Click here to view Dr. Mitteslteadt’s TCO clinic locations.

Click here for Dr. Mitteslteadt’s hospital and surgery center affiliations.

We most often treat conditions of the ankle or foot ankle arthroscopy and replacements, bunions, sports injuries of the ankle, and painful flat feet. We also treat problems of the knee including knee arthroscopy and knee replacements. Patients can expect a treatment approach which is tailored to a meet their specific need, employing both conservative and surgical techniques to achieve our treatment goals.

The EXCEL Orthopedic Surgery and Recovery program is available to patients who generally healthy but have an orthopedic condition that requires surgery that is not typically done as an outpatient. The surgery is done in the Blaine or Plymouth Surgery Center on the third floor of the clinic at Twin Cities Orthopedics. Post-operatively patients are transported to a specially designed medical suite within the building, where there is nursing and medical staff available 24 hrs/day and 7 days a week.  Because the patient is never admitted to the hospital there is a substantial cost savings and a lower risk of hospital acquired infections. This option is particularly attractive for patients who are paying their own bills, employers who are self-insured, worker’s compensation and patients travelling to the U.S. for their medical care because the costs are less than half of what they are in the hospital.

If you are a new patient, please arrive to your appointment early in order to complete the registration process. In addition, please bring the following:

• Driver’s License or State ID
• Referral (if required by insurer)
• Insurance information
• Copies of operation records, medical records, x-rays, MRIs and CT scans from prior doctor visits
• List of current medications and any known allergies

Yes, absolutely. The more information we have regarding your unique situation and past history, the better equipped we are to provide the highest level of care. Bringing any previous x-rays, scans, and/or documentation (if available) is recommended. If you do not have this information, don’t worry; we will still take great care of you.

Ice should be used during the acute phase (first 24 to 48 hours) following an injury, or whenever there is swelling. Ice decreases blood flow to the area, which in turn decreases swelling and inflammation. Heat does the opposite. It increases blood flow to the area and can provide pain relief once the swelling and inflammation has subsided. Heat is good to use prior to doing any exercises or physical therapy as it warms up your muscles.

You can use the General Contact Form on the Contact & Locations page of this website to get in touch with Dr. Mittelsteadt regarding second opinions or contact us via phone to set up an appointment or speak with a member of our care team.

You can get cortisone injections every 3 to 4 months as long as they continue to provide symptomatic relief.

Some patients get immediate relief from a cortisone injection. For others, it may take up to 2 weeks for the injection to take effect. However, most people notice relief within 2 to 3 days. The duration of a cortisone injection can vary greatly. Some will last as long as a year, whereas others may last only a few days. It is also important to know that occasionally pain can get worse following a cortisone injection before it gets better. In the meantime, over the counter pain medications and ice are recommended.

To set up a face-to-face appointment call your doctor’s Care Coordinator at 763-717-4124.

When a patient sees me for the first time, you can expect to get imaging of your feet/ankles or knee, depending on where your problem is located. If you already have imaging, such as an MRI, we will review it together. The initial visit is about fact-gathering, listening to your story, and learning more about you. I’ll then examine your concerns, review x-rays if you have them, and begin to build a list of options for you. Together, we will pick a direction towards treating your problem.

If you have records from another physician, provider, or hospital you may bring them with you to your appointment. If you do not have a copy, please contact the physician, provider, or hospital prior to your TCO appointment to let them know we will be requesting them.

Yes, of course. Feel free to have family members or friends join you in your consultation. Many patients find it is helpful to have support in the room, even just as an extra set of ears to remember the details of the visit.

After your appointment, or after surgery, you can expect prompt and accessible follow-up treatment. Remember, recovery from injury or a surgery can take a year or more, so, our care continues long after these events as we want to be a part of your complete healing process. If you ever have questions, please do not hesitate to contact us.

If an MRI scan or other diagnostic test was ordered, you will be called with the results once available.

If you have questions after your appointment, please feel free to contact us. You can call our clinic directly, or contact us using the General Contact Form on the Contact & Locations page of this website.

The amount of time will vary depending on each unique patient, and each unique procedure. Please feel free to discuss this with us in your appointment, or contact us directly with any questions. You may call our clinic, or email us using the General Contact Form on the Contact & Locations page of this website.

The timeframe for recovery depends on the procedure and the individual, but it is our goal to get you back to your regular lifestyle as fast as possible. You can discuss your likely recovery time at your appointment.

Each individual will experience different pain levels, but it is our goal to have you feeling 100% as soon as possible. To get an idea of the pain expectations for your individual case, please discuss with Dr. Mittelsteadt at your appointment.

Please note that we strive to get our patients off narcotic pain medication as soon as possible. It can be needed shortly after surgery, but we do not advocate long-term use of pain medication. We take pain medication very seriously and make sure it is necessary before signing a prescription for any patient.