General Practitioners

• Osteoporosis
• Warts
• Arthritis
  Arthritis comes in many forms, but all types of arthritis can cause chronic pain and discomfort. If you are in need of rheumatoid arthritis management, our caring physicians understand your pain–and use the most advanced methods to treat it.
• Fibromyalgia
  Fibromyalgia is a widespread musculoskeletal pain that is often accompanied by fatigue, tenderness, and altered sleep, memory, and mood. An expert team at CNOS is prepared to help you improve these conditions through medication and therapy, as well as offering suggestions for reducing the stress that may be causing your condition.
• Plantar Fasciitis
• Medical Weight Loss
  At CNOS, we understand the obstacles that stem from the disease of obesity. Our goal is not only to help our patients lose weight but also improve their quality of life while positively impacting their health and well-being. Please refer to the BMI calculator below to see if you are a candidate for Weight Loss Surgery.
• Rheumatology
  Our rheumatology experts can help these and other conditions, including rare diseases such as amyloidosis. Anything that affects your quality of life is something we are prepared to treat.
• Pediatric Care
• Primary Care
  Your primary care doctor can test for liver disease with a simple blood test. If an abnormality is found, a more detailed investigation usually follows.
• Sleep Disorders
  Our Center for Sleep Medicine helps you get a restful sleep—as soon as possible. Expert physicians use a comprehensive program to diagnose and treat all aspects of sleep pathology, from breathing-related sleep disorders to narcolepsy.
• High Cholesterol
• Emergency Care
  Same-day, walk in treatments for non-emergent bone, joint, and hand injuries. CNOS Orthopaedic Urgent Care offers expedited, and cost-effective care collaboration with surgical specialists when required. Find more details about our Orthopaedic Urgent Care here.
• Colonoscopy
  While many patients with small amounts of intermittent bleeding likely have irritation from hemorrhoids, more serious causes cannot be ruled out without an examination.  Additional risk factors such as use of blood thinners, family history of GI cancers/polyps or colitis may also contribute.  Patients with bleeding or unexplained anemia should ALWAYS be considered for evaluation with colonoscopy and/or endoscopy to try and identify a bleeding source which could possibly be treated during the procedure.
• Constipation
• Irritable Bowel Syndrome
  No blood test or x-ray study can identify irritable bowel syndrome, but these tests may be used to help rule out other disorders with similar symptoms. Some patients may also require endoscopy or colonoscopy to help make the correct diagnosis.
• Urinary Incontinence
• Diarrhea

Ophthalmologists

• Ophthalmology
  We offer compassionate care for those affected by MS and related disorders. CNOS neurologists partner with specialists in ophthalmology, neuro-ophthalmology, neuropsychology, rehab medicine, and urology to provide a comprehensive plan of care. We offer treatments like BOTOX injections (for severe cases) as well as on-site physical and occupational therapy. Let our attentive care improve your health.

Internists

• Gastroenterology
  The following CNOS clinics offer gastroenterology care in communities throughout Siouxland. Find a clinic near you to visit with a gastroenterologist.
• Urology
• Colon Cancer
  The Gastroenterologists at CNOS provide a full spectrum of preventative care, diagnostics, and treatment for your digestive health and gastrointestinal needs. We try to help prevent diseases like liver or colon cancer and help to manage other gastrointestinal conditions such as heartburn, ulcers, diarrhea, IBS, and many more.
• Endoscopy
  Acid reflux – often called heartburn – occurs when acid from the stomach refluxes (flows back) into the esophagus. This can cause discomfort and may damage the lining of the esophagus. In some cases, chronic acid reflux can lead to scarring and the development of Barrett’s Esophagus, a precancerous condition.  Sometimes patients can have non-erosive reflux disease of which findings at endoscopy appear normal.  This can be further evaluated with a wireless pH probe (BRAVO) which is placed during the endoscopic procedure allowing us to better accurately make a diagnosis.
• Cancer Care
  Through our partnership with the June E. Nylen Cancer Center, CNOS Coordinated Breast Care provides inclusive breast cancer care for all aspects of treatment, from diagnosis to reconstruction and healing. You have enough to worry about, that’s why we make our Coordinated Breast Care easy on you.

Neurologists

• Neurology
  This year’s five honorees were: Susan Becker, a neurology nurse at CNOS, Sara Kelly, a nurse with UnityPoint Health — St. Luke’s, Mindee Knudson, a Sunrise Retirement Community nurse, Jennifer Perera, MercyOne Siouxland Medical Center nurse, and Michaela Uhl, an orthopedic nurse with CNOS.
• Carpal Tunnel Syndrome
  Or problems affecting nerves or skin in the arm like Dupuytren’s contracture, carpal tunnel, complex regional pain syndrome, radial nerve disorder, and distal median nerve disorder
• Multiple Sclerosis
• Epilepsy
  Patients who suffer from seizures or epilepsy will find individualized diagnosis and care from our neurologists and specialists. We work with you to help you gain control of your seizures and, as a result, optimize your quality of life. We also work closely with our regional university and tertiary Epilepsy Centers to coordinate outside care for those who need it.

Psychiatrists

• Depression

Endocrinologist

• Diabetes Care
• Thyroid

Radiologist

• Ultrasound
  Improve difficult-to-heal fractures with bone growth stimulation. This advanced technology provides a low electrical current or ultrasound to your fracture, promoting bone growth. CNOS teams are fully trained in this enhanced recovery method, and have everything you need to make your best recovery.
• MRI
  MRI scans evaluate internal conditions using a magnetic field, focusing on tendons, ligaments, nerves (soft tissue) and tumors. With the addition of the Imaging Center expansion, CNOS now houses 2 MRI machines with one ‘caring suite’ to keep patients relaxed during exams. The average scan time with this state-of-the-art technology decreases from roughly 45 to 27 minutes.
• Radiology
  Once a week the multidisciplinary team meets to discuss all current cases. This eliminates any communication breakdowns. They will discuss your case, based on your latest medical records, photos, and radiology slides and agree on a recommended plan of treatment. A coordinator will call you directly with the outcome of that meeting and if more procedures or tests need to be ordered.
• X-Rays
• Computed Tomography
  CT scans offer low dose radiation scans using 32 slice CT technology. The average scan time is 10-15 minutes. With this state-of-the-art machine, CNOS is able to focus on injuries, conditions, and diagnostic testing for fractures, acute injuries, and bone structure including but not limited to: chest, abdomen, pelvis, and digestive tract issues (internal bleeding/Diverticulitis)
• Chemotherapy
  Patients who are diagnosed with colon cancer can expect to receive compassionate, meticulous care at Midlands Clinic. We sometimes use advanced laparoscopic surgery techniques to perform colon cancer surgery. While surgery is usually the most effective way to remove cancerous parts of the colon, treatments such as chemotherapy or radiation may be needed to treat cancer that has spread beyond the colon.
• Radiation Therapy

Surgeons

• General Surgery
  General surgery is a surgical specialty used to treat abdominal problems, thyroid issues, and certain types of cancer. General surgeons, like the team at CNOS, undergo years of education and hands-on training to perform safe and effective procedures on various parts of the body. General surgery typically falls into two categories...
• Orthopedics
• Sciatica
  Sciatica often accompanies herniated discs, causing pain that radiates along the sciatic nerve (extending from the lower back down one or both legs). Your treatment might include anti-inflammatory medications and physical therapy.
• Arthroscopy
  Minimally invasive surgery uses special tools and small incisions to access your organs and soft tissues. It allows for quicker recovery times, fewer complications, and less pain. There are various types of minimally invasive surgeries, including laparoscopy, endoscopy, and arthroscopy.
• Wound Care
• Minimally Invasive Surgery
• Ankle Surgery
• Joint Replacement
  Ease pain and restore movement with help from our joint replacement specialists. A team of doctors, nurses, and therapists are ready to administer the latest technologies and comprehensive joint care. We help patients restore normal function to hips, knees, neck, shoulders, and all your body’s joints.
• Hand Surgery
  When choosing a hand specialist, look at the doctor’s experience and certifications. These demonstrate the doctor has the necessary training and skills to provide specialized hand and wrist care. A few of our specialists are fellowship-trained in hand surgery specifically. This means that they have specialty training to treat complex hand and wrist ailments, including...
• Bunions
• Neurosurgery
  CNOS Orthopaedics and Neurosurgery departments provide independent medical exam’s (IME) and opinions that fall outside the normal scope of usual medical treatment. These can be arranged by contacting the worker’s compensation account manager. Please see the CNOS worker’s compensation contact information sheet for complete details and services lines.
• Arthroscopy
• Ingrown Toenails
• Knee Replacement
  We want you to heal as quickly as possible and prevent complications. That’s why we offer free Total Joint classes to all new patients undergoing a total hip or knee replacement. You’ll learn how to make this surgery successful and avoid complications—and you can often get your lab work done in the same visit.
• Laparoscopy
• Mohs Surgery
• Reconstructive Surgery
  At CNOS, our specialists take a comprehensive look at your condition and treat it with personalized foot & ankle care—whether it’s a minimally invasive treatment or a complex reconstructive surgery. Our team includes specialty nurses, rehabilitation therapists, and athletic trainers who work together to get you back on your feet as quickly as possible.

Plastic Surgeons

• Botox
  Migraine and headache sufferers of all types receive evaluation, treatment and preventative medicine from our team of physicians and staff. After an individually tailored medical consultation, you’ll receive treatment options from a full range of procedures: medications, physical therapy, BOTOX injections, and more.
• Breast Reconstruction
• Plastic Surgery
  You begin your healing journey at CNOS. One of our breast care coordinators greets you when you arrive. At this appointment, you will meet with a general surgeon who will discuss your surgical options. Then, a staff member will coordinate the scheduling of appointments with other specialties of the team, such as oncology or plastic surgery...
• Breast Surgery
• Laparoscopic Surgery
  The surgeons at CNOS have been performing weight loss surgery since 1976, and are proud to offer the latest technologies in laparoscopic surgery. Since 2002, these surgeons have performed over 2,100 laparoscopic weight loss surgeries, with fewer complications than the national average.

Dermatologists

• Cosmetic Dermatology
  CNOS Cosmetic Dermatology specializes in the latest health and cosmetic rejuvenation treatments for you and your family and always stay up to date with the newest treatments and procedures.
• Skin Cancer
  Melanoma is the deadliest form of skin cancer and can develop anywhere on your body, including your face, body, and legs. It even occurs on areas of skin not usually exposed to the sun. Melanomas can appear as brown spots with darker dots, dark moles, moles that bleed or are painful, moles with irregular borders, or moles that change their shape, size, or color. Early detection and treatment are crucial.
• Dermatology
  Professional Skin Expertise. With years of training and experience in Medical, Cosmetic and Surgical Dermatology, Dr. Daffer and our trained staff of professionals are committed to helping you and your family achieve and protect healthy skin for a lifetime.
• Acne Treatment
• Cyst
• Ulcer
  Bleeding from the intestines can occur for many different reasons, and like most conditions can range from very mild to life-threatening.  Passage of red blood usually represents a source in the colon such as diverticulosis, hemorrhoids, colitis or less commonly a large polyp or cancer.  Passage of black tarry stools often represents bleeding from the upper GI tract (esophagus, stomach, or small bowel) such as from an ulcer or liver disease.  Other patients may not pass visible blood but are found to have anemia (low red blood cell counts) on a laboratory test or have a positive test for microscopic amounts of blood in the stool (stool cards).
• Eczema
• Lesions
• Chemical Peels
• Rashes
• Skin Care
  CNOS is proud to offer our patients the highest level of dermatological care for their health, medical, and skin care needs. We offer cost-effective diagnoses as well as medical, surgical and cosmetic treatments and procedures for all skin and nail conditions.  CNOS provides all medical dermatology screenings, assessments, treatments, and surgeries at a variety of locations.
• Psoriasis

Physical Therapists

• Sports Medicine
  Whether you’re a professional athlete or new to the game, our sports medicine specialists provide comprehensive training and treatment. We take a multi-disciplinary approach to care, with performance coaches, athletic trainers, physical therapists, and fellowship-trained sports medicine doctors. No matter your age or ability, our sports medicine team can help you stay healthy, prevent injuries, and strengthen your game.
• Physical Therapy
  DEXA scans measure bone mineral density, allowing us to identify whether a patient has—or is susceptible to—osteoporosis. And, if so, our specialists are equipped with the treatments and physical therapy needed to help improve the condition.
• Occupational Therapy
  CNOS provides medical treatment and preventative services for a wide variety of your healthcare needs. Whether you need diagnostic screenings, physical/occupational therapy, or non-surgical/surgical interventions for a major health condition, our multidisciplinary team offers personalized care at a location near you. We pride ourselves in bringing reliable care close to home. You can find which services are offered at each location by clicking this link.
• Flatfoot Correction
• Heel Pain
• Ankle Sprain
• Back Pain

Podiatrists

• General Podiatry
  Podiatry injuries and ailments can occur at any age. Whether you’re an active athlete or on your feet all day at work, podiatric conditions can take many forms: fractures, sprains, arthritis, and more. When any of these occur, you want the best possible care from trained experts.
• Achilles Tendonitis
• Ankle Sprain
  Our feet and ankles are the foundation of all of our daily activities. By simply going on with our daily routines, we subconsciously apply 3-4 times of body weight to the feet and ankles over many thousands of steps per day. This leads to frequent injuries that are often misunderstood and misdiagnosed. Foot & ankle injuries and ailments can occur at any age. Whether you’re an active athlete or on your feet all day at work, foot & ankle conditions can take on many forms: fractures, sprains, arthritis, and more. When any of these occur, you want the best possible care from trained experts. It is crucial that each patient is thoroughly evaluated for an accurate diagnosis so a timely and effective treatment can be provided.
• Bunions Problems
  When you’re always on the go, even a seemingly small toe injury can impact your overall well-being. Treating these ailments can be as simple as wearing a better pair of shoes. However, common problems like bunions, hammer toe, Morton’s neuroma, and ingrown toenails can require surgery if left unattended.
• Flat Feet
• Hammertoes
• Heel Pain
• Foot Pain
• Ingrown Toenails
• Plantar Fasciitis

Allergists

• Allergies
  Celiac disease can be diagnosed with blood tests, but should be confirmed with a biopsy of the small intestine done at the time of an endoscopy.  Food allergy testing for gluten is not as specific as a direct blood test or a biopsy and should be viewed cautiously.  Some patients may have intolerance for gluten-containing products but not actually have celiac disease – your physician can help to distinguish these situations from one another.