Gem City Bone & Joint

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Physicians & Surgeons, Orthopedics, Physical Therapists, Physical Therapy Clinics

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Map & DirectionsDirections167 S Conwell StCasper, WY 82601 Write a ReviewWrite Review

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Categories: Physicians & Surgeons, Orthopedics, Physical Therapists, Physical Therapy Clinics, Physicians & Surgeons, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Emergency Medicine, Physicians & Surgeons, Hand Surgery, Physicians & Surgeons, Neurology, Physicians & Surgeons, Podiatrists, Physicians & Surgeons, Rheumatology (Arthritis), Physicians & Surgeons, Sports Medicine, Physicians & Surgeons, Surgery-General, Sports Medicine & Injuries Treatment

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Phone: (307) 877-7413

Address: 167 S Conwell St, Casper, WY 82601

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Gem City Bone & Joint

General Practitioners

Arthritis
While the cartilage that insulates your hip and knee joints can wear down over time, conditions like traumatic arthritis, osteoarthritis, rheumatoid arthritis, and osteonecrosis tend to make joints especially vulnerable to deterioration. Eventually, the insulating cartilage breaks down completely, leaving you to experience...
Medical Weight Loss
Treating your arthritis will depend on the type and severity of your condition. For mild cases, we may recommend management through lifestyle changes such as exercise, weight loss, and physical therapy. However, more severe cases may require medication or surgery.
Emergency Care

Carpal Tunnel Syndrome
Carpal tunnel syndrome occurs when the median nerve—a major motor and sensory nerve that is sometimes referred to as “the eye of the hand”—is compressed at the point where it passes through the carpal tunnel in the wrist. A narrow channel formed by the carpal bones on the bottom and the transverse carpal ligament on the top, the carpal tunnel can be encroached by swelling or excess tissue in the wrist. In many cases, carpal tunnel syndrome results from repetitive wrist or hand motions, such as using a screwdriver, playing a musical instrument, or typing.

Ultrasound
At Premier Bone & Joint Centers, we take pride in delivering seamless, multispecialty care. If your pain does not improve with conservative treatment, your physiatrist may refer you to one of our board-certified, fellowship-trained orthopedic surgeons for follow-up.
MRI
When you visit our Cheyenne clinic, one of doctors will review your medical history, perform a physical examination, and order imaging tests like X-Rays or an MRI to determine the current condition of your joint. Based on our findings, we’ll determine the best treatment for your knee pain.
X-Rays

Orthopedics
Premier Bone & Joint Centers’ eight physicians are experts—highly-trained and among the best in the field of orthopedics.
Whiplash
The term ‘whiplash’ gets tossed around pretty casually, but it’s fairly painful to endure. If you were recently in a car accident or had a pretty hard collision while playing sports and are now suffering from the symptoms of whiplash, you should see the board-certified and fellowship-trained specialists at Premier Bone & Joint Centers. We can provide you with an accurate diagnosis and custom-tailored treatment plan at our satellite clinic in Rawlins, Wyoming.
Arthroscopy
The wrist doctors at Premier Bone & Joint Centers emphasize conservative treatment whenever possible, and we can often suggest nonsurgical therapies, such as medication, splinting, bracing, and physical therapy, to alleviate wrist pain and restore function. With that said, we may recommend surgery to address symptoms that persist or worsen after several weeks of conservative treatment. Our surgeons are skilled and experienced in utilizing the latest minimally invasive techniques when performing wrist arthroscopy, tendonitis surgery, carpal tunnel release, and other procedures.
Bunion Surgery
If this sounds familiar, chances are good that you might have a bunion. Luckily, if you’re in Thermopolis, Wyoming, you can turn to the board-certified, fellowship-trained orthopedic doctors at Premier Bone & Joint Centers for bunion treatment. We have extensive experience treating this condition and can skillfully perform bunion surgery if necessary.
Joint Replacement
When you visit our Gillette clinic, one of our joint specialists will review your medical history and perform a physical examination. Before recommending a joint replacement, they’ll also order imaging tests in order to determine whether you might benefit from non-invasive treatments.
Hand Surgery
At Premier Bone & Joint Centers, we always look to non-invasive treatment options first. Approaches like immobilization, physical therapy, and pain management can prove very effective in many cases. However, if a surgical procedure is necessary, our hand surgery specialists can handle your surgery using the latest techniques and equipment to be as minimally invasive as possible.
Orthopedic Surgery
Dr. Levene joined Premier Bone & Joint Centers in 2002. After receiving his undergraduate degree from Dartmouth College in Hanover, New Hampshire, Dr. Levene received his medical degree from the University of Colorado School of Medicine in Denver, Colorado. He then went on to complete his residency in orthopedic surgery at the University of California, Davis, in Davis, California. After his residency, Dr. Levene underwent a fellowship in sports medicine and knee and shoulder surgery of the Steadman-Hawkins Clinic in Vail, Colorado.
Bunions
Whenever possible, conservative approaches should be taken when treating patients with bunions. These include wearing comfortable, roomy shoes and taking nonsteroidal anti-inflammatory drugs (NSAIDs) when needed.
Arthroscopy
Hip Replacement
The hip specialists at Premier Bone & Joint Centers take a conservative approach to hip pain treatment, generally reserving surgery as a last resort. Most of our patients who ultimately decide to proceed with a total hip replacement have severe hip joint damage due to osteoarthritis.
Knee Replacement
If you think about it, you use your knees all the time. Not only do they support you while you ride your mountain bike around the Red Rock Trails, but they also allow you to climb the stairs in your Gillette house or sit down at the dinner table with your family. So if your every movement is accompanied by intense joint pain, it may be time to consider a knee replacement. Luckily, you aren’t alone. The orthopedic doctors of Premier Bone & Joint Centers proudly provide care worthy of Wyoming, and we’d be happy to help determine whether knee replacement surgery can help you return to your active lifestyle.

Corns
Is there a bony protrusion at the base of your big toe? Is the bump painful, red, or swollen? Are you having trouble moving your big toe, or have you noticed calluses or corns forming between your toes?
Calluses
Bunions are a common foot condition that affects the joint at the base of the big toe. It occurs when the big toe pushes against the adjacent toe, causing the joint to stick out and become swollen. Bunions can be caused by genetics, improper footwear, or underlying medical conditions. Symptoms of bunions include pain, swelling, redness, and difficulty moving the affected toe. If left untreated, bunions can lead to further complications, such as corns, calluses, and even arthritis. If you have a bunion that is causing discomfort or pain, look to the professionals at Premier Bone and Joint Centers. The experienced foot doctors at our Rock Springs, Wyoming, clinic can provide a wide variety of treatments, including bunion surgery.

Physical Therapists

Sports Medicine
There’s little debate that sports and injuries are often associated with one another. Although we all wish we could participate in sports activities free of discomfort or pain, that’s not always reality. If you’re currently experiencing persistent pain or suspect that you’ve suffered a significant injury while being active, seek assistance from the sports medicine doctors at Premier Bone & Joint Centers. Our sports injury clinic in Torrington, Wyoming is outfitted with the industry’s most cutting-edge orthopedic technologies, enabling us to provide a high level of personalized care.
Physical Therapy
Physical therapy can be a suitable treatment option for various injuries, particularly those resulting from muscle or joint overuse. Additionally, it’s commonly utilized as a secondary form of treatment following a surgical procedure or illness.
Frozen Shoulder
For many shoulder conditions, such as frozen shoulder, our physicians can develop a treatment plan that involves some form of physical therapy, including targeted exercise regimens. This can be paired with drug therapy, which can involve a combination of anti-inflammatory and steroid injections. If these treatment options don’t provide the necessary relief, or if you’ve suffered an injury like a torn rotator cuff, we may determine that surgery is the next step. You can rest assured that you’ll be in the most capable and caring hands because our shoulder surgeons are highly experienced and trained.
Shoulder Pain
Flatfoot Correction
Heel Pain
Ankle Sprain
You can also take an over-the-counter pain reliever or anti-inflammatory medication to further reduce the swelling. If you have a severe ankle sprain, we may suggest that you wear a cast or boot for several weeks to protect your injury and help keep the damaged ligament in place as it heals. Once your pain subsides, you can start performing gentle exercises, such as slowly rotating your ankle, to help restore your range of motion.
Orthotics and Prosthetic Therapy

Achilles Tendonitis
Achilles tendonitis is an overuse injury that affects the Achilles tendon, a strong but flexible cord of fibrous tissue that attaches the calf muscle to the heel bone. Usually, it develops gradually due to repetitive strain from intense physical activities, such as running and jumping.
Ankle Instability
If you have a minor ankle sprain, it may heal on its own within a few days. However, if your injured ankle is very swollen, bruised, stiff, painful to walk on, or cannot support weight, you should seek professional medical attention right away. Come to Premier Bone & Joint Centers in Riverton, Wyoming. An experienced ankle specialist can evaluate the severity of your injury, determine if a fracture is present, and suggest an appropriate treatment plan to help prevent complications, such as chronic ankle pain, arthritis, and ankle instability.
Ankle Sprain
The ankle joint is formed by two lower leg bones (tibia and fibula) and a foot bone (talus), which are held in place by three strong ligaments. An ankle sprain occurs when one or more of these ligaments are stretched beyond their limits, sometimes to the point of tearing. The most common cause is a fall that forcefully bends the ankle joint outward toward the ground.
Bunions Problems
Treatment for bunions may include wearing comfortable shoes, using orthotics, taking nonsteroidal anti-inflammatory drugs as needed, or in severe cases, undergoing surgery to correct the alignment of the affected joint. Some indicators of a severe bunion include...
Calluses
Flat Feet
Heel Spurs
It can be hard to enjoy all that Riverton has to offer when something as simple as walking can put you in excruciating pain. If you’ve developed painful heel spurs, you don’t have to deal with this pain—you can receive treatment from Premier Bone & Joint Centers. Our team of board-certified and fellowship-trained orthopedic doctors have the expertise to help heal your heel spurs in our conveniently located satellite clinic in Riverton, Wyoming.
Heel Pain
Foot Injuries

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