Stress Fractures: From Trail to Icy Sidewalk by Megan Peach, DPT, OCS, CSCS

By Megan Peach, DPT, OCS, CSCS
megan@excelptmt.com

Snow flurries don’t stop most runners from running here in the Gallatin Valley and while running may continue well into cooler temperatures, don’t let a running injury inhibit your ski season! Especially a stress fracture. Up to 10% of runners may suffer from a stress fracture at some point during their running career, and the majority of these injuries are due to training error. Many runners don’t consider a change in terrain a change in training, but a change from trail to icy sidewalk can make a big difference in impact. A stress fracture begins with repetitive stress to the bone such that eventually causes microdamage. (more…)

Excel PT Team to talk at Schnee's Foot Health Seminar, 4/14/2016, 7-8pm

By Megan Peach, DPT, OCS, CSCS
megan@excelptmt.com

Not sure why your feet are hurting? Or which kind of shoe will help? Join us at Schnee’s Boots Shoes & Outdoors, Thursday April 14th from 7-8pm for a Foot Health Seminar. Megan Peach, Chad Yoakam and Jason Lunden of Excel Physical Therapy will be discussing “Foot and Arch Myths and How They Impact Your Movement”. Special Guest, Scott McCoubrey of Scott Footwear. Bring your questions for Q&A after the talk. See you at Schnee’s Montana!

Prevention! See Us Before Your Injury

By Megan Peach, DPT, OCS, CSCS
megan@excelptmt.com

Why wait until after you are injured to see a physical therapist? Did you know that a great time to see a physical therapist is before you are injured? I recently evaluated a patient who wanted to see a physical therapist to learn a home exercise program to prevent future episodes of low back pain. (more…)

Advanced Training News…we’re at it again!

By Megan Peach, DPT, OCS, CSCS
megan@excelptmt.com

Megan Peach, DPT, OCS, CSCS, physical therapist with Excel Physical Therapy of Bozeman and Manhattan, recently completed a three day course titled, “Manual Therapy and Pregnancy: An Integrative Approach” in Portland, Oregon. This course, through the North American Institute of Orthopedic Manual Therapy (NAIOMT), focused on the physical and physiological changes during pregnancy with an objective to gain knowledge and tools for treating the pregnant patient using manual therapy techniques that are safe for both mother and baby. This course also covered up to date exercise guidelines for the pregnant population and tools for the physical therapist to use during pregnancy as well as in the postpartum period to reduce pain and improve function.

Advanced Training News...we're at it again!

By Megan Peach, DPT, OCS, CSCS
megan@excelptmt.com

Megan Peach, DPT, OCS, CSCS, with Excel Physical Therapy of Bozeman and Manhattan, recently completed a North American Institute of Orthopedic Manual Therapy (NAIOMT) advanced training course in Seattle, Washington. This course, taught by Brett Windsor, PT, PhDc, MPA, OCS, FAAOMPT, offered instruction on biomechanical assessment of the lower extremity and rationale for individualized treatment programs. Treatment techniques focused on manual interventions including joint mobilization, manipulation, and soft tissue massage as well as taping techniques and exercise intervention for the knee, foot, and ankle.

Recent Research on Patellofemoral Knee Pain - It's All About the Angle

By Megan Peach, DPT, OCS, CSCS
megan@excelptmt.com

Do you have patellofemoral knee pain? A recent study by Christopher Powers et al. in the Journal of Orthopaedic & Sports Physical Therapy suggests that knee angle during quadriceps strengthening exercises affects patellofemoral joint stress. Because excessive joint stress may contribute to patellofemoral pain, the author’s purpose was to determine which exercises were minimally stressful to the knee.

                                                                                                       

During the squat exercise, joint stress was the least in the standing position, and increased as a subject descended into the squat position, peaking at 90 degrees of knee flexion. In an open chain seated leg extension exercise the joint stress was variable depending on the type of weight used, however joint stress was generally greater when the leg was fully extended.

 

The authors suggest that a squat exercise from standing to 45 degrees knee flexion coupled with an open chain seated leg extension from 90 degrees to 45 degrees knee range of motion is the best combination to minimize patellofemoral joint stress and therefore strengthen the quads without increasing pain.

 

We can help you if you suffer from patellofemoral knee pain. Call us at 406-556-0562 (Bozeman) or 406-284-4262 (Manhattan). 

Megan Peach, DPT, CSCS is an Orthopedic Clinical Specialist (OCS)

By Megan Peach, DPT, OCS, CSCS
megan@excelptmt.com

Megan Peach, physical therapist with Excel Physical Therapy of Bozeman and Manhattan, has received the advanced Orthopedic Clinical Specialist (OCS) designation after passing a rigorous exam from the American Physical Therapy Association‘s American Board of Physical Therapy Specialties. The specialist certification program provides formal recognition for physical therapists with advanced clinical knowledge, experience, and skills in a special area of practice. Congratulations Megan for achieving your ongoing advanced training (and the 3 new initials)!


What is an Orthopedic Clinical Specialist (OCS)?

Orthopedic Clinical Specialists are recognized by the American Board of Physical Therapy Specialties as individuals whose clinical specialization in orthopedic physical therapy demonstrates knowledge, skill and experience exceeding that of an entry level physical therapist. The specialist certification program was established to provide formal recognition for physical therapists with advanced clinical knowledge, experience, and skills in this special area of practice and to assist consumers and the health care community in identifying these physical therapists.

The credentials of Orthopedic Clinical Specialist (OCS) are designated to those individuals who have successfully become board certified clinical specialists in the areas of orthopedics.  At a minimum, therapists who receive this clinical distinction have completed 2,000 hours of direct patient care in the area of orthopedics and have successfully completed a rigorous written examination.

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