Free Excel PT Running Camp - 6/4/2016 - Register Online Now

By Tiffany Coletta
tiffany@excelptmt.com

Sometimes the best way to start running is not to put on your running shoes. Your first best step is to attend the Excel Physical Therapy Running Camp – a free three-hour boot camp on Saturday, June 4, 2016 to help you start running correctly and avoid pain & injury. Excel Physical Therapy is hosting this running boot camp at our Bozeman location at 1125 West Kagy Blvd., Ste. 101A (corner of South 11th Ave. and Kagy Blvd.).

Our Running Specialist PT Team will guide 30 participants through:

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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…)

Injury Prevention in Nordic Skiing: Elbow & Shoulder Pain

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

Due to the repetitive stress from poling, Nordic skiers can develop overuse injuries of both the elbow and/or the shoulder. The most common of these are medial epicondylitis and shoulder impingement syndrome.   The underlying cause of the development of these injuries is multi-factorial: poling technique, pole length, and poor strength and conditioning.  

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"Got to Keep on Moving" by Matt Heyliger, DPT

By Matt Heyliger, DPT
matt@excelptmt.com

I have recently been thinking quite a bit about the importance of joint mobility, not strictly for function, but for joint health. In manual therapy, assessment of a given joint in the body always consists of consideration of joint mobility. Is there enough mobility? If not, why not? Does the joint itself have a motion restriction? Or is there perhaps some tissue outside the joint, like a tight muscle, that is limiting mobility? While it makes sense that a certain degree of motion is important for functional tasks, like bending your knee a certain amount to ascend stairs, mobility is also critical for joint health. (more…)

Free Climbing Injury Screens @ Spire Climbing Center 9/16/2015 6-9pm

By Matt Heyliger, DPT
matt@excelptmt.com

Excel PT Matt Spire Climbing Injury Screens Facebook JpegClimbing unquestionably takes a toll on the body and many if not all climbers end up dealing with some type of injury each season. When our bodies tell us a break from climbing is mandatory, we often make the mistake of not correcting the biomechanical factors that made us vulnerable to injury in the first place. Often times these predisposing factors are easy to correct with proper assessment and the right treatment plan.

Screening includes:

  • A quick evaluation of any climbing-related injuries.
  • Advice on proper management of the injury.
  • Screen for any further medical assessment needs.

Each screening will be approximately 15-20 minutes long so please be prompt.

Sign up online at the following link: www.spireclimbingcenter.com/onlineregistration

Scroll to Events and select the FREE Injury Screening link and fill out the appropriate information.

Matt Heyliger, DPT is a physical therapist with Excel Physical Therapy and an avid rock climber.

 

 

 

 

Leg Length Differences-Does it Matter?

By David Coletta, MPT, CMPT
david@excelptmt.com

There is no doubt that leg length differences (LLDs) exist, but a lack of agreement exists about diagnosing the condition, their functional importance, and how to treat them.  How many of us have been to the physical therapist, massage therapist, or chiropractor and were told that our legs were not of equal length?  Lying face up on the exam table, we ponder what to do about this recent revelation.

Most experts agree that 0.5 centimeters (1/8 inch) or less of leg length difference is not significant.  Furthermore, most clinicians agree that mild to modest discrepancies should not be corrected in the absence of pain or dysfunction.  If it doesn’t hurt, then don’t fix it.  But what if the difference is causing problems?  How reliable is a clinician’s assessment of your LLD?

LLDs can be either anatomical or functional.  An anatomical LLD is present because of a structural (bone; cartilage) difference, comparing one leg to the other.  For example, an individual may have broken a bone in his or her leg at a young age, creating a disturbance in the growth plate, ultimately leading to an alteration in that bones final, mature length.  A functional leg length occurs when a limb only presents longer or shorter because of being forced into this position by changes in muscles or other soft tissues of the low back, hips, or feet.   Tight muscles in the right side of your low back can draw up the right leg, making it present as shorter. 

Clinically, physical therapists can pick up a LLD by looking at your leg lengths in standing and lying down with the use of visual inspection and tape measurement.  There have been several studies looking at the accuracy of LLD clinical assessment and the evidence seems to point towards our ability in picking up these discrepancies.  However, clinical accuracy is limited.  I can say “Mrs. Jones, your left leg is around 1 to 1.5 centimeters longer on the right.”  I cannot say “Mrs. Jones, your left leg is exactly 1 centimeter longer on the right.”  Only obtaining an x-ray or CT-Scan of the legs can give you a fairly accurate number on LLD.

Most of us are walking around with some type of LLD, which is more likely functional, rather than anatomical.  Don’t be surprised if someday you are told that one leg is longer or shorter than the other.  In the presence of pain, a LLD can be addressed by placing a heel lift in the shoe or adding to the sole on the outside of the shoe.  Use caution when correcting a LLD.  A good rule of thumb is to correct for no more than ½ of the suspected LLD and only make an alteration of 3 to 5 millimeters at one time.  Wait several weeks to month a month before trying additional lift height.  Your physical therapist or other health care professional can assist you in this process.

To reach David Coletta, MPT, CMPT with any LLD questions, please contact him at “david at excelptmt dot com” or call our Excel Physical Therapy Bozeman office at 406.556.0562.

"Please tell David...Dude, my back feels awesome today!" --Bozeman Patient

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