the Physician Assistants at CNOS Orthopaedic Urgent Care

At the heart of CNOS Urgent Care in Dakota Dunes, SD, you’ll find an exceptional team of healthcare professionals, including three highly skilled physician assistants: Tyson Allen, PA-C, Chelsea McCrone, PA-C and Joel Kraayenbrink, MS, PA-C.

Tyson, Chelsea, and Joel bring a rich history of experience in orthopaedic injury care. As certified athletic trainers in addition to their physician assistant credentials, they offer a unique blend of clinical expertise and practical, hands-on knowledge in treating musculoskeletal injuries. Their backgrounds in sports medicine and orthopaedics make them particularly adept at diagnosing and treating acute injuries, whether sustained on the field, at work, or during everyday activities.

Working closely with the CNOS orthopaedic surgeons, Tyson, Chelsea, and Joel ensure a seamless continuum of care, from initial evaluation through recovery. Their compassionate approach and focus on patient education empower individuals to understand their treatment plans and take an active role in their healing process. Patients at CNOS Orthopaedic Urgent Care can trust that they are in expert hands with Tyson Allen, Chelsea McCrone and Joel Kraayenbrink.

Patient-Centered Care

At CNOS Orthopaedic Urgent Care, patients are more than just a chart number. The team focuses on building meaningful, trusted relationships through clear communication and compassionate care. By listening carefully to patient concerns and tailoring treatments accordingly, CNOS fosters a healthcare environment where patients feel confident and supported throughout their recovery.

Many patients share positive feedback about their experiences at CNOS Urgent Care in Dakota Dunes, SD. They often highlight the short wait times, attentive staff, and professional care they received. Whether it’s a parent relieved to find quick pediatric care or an athlete thankful for a swift return to action, these testimonials reflect CNOS’s dedication to providing exceptional service.

Hours of Operation

CNOS Urgent Care is open extended hours to better serve the community. The clinic operates Monday through Friday, from 7:00 AM to 4:00 PM, with the last patient being accepted at 3:45PM, providing convenient walk-in access for immediate orthopedic care. Whether you need early morning treatment before work or mid-day relief from an injury, CNOS offers flexible options to fit your schedule. Walk-in patients are welcome during all operating hours, ensuring timely, convenient access to care.

What Sets CNOS Urgent Care Apart

CNOS Urgent Care in Dakota Dunes, SD, provides immediate relief for orthopedic injuries and urgent medical conditions. With board-certified orthopedic specialists, advanced diagnostic services, and a patient-centered approach, CNOS Orthopaedic Urgent Care stands out as the region’s leader in urgent musculoskeletal care.

For prompt, expert care, choose CNOS Urgent Care in Dakota Dunes, SD. No appointment is necessary—just walk in and experience top-quality service at CNOS Orthopaedic Urgent Care.

Visit us today for immediate relief and comprehensive orthopedic care you can trust. If you have a question about an injury and you can’t wait, please call us at 605-217-2667 to speak to someone who can help.

The post Discover Why CNOS Urgent Care is Your Go-To for Immediate Orthopedic Relief appeared first on CNOS.

For individuals considering this option, CNOS Weight Loss team in Dakota Dunes, South Dakota, offers expert guidance and care throughout the weight loss journey.

In this article, we’ll cover the common health symptoms faced by candidates for weight loss surgery, recent changes in Body Mass Index (BMI) assessments, the differences between sleeve gastrectomy and gastric bypass surgery, and the keys to long-term success.

Health Symptoms and Problems for Weight Loss Surgery Candidates

Candidates for weight loss surgery often face multiple health issues linked to obesity, which can affect both physical and mental well-being. Common health concerns among potential candidates include:

• Type 2 Diabetes: Excess weight often impacts insulin resistance, increasing the risk of Type 2 diabetes.
• Hypertension: Obesity places additional stress on the heart, leading to high blood pressure.
• Sleep Apnea: Many candidates experience sleep apnea, a serious condition that impacts breathing during sleep.
• Joint Pain: The extra weight can cause joint pain, particularly in the knees and lower back, affecting mobility and quality of life.

Changes in BMI Assessment for Weight Loss Surgery

Previously, BMI thresholds for weight loss surgery were higher. However, recent changes have broadened the criteria to include patients with a BMI of 30 or higher who also suffer from obesity-related conditions like diabetes or hypertension.
The experts at CNOS in Dakota Dunes keep up with these evolving standards, helping more people find life-changing solutions through weight loss surgery.

Types of Weight Loss Surgery: Sleeve Gastrectomy and Gastric Bypass

Two common types of weight loss surgery are sleeve gastrectomy and gastric bypass surgery. Each procedure offers unique benefits, but they also differ in terms of effectiveness, recovery, and long-term success.

Sleeve Gastrectomy

In a sleeve gastrectomy, a large portion of the stomach is removed, leaving a smaller, tube-like stomach. This limits food intake and decreases hunger-stimulating hormones. The procedure has grown in popularity due to its simplicity and effectiveness.
Effectiveness: Patients typically lose about 60-70% of their excess weight within 18-24 months.
Recovery: Recovery times are relatively short, with many patients resuming regular activities within two to four weeks.
Long-Term Success: With diet and exercise, sleeve gastrectomy can offer sustained weight loss, but lifestyle changes are essential for maintaining success.

Gastric Bypass Surgery

Gastric bypass involves creating a small stomach pouch and rerouting a portion of the intestine. This limits calorie absorption and reduces food intake.

• Effectiveness: Gastric bypass surgery tends to result in more rapid and significant weight loss compared to sleeve gastrectomy, with patients often losing up to 70-80% of excess weight within the first two years.
• Recovery: Recovery may take longer than sleeve gastrectomy, usually around four to six weeks.
• Long-Term Success: Studies show that gastric bypass often leads to better long-term weight loss, but it requires ongoing dietary and lifestyle management.

Keys to Success: Diet, Exercise, and Lifestyle Changes

Long-term success with weight loss surgery depends on a commitment to significant lifestyle changes. The CNOS Weight Loss team supports patients with resources and guidance in the following areas:

• Dietary Changes: Proper nutrition is key. Patients learn to consume balanced meals, focusing on protein, vitamins, and minerals.
• Exercise: Regular physical activity is crucial for maintaining weight loss. CNOS weight loss experts recommend a gradual increase in physical activity as part of a sustainable routine.
• Lifestyle Adjustments: A positive mindset, stress management, and forming healthy habits play a big role in success.
• Support Groups: Support groups are beneficial for sharing experiences, staying motivated, and learning from others’ successes and challenges. The experts at CNOS in Dakota Dunes encourage patients to join local or virtual support groups for continuous support.

Recovery and Long-Term Success with the CNOS Care Team

Recovering from weight loss surgery involves careful post-operative care. Both types of weight loss surgery require dietary adjustments during recovery, typically progressing from liquids to pureed foods and eventually solid foods.
The CNOS Weight Loss team in Dakota Dunes South Dakota supports patients through each step of recovery, emphasizing the importance of a personalized care plan and follow-up visits to monitor progress.

In the long term, patients who stick to their care team’s guidance on diet, exercise, and lifestyle modifications experience significant health improvements, including reduced symptoms of diabetes, lower blood pressure, and increased mobility.

If you’re struggling with obesity-related health issues and considering weight loss surgery, the experts at CNOS in Dakota Dunes are ready to help. With the right surgical procedure and a dedicated approach to diet and exercise, many patients achieve lasting success and improved quality of life.

The CNOS Weight Loss team will guide you every step of the way, offering expertise and resources to help you achieve a healthier, more fulfilling life.

For more information on CNOS can help you on your weight loss journey, go to https://www.cnos.net/specialties/weight-loss-surgery/.

The post Exploring Weight Loss Surgery with CNOS: Improving Health and Well-Being appeared first on CNOS.