Orthopaedics & Physical Therapy Marshfield, Joint Pain Eau Claire, WI
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Solutions for shoulder problems

The shoulders are the most mobile joints in the human body. They are a complex arrangement of structures that work together for the full range-of-motion arm movement you need for work, sports and most activities of daily living. They often suffer trauma or repetitive stress injuries that can damage or destabilize the shoulder joint.

People usually associate rotator cuff injuries with professional athletes who perform repeated overhead arm and shoulder motions such as throwing, catching or striking a ball. Surprisingly, most rotator cuff problems occur in nonathletes between 40 and 60 years old. Proper care and treatment of shoulder pain and injuries is critical.


Experienced treatment for shoulder conditions

The board-certified orthopaedic surgeons at Wisconsin River Orthopaedic Institute have many years of experience treating damaged and painful shoulders. They are the physicians of choice for area athletes and nonathletes alike who have:

  • Tendonitis/bursitis (impingement)
  • Torn rotator cuff
  • Labral tear and shoulder instability
  • Arthritis and joint pain
  • Frozen shoulder (adhesive capsulitis)
  • AC separation

We treat most shoulder conditions without surgery. If surgery is necessary, we use the most advanced arthroscopic techniques to reduce discomfort and scarring and allow a faster recovery.

Wisconsin River Orthopaedic Institute also operates an onsite open MRI that allows us to deliver orthopedic care more efficiently, effectively and conveniently.

Solutions for hand injuries and wrist pain

Your wrists and hands are among the most often used structures in your upper extremities. Because you use them in so many ways, they can easily be injured or over-stressed. When this occurs, we can relieve your pain and restore your function. Our hand therapists work closely with physicians and clients to provide a continuum of care. Treatment often begins within days of the injury or surgery and continues until the client has returned to work and/or a productive lifestyle. We treat conditions such as: 

  • Carpal tunnel syndrome
  • Cubital tunnel syndrome
  • Thoracic outlet syndrome
  • Repetitive motion syndromes
  • Traumatic hand injuries
  • Fractures and dislocations
  • Sports injuries
  • Arthritis
  • Hand, wrist and forearm trauma
  • Tendon and nerve injuries
  • Trigger finger
  • Dupuytren’s contracture
  • De Quervain’s disease
  • Ganglion cysts
  • Complex regional pain syndrome / RSD
  • Bones and frostbite
  • Amputations

Evaluation and treatment

Following a thorough evaluation, an individualized treatment plan will be developed for each client and may include:

  • Wound care
  • Range of motion and strengthening exercises
  • Control of swelling
  • Moist heat and cold therapy
  • Neuromuscular re-education
  • Ultrasound, iontophoresis and electrical stimulation
  • Scar and soft tissue massage
  • Desensitization and sensory re-education
  • Customized splint fabrication
  • Joint protection principles
  • Therapeutic activities
  • Home exercise programs

Find the light at the end of your carpal tunnel here

Wrist pain and hand injuries can interfere with your ability to work, play sports, care for your family or perform simple everyday tasks. Carpal tunnel syndrome, cubital tunnel syndrome, trigger finger and other problems can make using your hands and wrists difficult or impossible. Our skilled orthopaedic surgeons are well-trained and experienced helping people with wrist pain and hand injuries.

Experienced surgical care when you need it

When nonsurgical treatments – medication, injection therapies and physical therapy or occupational therapy – do not provide sufficient relief of pain and dysfunction, our experienced, board-certified orthopaedic surgeons may perform:

  • Wrist/thumb arthroplasty
  • Wrist/hand arthroscopy
  • Nerve and tendon repairs
  • Carpal tunnel and cubital tunnel release

Occupational therapy to promote healing and recovery

Our staff of occupational therapists are also certified in hand therapy treatments. They provide therapeutic exercise and custom splints to help structures heal properly after surgery and prevent further injury. When surgery becomes the only option for the best outcome, we use the most advanced reconstruction techniques. Wrist pain and lost mobility due to carpal tunnel syndrome, cubital tunnel syndrome and other hand/wrist problems can disrupt your life. Our goal is to relieve your pain and restore your function so you can resume enjoying the daily activities that mean so much to your life. So when you want first-rate orthopaedic care to relieve pain and restore function, count on Wisconsin River Orthopaedic Institute.

If you’re looking for top-notch care for shoulder, elbow or hand injuries, get in touch with us at 715.424.1881. For your convenience, you can use our Request an Appointment form to book your consultation. Our shoulder, elbow and hand patients come to us from Tomah, Marshfield, Stevens Point, Plover and Eau Claire.

Treatment for back and spine conditions

Affecting four out of five Americans, back pain is the most common and costly problem in orthopaedics. Too many people simply live with back pain and hope that it will resolve itself. Sometimes it does. But not when the pain is caused by degenerative conditions such as osteoarthritis, disc herniation, spinal stenosis or a traumatic injury.

Common conditions such as herniated discs or pinched nerves caused by bone spurs may ultimately require surgery. In those cases, we perform minimally invasive procedures such as microdiscectomy for herniated disc, decompression for spinal stenosis and lumbar fusion for spondylolisthesis.

Nonsurgical treatment options

Some back pain will resolve itself in a week or two. If pain persists, we will recommend other nonsurgical treatments, including:

  • Limited rest – According to the New England Journal of Medicine, bed rest should be no more than two days. After that, specific exercise can strengthen back muscles and increase flexibility.

  • Exercise – This is the only way to strengthen back muscles, increase flexibility and help avoid future injury. Activity actually lubricates the spine.

  • Physical therapy and occupational therapy – Our onsite physical therapist and occupational therapy team can help increase your flexibility and strengthen the muscles that support the spine. We may use ultrasound, electrical stimulation, heat or ice, mobilization and exercise to reduce pain and facilitate movement.

  • Medication – To reduce swelling and pain, we may recommend medication depending on your symptoms and pain intensity.

Painful back and spine problems solved here

If you are one of the four out of every five adults who suffer with back pain, there’s no reason to live with it. Spinal pain caused by degeneration, disc herniation, spinal stenosis, arthritis or sports-related injuries can be treated. We have exceptional training and experience in treating back pain and spinal problems.

To learn more about our spine care services or to schedule your appointment, please don’t hesitate to call us at 715.424.1881 with your questions. For your convenience, you can use our Request an Appointment form to book your consultation. Our spine patients come to us from Stevens Point, Plover, Eau Claire, Tomah and Marshfield.

Our friendly staff

Delivering orthopaedic services are made possible with the help of our clinical staff who assist our physicians in providing advanced, complete care and treatment.


Peggy Barnes, RN


Ashley Hartjes, RN


Dawn Tammen, RN


Katie Briggs, CMA


Renee Curry, CMA


Beth Ann Shearer, CMA


Jeanne Sammartino, CFA


Linda Hamm, SCRIBE


Gina Heath, SCRIBE




We have helped thousands of people overcome their orthopaedic problems using innovative and minimally invasive procedures. Please give our friendly staff a call at 715.424.1881 with your inquiries or to schedule an appointment. For your convenience, you can fill out our online Request an Appointment form to book your consultation.

Expertise in all areas

Wisconsin River Orthopaedic Institute provides comprehensive care and personalized treatment through our board-certified and fellowship-trained physicians who have vast experience and expertise in all areas of orthopaedics.


James A. Wilkes, MD, FAAOS

James A. Wilkes, MD, FAAOS - Wisconsin Rapids, WI - Black River Falls, WI “I chose medicine because I had a role model growing up – my own doctor. I felt that he made a difference in people’s lives in our community and he was very special to my family. I wanted to emulate him. Part of me wanted to make him proud that he had such an influence on my life. I felt that medicine was an area where I can make a difference in people’s lives.

“What I enjoy most now that I have been practicing for so many years is the immediate gratification that I receive. When I can solve someone’s acute medical problem such as a fracture or a worn-out joint and I can make a significant difference in their quality of life, I find this very rewarding. I’m gratified seeing the results that allow people to get back into their activities of daily life without the need for ongoing medical care.

“I truly believe in offering all treatment options to patients. I try to educate my patients about all those avenues of treatment and help them decide which one is best for them. I hope to provide confidence and help patients feel comfortable. My best quality is delivering the best possible care to patients.”

Dr. Wilkes has varied personal interests. He is an outdoorsman who enjoys traveling, hunting and fishing. He enjoys spending time with his family. He became a grandfather recently, and he enjoys teaching and mentoring students at the grade-school, high-school, college and medical-school levels. He also enjoys sharing his knowledge with anyone who shows an interest in orthopaedics and medicine.

Board-Certified: American Board of Orthopaedic Surgery

Fellow: American Academy of Orthopaedic Surgeons

Residency: Orthopaedic Surgery, Southern Illinois University School of Medicine, Springfield, IL

MD: The Medical College of Wisconsin, Milwaukee, WI

Member: American Academy of Orthopaedic Surgeons, Wisconsin Orthopaedic Society, State Medical Society of Wisconsin

Douglas P. Galuk, MD

Douglas P. Galuk, MD, FAAOS - Wisconsin Rapids, WI - Black River Falls, WI

“I chose medicine because I’ve always been fascinated by anatomy and the mechanics of the human body. I grew up on a farm and enjoyed learning how to fix things with my hands. Orthopaedic surgery allowed me to combine my love of anatomy and mechanical repair in a truly exciting and gratifying way. Injuries and degenerative diseases happen to almost everyone. God has given me the opportunity to help many people in all walks of life, including the mission field.

“I very much enjoy patient interactions and seeing patients transition from pain and apprehension to restored function and confidence. It is impossible for me to separate my faith from how I practice. I strive to treat each patient as a child of God and to provide the best care possible, regardless of their status.

“My best quality as a practitioner is the joy I have in doing the job for which I was called by God to do. This joy brings energy and excitement to every facet of my day and even gives me strength as I work in the most rewarding job in the world!

“My primary interests lie in loving God with everything I have. I enjoy snow boarding, water sports, piloting small aircraft and serving Christ with my family on overseas missions.”

Board-Certified: American Board of Orthopaedic Surgery

Fellow: American Academy of Orthopaedic Surgeons

Internship/Residency: Orthopaedic Surgery, Kansas University Medical Center, Kansas City, KS

MD: University of Minnesota Medical School, Duluth, MN

Member: American Academy of Orthopaedic Surgeons, Mid-American Orthopaedic Association, State Medical Society of Wisconsin

Todd J. Duellman, MD

Todd J. Duellman, MD, FAAOS - Wisconsin Rapids, WI - Black River Falls, WI

"My main emphasis is listening to patients and providing personalized care. By tailoring care and treatment to an individual’s needs, I hope to restore my patients’ ability to live life to its fullest. A large part of personalized care is educating the patient on options for treatment and allowing them to make a knowledgeable decision. By working with my hands and my mind, I am able to help others maintain an active healthy lifestyle. Every patient and every day brings new and exciting challenges.

"I try to employ the most innovative technology, including the latest minimally invasive techniques to facilitate better results and a faster recovery. My special interest in anterior hip replacement has led me to be an educator in this challenging minimally invasive technique. I literally have taught the anterior hip replacement surgical technique to hundreds of orthopaedic surgeons across the country. 

"The uniqueness and challenges of sports- and work-related injuries directed me to further achieve an additional board certification in Orthopaedic Surgery – Sports Medicine.

"Together we can ‘Relieve your pain and restore your life!'"

Dr. Duellman enjoys spending time with his family, sports and outdoor activities. He is also a board member of the community YMCA and a former physical therapist.

Board-Certified: American Board of Orthopaedic Surgery, Orthopaedic Surgery Sports Medicine, CAQ

Fellow: American Academy of Orthopaedic Surgeons

Residency: Orthopaedic Surgery, Southern Illinois University School of Medicine, Springfield, IL

MD: The Medical College of Wisconsin, Milwaukee, WI

Master of Physical Therapy: Marquette University, Milwaukee, WI

Member: American Academy of Orthopaedic Surgeons, Arthroscopy Association of North America, State Medical Society of Wisconsin


Thomas Smedberg, MD, MS

Thomas Smedberg, MD, MS - Wisconsin Rapids, WI - Black River Falls, WI

"In high school I sustained a football injury that required the care of an orthopaedic surgeon. The surgeon provided me with excellent care and I have been fascinated by orthopaedics ever since. I enjoy the field of orthopaedics because it allows me to help people of all ages recover from various injuries and conditions so they can return to work, sports and the everyday activities they enjoy.

"I enjoy talking to patients, educating them about their conditions and treatment options and hearing about their goals for recovery. Typically, I prefer nonoperative treatment options and resort to surgical options only when they are absolutely necessary and in the patient’s best interests.

"Being a good listener allows me to diagnose a patient’s problem more easily and develop an effective treatment plan based on their unique needs. I always try to put myself in my patient’s shoes to better understand how an injury or condition personally affects them. Then, we work together to achieve the best possible results.” 

Dr. Smedberg likes to follow college football and all kinds of outdoor sports and activities, including hunting and fishing.

Board-Certified: American Board of Orthopaedic Surgery

Fellowship: Orthopaedic Sports Medicine, UHZ Sports Medicine Institute, Miami, FL

Residency: Orthopaedic Surgery, Medical College of Wisconsin Affiliated Hospitals, Milwaukee, WI

MD: The Medical College of Wisconsin,Milwaukee, WI

Member: American Academy of Orthopaedic Surgeons, American Academy of Orthopaedic Sports Medicine, Arthroscopy Association of North America, Wisconsin Orthopaedic Society, Wisconsin Medical Society


Trust us to deliver complete orthopedic care and pain relief so you can restore your life. Call Wisconsin River Orthopaedic Institute at 715.424.1881. For your convenience, you can fill out our online Request an Appointment form to book your consultation. We welcome patients from Plover, Eau Claire, Tomah, Marshfield and Stevens Point.


"I am very impressed with the quality of treatment by the Doctors and all of the staff…excellent is the only word to describe my experience. - D.P."
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For your orthopedic needs, contact Wisconsin River Orthopaedic Institute at 715.424.1881 . For your convenience, you can fill out our online Request an Appointment form to book your consultation. We...
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