OSSM Fall Sports

Fall Sport Injury Prevention Tips

Fall is one of our favorite seasons at Orthopedic Surgery and Sports Medicine, and it has nothing to do with pumpkin spice. With autumn weather comes the kick off to fall sports! Our doctors and staff love following along with our local athletes and teams while cheering them on, but we also inevitably see a surge in sports injuries this time of year.

Our Orthopedic Urgent Care exists for just these types of injuries. We are open Monday through Friday, and see any and all orthopedic injuries. The best part about our urgent care for the athletes that come in? In one visit the injury can be imaged, diagnosed, treated, or set up for further care with a surgeon.

Although our excellent team will always have your back (or knee, or shoulder), we know prevention is key for athletes. There are several ways to prevent sports injuries we recommend, both in general and specific preventable injuries we see:

Prevention Tips

Always Wear Proper Gear and Use The Right Equipment

We see so many injuries that would have easily been prevented if the athlete was wearing or using the right gear. Here are some general tips that can be applied to all sports and athletes:

  • Protective Gear is Essential: Even during practice, protective helmets, padding, or braces should be worn to maximize injury prevention. Remember, you are not just protecting your body from injuries, but for a lifetime of health as well as allowing you to play your sport longer and better.
  • Shoes matter: Choosing the right shoe for your sport and your feet. The correct shoes can prevent overuse injuries, protect ankle and foot anatomy, and prevent unnecessary falls or related injuries.

Warm Up

A warm muscle is a protected muscle. It may seem repetitive or unnecessary, but warming up and stretching, especially dynamic stretching, drastically reduces musculoskeletal injuries. When muscles are warmed up before activity they are more flexible and resilient. Warming up increases blood flow to the muscles, which not only prevents injury but can reduce soreness as well.

Listen to Your Body

“No pain, no gain” can be a dangerous notion to follow in an athletic career. Pain is a signal from our body that we should listen to. If you are experiencing abnormal pain, don’t just play or push through it, get checked out! Walk in to our urgent care for a screening and checkup, or schedule an appointment with our team of surgeons.

Common Fall Sport Injuries

There are certain injuries we see more of with fall sports. Here’s what to look for and some keys to prevention:


Football athletes, we’re looking at you!  However, concussions are not uncommon in other sports, and we often see hockey players, soccer athletes, and others with concussions as well. Signs of concussions to watch out for could include:

  • Nausea and Vomiting
  • Headache
  • Blurry Vision, “seeing stars”
  • Confusion
  • Dizziness
  • Fatigue
  • Slurred Speech
  • Loss of consciousness

If you have any suspicion you (or your child or teammate) may have a concussion, it is important to get seen by a medical professional immediately. There are several important ways to prevent concussion:

  • Wear a helmet. This is perhaps the most important and effective way to prevent concussion. It is also imperative that the helmet fits properly, is secure, and the right type of helmet for the sport.
  • Use a mouth guard. Using a mouth guard fitted specifically for the bite of the athlete can reduce risk of concussion.
  • Use proper form and technique, and don’t use your head as the driving force. Never “lead with your head”.

Joint Injuries

College soccer season, high school football, hockey tryouts, and all other fall sports can bring an onset of joint injuries through our doors. Here’s how to know when to make a trip to urgent care:

  • Lasting Signs of inflammation: redness, swelling, tenderness and heat
  • Sudden pain or swelling associated with an injury
  • Visual changes or deformities in the joint
  • Excessive swelling or bruising

If You Get an Injury

Walk ins are welcome at our Orthopedic Urgent Care clinic. If you or your child experience an orthopedic injury, come in Monday-Friday between 9am-5pm. You will see an orthopedic specialist at the first appointment. We have medical supplies on hand specifically to treat orthopedic injuries, as well as imaging on site.

Join us in cheering on our community as we begin fall sports season, and know that we are here for any injuries or orthopedic questions!

Orthopedic Urgent Care

850 West Ironwood Drive, Suite 202

Couer D’ Alene, ID 83814

Photo Credits:

Orthopedic Urgent Care

Orthopedic Urgent Care at OSSM Treats Common Summer Injuries

Dislocations and sprains and breaks, oh my! Summer is the time of year for more outdoor play and adventure, and unfortunately from an Orthopedic standpoint, more injuries! We see so many orthopedic mishaps this time of year, and are so happy to offer our patients an urgent care specifically to meet the community’s orthopedic needs: Orthopedic Urgent Care at OSSM is here to treat all of your water skiing, biking, or summer softball league injuries.

There are several types of injuries we see over and over throughout the summer season, and while we love helping our patients by treating them, prevention really is key. Here are some common summer injuries and ways to prevent them:


Often it can be difficult to tell the difference between a strain and a more serious injury, so it is wise to get checked if you are suffering through these symptoms:

  • Lasting pain
  • Reduced function of the area (not being able to move the joint regularly)
  • Swelling and/or bruising

A sprain is an injury of the ligaments: when a joint is overstretched or extended it can cause tearing (or just over stretching causing pain) of the ligaments. Often sprains can be treated with rest, ice, and elevation at home. Our orthopedic team at OSSM can wrap the sprain well with a bandage to provide the right amount of compression to reduce inflammation and protect the area as well. A more serious sprain may need more intervention, which is a good reason to get the area checked out early.

The causes of sprains can be endless: overuse, stepping off a curb wrong, twisting your ankle wake surfing, or catching yourself during a fall. The best way to prevent a sprain is by treating your body (specifically the musculoskeletal system) well every day. Before going up to bat for the first time in your summer softball league, warm up your muscles with some jogging and dynamic stretching. Wear shoes that fit and are appropriate for the activity and use the proper equipment for whatever activity you will be enjoying.


Joint dislocations are another common injury we see in the summer. All it takes is a force that moves the bones in the joint out of place, so there are many summer activities that dislocation is one small mishap away from ending in. Often a patient will come in knowing they have dislocated a joint, but if you are unsure these are common symptoms to look for:

  • Pain, Swelling, and/or Bruising of the area
  • Inability to move the joint
  • Visually seeing the bones out of joint

With a dislocation, the doctor can guide the bone back in place in the clinic. Depending on the injury, recovery may be possible at home, or there may be more treatment involved to repair the area.

As with a sprain the best prevention for dislocations is a strong and healthy musculoskeletal system and using the proper protective equipment for whatever fun summer activity you are participating in.

OSSM’s Summer Shoulder Series Part 2: Injury Prevention and Recovery

OSSM’s Summer Shoulder Series Part 2: Injury Prevention and Recovery

The complex joint of the shoulder is active with just about every movement your body makes. Pain and injury of the shoulder can be debilitating, so prevention is key. Often our team of orthopedic surgeons see injuries that are preventable, including shoulders. Practicing these small habits and being aware of helpful tips can do a lot to help prevent shoulder injuries:

Train Your Muscles:

The stronger the muscles around the shoulder joint, the more protected it is. Many muscles surround the shoulder joint, with different points of origin. Training the shoulders in multiple forms and planes of movement can strengthen each muscle both individually and as a group.

The healthier and stronger the rest of the body is, the better for shoulder and overall injuries as well. Picking an exercise program that works best for your level of fitness and incorporating strength training consistently will ward off injury.

Exercise Right:

Exercise does not simply mean working out at the gym. Moving furniture, picking up kids, lifting items, or swinging a golf club are all examples of exercise. Warming up muscles before exercise can protect muscles and joints from injury. As mentioned, choosing the exercise plan that is right for you and your level of health is also important, along with eating healthily and taking care of your body in other ways.

Sleep Well:

Believe it or not, uncomfortable sleeping positions can contribute to shoulder pain and injury. Getting enough sleep will help your body heal and repair itself.  Using a good pillow and sleeping in a position that doesn’t cause pain can make a world of difference in shoulder injury prevention.

Don’t Ignore Pain:

Pain is your body talking to you. If you have consistent shoulder pain, don’t ignore it or push through. Rest your shoulder, and call us! Early detection is always better for diagnosing and treating injuries. Because the shoulder joint is so involved in almost all movement, continuing to use it injured can create a more extensive problem. Earlier detection means better outcomes. 

Work Safe:

Whether your job is sitting in an office or physical labor, there are ways to keep your shoulders injury free at work as well. If sitting in an office and working at a desk, make sure you have a supportive and comfortable chair. Using your computer in a neutral position allows your spine, neck, and shoulders stay healthy and pain free. Taking breaks to stretch and move your body will also help.

If your job is primarily physical work, use safe practices to prevent injury in the workplace. Following all other tips: getting adequate rest, training muscles and getting enough exercise will protect your shoulders as well.

If you are experiencing shoulder injury, call us right away and see one of our orthopedic shoulder specialists. We can quickly diagnose and treat any shoulder issue, and treatment plan for what is best for each patient. There are some ways you can treat shoulder injury at home, whether it is an injury that will resolve by itself or after surgery:


When it comes to the body, rest is where some of the real activity happens! Rest (and sleep) give the body the opportunity to repair itself and is essential to the healing process.

Physical Therapy:

OSSM is unique in so many ways, one of which being the fact that we also have a Physical Therapy clinic (OPTI). Our team works closely with the OPTI Physical and Occupational therapists to make sure our patients receive the best possible care, have the best outcomes, and heal stronger than ever.

Pain Relief:

Our doctors and team in office or in our orthopedic urgent care can help you map out the best way to lower pain and inflammation. This includes ice and OTC pain relief and anti-inflammatories. We will make a custom plan based on the injury, pre-existing health conditions, and pain levels to get pain and inflammation under control.

Nursing a shoulder injury? Call to schedule with one of our shoulder orthopedic surgeons at (208)664-2175, or utilize our orthopedic urgent care:

OSSM Orthopedic Urgent Care

850 W. Ironwood Drive, Ste. 202

Coeur d’Alene, ID

Photo Credits:


Shoulder Repair Surgeries at OSSM

Shoulder Repair Surgeries at OSSM

We often see patients with various shoulder injuries and pain at Orthopedic Surgery and Sports Medicine (OSSM), and with our excellent team of surgeons we are able to help every single one. Shoulder pain can be debilitating, and affect every part of every day life. The shoulder is one of the most mobile joints in the body, and being able to use the joint to full capacity is part of everyday life. Whether it is daily care tasks, driving, picking up kids, or simply enjoying the activities you love, shoulder pain and injury can prevent you from living the life you want to live.

Common Shoulder Surgeries:

Our team of shoulder surgeons (Dr. Roger Dunteman, Dr. William Sims, and Dr. Jonathan King) are uniquely trained to perform arthroscopic shoulder surgery. Arthroscopic surgery is a minimally invasive technique that, through the use of a microscopic camera, allows the surgeon to repair damaged tissue in the joint without having to completely open up the area. Scarring is minimum, and the surgery has better recovery times and less pain afterward.

We treat any and all shoulder injuries. If a patient is experiencing pain or loss of function, our doctors will work with the patient to find the cause and make a treatment plan to get the patient back to a functioning shoulder. Common shoulder surgeries we perform are:

Total and Partial Shoulder Replacement:

Arthritis (whether osteo or rheumatoid) is a common reason for a total shoulder replacement. Other potential reasons a patient may need shoulder surgery are severe injury or fracture or osteonecrosis due to loss of blood supply.

With total shoulder repair at OSSM, one of our surgeon specialists will use the safe, effective advanced techniques we are known for to completely replace the shoulder joint. Getting back to everyday activity, including exercise, is possible with our techniques and recovery program (partnered with our physical therapy team at OPTI).

Rotator Cuff Repair:

Many people have heard the term “rotator cuff”, and for good reason: rotator cuff injury is a common shoulder problem we see and treat amongst our patients. The rotator cuff is muscle and tendon that runs outside of the shoulder joint. It surrounds the joint and attaches the scapula (shoulder blade) to the humerus (upper arm bone). The muscle group is large and essential to stability and mobility, so the pain associated with a rotator cuff tear can be severe.

Like other shoulder surgeries, our surgeon team utilizes minimally invasive techniques for rotator cuff repairs. Performing the procedure arthroscopically completely repairs the tear, reattaching tendon and muscle to bone, while lowering complications, post op pain, and recovery time. Patients can expect a pain-free full recovery with rotator cuff repair at OSSM.

Labral Repair:

Common symptoms that may be associated with a labral tear are limited range of motion in the shoulder, clicking and/or popping, frequent shoulder dislocation, and pain. The labrum is a piece of cartilage that lines the shoulder joint and reinforces the ball-and socket.

To repair a torn labrum, our shoulder surgeons use minimally invasive arthroscopic techniques to reattach the labrum to the bone. Any instability and pain is fixed through a labral repair.

A SLAP (superior labrum anterior and posterior) tear involves an injury to the top (superior) part of the labrum, where the bicep muscle attaches to the labrum. The injury also involves the front and back (anterior and posterior) of the attachment point of the bicep. A SLAP repair is treated arthroscopically, although the exact point of repair on the anatomy is slightly different than other labral repairs. 


The shoulder joint is complex, and a shoulder injury needs a doctor who fully understands the joint and muscles and how they work together to repair it. Our team of fellowship trained orthopedic surgeons all have sub-specialties, allowing them to master the area they work on resulting in better patient outcomes.  Through our team of surgeons we cover every single area of the body, so no matter the injury we have a specialist to treat it. Our three shoulder specialists are Dr. Roger Dunteman, Dr. William Sims, and Dr. Jonathan King.

Our shoulder specialists spend many hours advancing the field and mastering new, safer, less invasive techniques. Dr. Dunteman has published several peer reviewed articles on shoulder instability, rotator cuff pathology and more, along with presenting his research to other professionals. He also spends time teaching other surgeons advanced techniques nationally. Dr. King has researched and trained to be able to perform shoulder reconstructions arthroscopically, such as minimally invasive rotator cuff tear repairs, fixing shoulder instability, and more. Dr. Sims has spent countless hours in the operating room perfecting minimally invasive techniques to improve patient outcomes as well.

Shoulder patients at OSSM can count on well researched techniques that result in less pain and better recovery. We also work side by side with our Physical Therapy clinic, OPTI, to make sure our patients are getting the care and help they need at home to fully bounce back after surgery. Excellent surgeons using minimally invasive technique combined with recovery in our state of the art physical therapy clinic amongst amazing physical and occupational therapists means our patient care goes above and beyond.

Shoulder pain stopping you from having a normal life? Call us today to schedule and appointment at (208) 664-2175.

Covid Mask Policy

Covid-19 “Message to our Patients”

As we continue to learn more about Covid-19 and its impact on our community, providers and staff, we will periodically update our office requirements.

Please take a moment to review the requirements as of May 16, 2021:

  • Masks are required to be worn by staff, patients and visitors in our clinics. 
  • Although the CDC has updated their recommendations on when vaccinated people can resume activities without wearing a mask, this guidance is not yet intended for healthcare settings.
  • Please do not come to your appointment if you are feeling ill or have a fever.

We will continue to monitor and follow the guidelines set forth by the official health organizations, including Panhandle Health, CDC, and OSHA as it relates to Covid-19.

OSSM Dr . Keese

Hand and Elbow Injuries at Orthopedic Surgery & Sports Medicine

Hand and Elbow Injuries at Orthopedic Surgery & Sports Medicine

Hand and elbow injuries are common, although debilitating, problems we see in the orthopedic surgery field. Like the majority of orthopedic problems, hand and elbow injury greatly affects daily life. Surgeon Dr. Keese is our hand/elbow/fracture specialist at OSSM that works with patients to restore function to these areas.

Dr. Keese works with patients to treat injuries or dysfunction of the hand and elbow, whether through surgery or other treatment modalities. He sees a wide variety of problems and injuries, and has extensive training in examining, diagnosing, and treating hand and elbow injuries.

About Dr. Keese

Dr. Keese was an avid soccer player all through college, with a highlight of being elected to the “Hall of Fame” for athletics and academics as well as playing soccer internationally. His undergraduate degree is from Claremont McKenna College in Southern California. Dr. Keese completed medical school at Georgetown University, graduating in the top 15% of his class.

As a surgeon, Dr. Keese chose to enter the orthopedic field. For his orthopedic residency, Dr. Keese spent 5 years at Loma Linda University Medical Center. During his residency Dr. Keese gained a wealth of knowledge while also being awarded the “Leonard Marmor Surgical Arthritis Foundation Award” for excellency in his field of orthopedic surgery.

To further his education and expertise, Dr. Keese completed a fellowship specializing in hand and elbow surgery at the University of California San Francisco. During his fellowship, Dr. Keese gained knowledge and experience in many techniques and subspecialties, including:

  • Arthroscopic wrist and elbow surgery
  • Microsurgery
  • Ligament and cartilage preservation
  • Reconstruction of hand, wrist, elbow
  • Pediatric hand surgery (at Northern California Shriners Hospital)
  • Sports Medicine (as hand surgeon for University California Berkeley sports team)

Do I Need a Hand Surgeon?

Wondering if you need the expertise of Dr. Keese? With his extensive fellowship training and experience, Dr. Keese is equipped to diagnose and treat all hand and wrist maladies. If you are experiencing any of the following, it would be recommended to schedule an appointment at OSSM:

  • Hand, elbow, or wrist pain
  • Hand, wrist, or elbow injury
  • Arthritis or tendonitis
  • Fracture
  • Dislocation
  • Sports Injury
  • Tennis Elbow
  • Carpal Tunnel Syndrome

Seeing an orthopedic surgeon that specializes in the hand and elbow will save one of the most important aspects of treating an injury: time. Being diagnosed by a specialist will increase positive outcomes and get the patient on the right track sooner. There is no better place to be when suffering from hand or elbow injury or dysfunction than in our office.

What To Expect:

Whether you visit our Orthopedic Urgent Care and see one of our doctors or team members there, or schedule and appointment directly with Dr. Keese, you can expect an integrative approach to care. Dr. Keese is the only fellowship trained hand surgeon in North Idaho, and consequently has a high level of expertise in his subspecialty. Patients can rest assured knowing they are seeing someone that specializes in diagnosing and treating their exact problem.

The complex anatomy of the hand, and the necessity of use in every day life make injuries incredibly important to diagnose and treat correctly the first time. Dr. Keese has the specialized training not just in hand and elbow anatomy, but also in microsurgery, reconstruction, and arthroscopic surgery. We also work closely with our team of Occupational Therapists at OPTI to ensure that the patient recovers to full health after surgery. OPTI has an amazing team of certified hand therapists that work with our hand and elbow patients.

If you are suffering from hand or elbow injury, pain, or dysfunction, you know firsthand how much it affects every single aspect of daily life. Dr. Keese and our team at OSSM are in the business of not just seeing patients with orthopedic injuries or struggles, but improving their health and lives. Call us today to schedule and appointment to get your injury free life back: 208-664-2175.

Couer D’ Alene location of OSSM along with Orthopedic Urgent Care:

850 W. Ironwood Drive, Suite 202

Couer D’ Alene, ID 83814

Post Falls OSSM location:

1160 E. Polston Avenue, Suite B

Post Falls, ID 83854

Best of OSSM

OSSM Wins Best Orthopedic Provider 2021

Our team at OSSM is excited to announce that the excellence we strive for in our integrative approach to treating our orthopedic patients is being recognized: we are the proud recipients the “Best Orthopedic Provider” award for 2021 by The Business Journal of North Idaho.