Our goal is to provide the best possible care to our patients with our business and medical practice based on Christian principles.

The practice was established in 1996 by Dr. Tom Altizer and Dr. Ralph Salvagno.  Both doctors had extensive experience in total joint replacement surgery in their previous practices and felt a strong desire to focus more fully on improving the quality of their patients' lives through these procedures. Dr. Salvagno continues to focus on joint replacements.

Dr. Rothen joined the practice in 2001.  She specializes in sports medicine as well as treating patients with traditional orthopaedic needs.  Dr. Rothen's goal is to help people manage the conditions they have and enjoy their lives to the fullest extend with the least amount of pain.

We also have an excellent professional staff that offers a team approach and we welcome patients of all ages. Ronald Spruill, PA-C, a physician assistant,  Emily Young, PA-C, also a physician assistant, Lynne Kline, CRNP, a nurse practitioner, Laura Blair, PT, a physical therapist;  Pete Rinehart, MPT, also a physical therapist, and Julie Martin, PTA, a physical therapy assistant.