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Physical Therapy Can Help with Balance and Fall Prevention

By Jackie Oliver, DPT
jackie@excelptmt.com

According to the APTA website, one-third of people over the age of 65 and up to half of people over the age of 80 will end up falling this year. Falls can diminish your ability to lead an active and independent lifestyle. Decreased balance and increased risk of falling are two things that inevitably come with aging. Fortunately, there is something you can do about it. 

Balance has contributions from three sources; the inner ear, the feeling on the bottom of the feet, and your vision. If anyone of these is affected it can really decrease your balance. For example, if you suffer from macular degeneration that affects your vision or diabetic neuropathy that affects your ability to feel the bottom of your feet, then you may be at greater risk of falling. Other contributing factors include age, lower extremity weakness, using a cane or other walking device, medical conditions like stroke or Parkinson’s disease or a history of previous falls. If you have any of these risk factors and are concerned about falling, then physical therapy can help. 

Physical therapists are highly trained professionals that can conduct balance assessments to determine if you are at an increased fall risk. If the screening shows that you are at risk, we can design a program tailored to your specific needs to help decrease your risk of falling. Strength, gait, range of motion and balance are all things that may be included in your plan of care to improve balance. 

Staying active is one of the best ways to reduce your risk of falling. Yoga, gardening, Tai Chi or a regular walking program are all things that have been shown to increase a person’s confidence levels, improve body awareness and improve balance. Falling or fear of falling should not simply be accepted as a normal aspect of aging. A lot can be done to improve balance and keep you functioning at your highest possible level and physical therapy can help you get there. 

Jackie Oliver, DPT is a physical therapist at Excel Physical Therapy in Bozeman and Manhattan, Montana.

Joint pain from osteoarthritis? A whole new world of relief!

By Bobby Bemis, DPT, COMT, DIP. MT, FAAOMPT
bobby@excelptmt.com

Imagine a world where joint pain from osteoarthritis has less to do with “overuse” or “wear and tear” of the joint and more to do with lack of exercise, a sedentary lifestyle, one’s diet and systemic inflammation. How would that impact you, your family and your lifestyle? Maybe instead of staying off those painful joints you would move more? Instead of chalking your pain up to “genetics” or “worn out joints” maybe you could have more control over your pain? Maybe you would start to look at your diet and what impact it has on systemic inflammation in your body? Maybe suddenly your whole perception of your joint pain would change? 

I am here to tell you that more and more high-level evidence is reporting that the old notion that osteoarthritis is solely a result of joint overuse is outdated and incorrect. Study after study shows that the world I asked you to imagine above is the world we live in. We should all jump for joy because that means we have more control over joint pain resulting from osteoarthritis than we ever thought before. That means that physical therapy, exercise, diet and overall lifestyle is more important than ever. 

Research has shown that recreational runners have a lower incidence of osteoarthritis compared with competitive runners and sedentary individuals. Research also shows that the link between obesity and osteoarthritis has more to do with inflamed adipose (fat) tissue, elevated cholesterol and lipids (fat) in the blood leading to systemic inflammation and perhaps less to do with increased joint loading. There is even a study that looked at obese mice and showed that running on a wheel in a cage, protected their joints instead of damaging them. The take home message of this study is that exercise alone, separate from the resulting weight loss, promoted joint health! 

If you suffer from joint pain resulting from osteoarthritis or unexplained joint pain, I strongly encourage you to make an appointment with a physical therapist. It might not only help your pain but change your whole life. 

Bobby Bemis, DPT, COMT, DIP. MT, FAAOMPT is a fellowship trained orthopedic physical therapist at Excel Physical Therapy in Bozeman, Montana.

WHAT IS DIRECT ACCESS AND WHY YOU SHOULD CARE?

By Jackie Oliver, DPT
jackie@excelptmt.com

Direct Access. It sounds like an exclusive VIP backstage pass but, in reality, it’s an all access pass for individuals to see their physical therapist without a doctor’s referral. That’s right, you don’t have to spend time and money to go see a doctor before seeking physical therapy treatment. 

A study done by GALLUP, asked individuals which profession was the safest and most effective for treating neck pain. Overwhelmingly people answered physical therapy.  Though surprisingly when asked what profession they sought treatment from first, only 6% said physical therapy.  Most went to their medical doctor first. 

A lot of people are not aware that physical therapy is a direct access profession. Direct access benefits you in many ways. It streamlines your care, by eliminating the time between a physician’s appointment and getting in to see your physical therapist. By seeing your physical therapist first, you can start to improve your function, decrease pain and restore quality of life without delay. Furthermore, you could save hundreds of dollars on care. Medical doctors may do x-rays or prescribe medications that can end up costing a lot of money but don’t really solve your problems. Physical therapy is a great alternative to dangerous opioids and is often more effective than opioids, and in some cases surgery. If you think that your injury or pain is musculoskeletal in nature, a physical therapist should be your first stop. This will promote optimal outcomes and recovery. 

Not sure if we can help? Physical therapists are highly-trained professionals that are well equipped to be able to recognize if a problem isn’t musculoskeletal in nature and, if necessary, able to refer you on to the proper health care professional to address your issue. Physical therapists are not meant to take the place the of physicians, in fact, we work very closely with them to optimize your care. Keep physical therapy in mind the next time you have an ache or a pain that just won’t go away. We can help get you back to doing what you love. 

Call us today to schedule a thorough physical therapy evaluation in our Bozeman or Manhattan office.

Huffing for Stuffing Running Injury Prevention talk @ Schnee's 9/21/17 6:30p

By Tiffany Coletta
tiffany@excelptmt.com

Join us tonight for the Huffing for Stuffing Training Program Kick-off Celebration!

Thursday, September 21, 2017 from 6:30 – 7:30pm at Schnee’s, 35 E. Main, Bozeman, Montana

Bobby Bemis, DPT, COMP, DIP. MT, FAAOMPT from Excel Physical Therapy will lead a 15-minute talk on running injury prevention and tips for running on ice!
 
Curt and Company from Schnee’s will be on hand to make sure you walk out with happy feet – that your new running shoes fit properly from heel to toe.
 
 
Schedule: 
Shoe and sock fitting: 6:30pm – 7:15pm
Excel PT Presentation and Q&A: 7:15pm – 7:30pm

 

 

 

 

For more info: 

http://www.huffingforstuffing.com/get-involved/new-for-our-11th-year

What's The Best Medicine For Your Back Pain?

By Jackie Oliver, DPT
jackie@excelptmt.com

It’s summer time and all you want to do is to be outside enjoying the weather and many outdoor activities that Bozeman has to offer. The only problem is, you have this nagging low back pain holding you back. You keep thinking, should I stay home and rest it or do you push forward and continue participating in the activities that you love? Will you hurt your back more if you charge full steam ahead? 

Statistics show that up to 80% of people will experience low back pain at some point in their lives. It is considered the leading cause of activity, limitation and work absence throughout much of the world. The good news is that most of the time, low back pain has a favorable diagnosis. The question remains, what do you do in the meantime? 

Research shows that even though it might feel like you are doing your back a favor by taking a few rest days. In reality, you are doing yourself a disservice. It has been demonstrated that best rest after an acute onset of low back pain can lead to secondary complications such as depression, blood clots and decreased muscle tone. 

Studies show that moving is the best medicine for your low back. Early resumption of normal or vocational activities will help you get back on your feet sooner.  Promoting movement, such as stretching, while avoiding aggravating activities will help your back feel better. By incorporating low intensity, submaximal fitness and endurance type activities into your daily routine, you will help keep your back strong and decrease your chance of suffering from reoccurring low back pain. Specifically, exercises that target your core, low back and legs will help support your spine. 

The thing to remember is that there are many different causes of low back pain and many ways to treat it. If movement and exercise doesn’t decrease your low back pain and it continues to persist, a visit to your local physical therapist may be beneficial to help get you on the fast track to feeling better.

 

Jackie Oliver, DPT completed her Doctorate in Physical Therapy at the University of Utah in Salt Lake City, Utah. Jackie is a certified dry needling provider with advanced training from Evidence in Motion and KinetaCore. Jackie has an intense passion for helping and educating others as well as preventative medicine. Because of her college sports background, Jackie loves working with athletes and has experience with biomechanical training and injury prevention in sports. Prior to completing her Doctorate in Physical Therapy, Jackie played basketball for Carroll College in Helena, Montana, while also obtaining a Bachelor of Arts degree in Health Science. Jackie was Academic All-American her last two years at Carroll. Jackie enjoys outdoor activities such as downhill skiing, trail running, disc golf and especially enjoys hiking with her husband and two dogs. 

Running Shoes: Comfort vs. Function

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

Have you ever stood in front of a wall of running shoes wondering which shoe is right for you? Maybe the Hokas with the super cushioned sole that feel like you’re running on clouds? Or the Brooks trail runners since the trails have cleared up and you’ve been wanting to try out the North Cottonwood trail? Or maybe the Saucony minimalist shoes because you’ve recently read about the benefits of minimalist running? Or my personal favorite, the hot pink shoes with tie-dye laces?! 

You may think that based on the available technology for running shoes and advancements in materials used to create modern running shoes that a plethora of running shoe research would be available. However, this is not necessarily the case.

Although the modern running shoe has been around for the past 40 years since the running boom in the 1970s, research specific to running shoes and injury is relatively new within the past few years. A wide variety of shoe functions exist in running shoes from a cushioned sole for shock absorption, motion control to decrease over pronation, a trail runner, or a minimalist shoe. While some runners may benefit from a specific type of shoes, recent studies on footwear for runners suggest that when shoes or orthotics are selected for comfort rather than function this results in a decreased frequency of running related injury.

So, unfortunately, you can’t base your choice on shoe color alone, but if the pink shoes with tie-dye laces have the best fit and are the most comfortable, they are also the most likely to keep you out of an injury!

Megan Peach, DPT, OCS, CSCS specializes in manual treatment of spinal dysfunction, as well as knee and shoulder pain and is a member of the Excel Physical Therapy running specialist PT team. Megan’s philosophy for physical therapy treatment embraces educating patients about the tools they need for enhancement of proper body movements during work and play to promote a pain and injury free active lifestyle. 

Excel PT Running Camp 2017

By Tiffany Coletta
tiffany@excelptmt.com

​You are invited! Excel Physical Therapy is hosting our annual free Running Camp on Saturday, June 10, 2017, 8am-12pm. We offer this camp each year because we want to serve the community we love. 

 

This comprehensive workshop helps to ensure you are running correctly to avoid pain & injury. Excel Physical Therapy is hosting the running boot camp at our Bozeman location at 1125 West Kagy Blvd., Ste. 101A (corner of South 11th and Kagy). 

 

Our Running Specialist PT Team will guide 30 participants, ages 21+, through:

  • Topics will include: training principles, stretching and strengthening exercises to reduce the risk of injury, cadence training and balance.

  • Running Mechanics instruction on how to decrease impact and increase efficiency.

  • Special guest discussions with Haley Chura, professional triathlete and Lindsay Kay Kordick, MS, RD, LN, EPc, sports nutritionist.

  • How to choose the correct running shoes and other helpful running gear.

  • A local training run with our Running Specialist PT Team after the in-clinic sessions.

  • Q&A time with our running experts and special guests.

  • Attendees will receive a running training program from our Running Specialist PT Team. 

  • Raffle prizes include 2 entries for the Sweet Pea Run 5K. We are proud sponsors of the Big Sky Wind Drinker’s Sweet Pea Run! We have designed this running camp to help get you in top form for this Bozeman running tradition held in early August.

Presented by: 

Megan Peach, DPT, OCS, CSCS

Jason Lunden, DPT, SCS

with special guests from the Gallatin Valley sport and health community: Haley Chura, professional triathlete and Lindsay Kay Kordick, MS, RD, LN, EPc, sports nutritionist

Running Camp 2017
Running Camp 2017
Running Camp 2017

Hip to be Cool: Preventing Running Injuries - Outside Bozeman Magazine

By Jason Lunden, DPT, SCS
jason@excelptmt.com

“Hip to be Cool – Preventing Running Injuries” article from Outside Bozeman Magazine

by Jason Lunden, DPT, SCS

Join Jason Lunden, DPT, SCS and Megan Peach, DPT, OCS, CSCS at our Running Experts Forum event on 3/29/2017, 6:30pm at the Bozeman Library for a lively discussion of ALL things running. Our Physical Therapists who specialize in Running Injury Treatment and Running Evaluations along with several Bozeman running expert special guests will discuss various running related topics and answer audience questions. Bring your questions or email them in advance to megan@excelptmt.com!

Running Experts Forum • March 29th @ 6:30pm

By Tiffany Coletta
tiffany@excelptmt.com

Community Education Series – free and open to the public 

Running Experts Forum

Join us for an interactive, moderated panel discussion with Bozeman’s running experts about ALL things running. 

Wednesday, March 29, 2017

6:30-7:30pm

Bozeman Public Library Community Room

Door Prizes!

Follow this event on Facebook!

 

 

Panel Guests:

  • Mike Wolfe, owner of The Mountain Project training gym and professional mountain ultrarunner 
  • Casey Jermyn, owner, Bozeman Running Company and Bozeman High School cross-country team head coach 
  • Jason Lunden, Sports Physical Therapist and co-owner of Excel Physical Therapy 
  • Nikki Kimball, Physical Therapist, professional ultrarunner & running coach at Epic Athletics
  • Moderated by Megan Peach, Physical Therapist and Orthopedic Clinical Specialist at Excel Physical Therapy

 

Panel discussion topics to include: 

Injury Prevention • Running technique • Shoe selection • Foot strike pattern • Staying motivated • Answering your questions!

 

Please submit your questions in advance for the running panel guests to megan@excelptmt.com or if you don’t mind raising your hand, bring them to the event! 

Seating is limited to 100 attendees

 

For more information, contact Megan Peach, DPT, OCS, CSCS at 406.556.0562 or megan@excelptmt.com

2015's Running Experts Forum
Bring your questions for Bozeman's running experts panel!

Are You an “ACTIVE" Couch Potato? 

By Jackie Oliver, DPT
jackie@excelptmt.com

A big draw to the city of Bozeman, Montana is the proximity to recreational activities and easy access to outdoors. In this community, we are above average when it comes to being active but have we really decreased our health risks? We exercise on a regular basis so we don’t have to worry about the slogan “sitting is the new smoking”, right? Wrong. A growing body of evidence has demonstrated a decreased life expectancy for those individuals who sit for most of the day, even if they exercise on a regular basis. It is entirely possible to meet the current physical activity guidelines outlined by the World Health Organization, while still being incredibly sedentary. (more…)

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