Vestibular

Treating Chronic Pain by Megan Kemp, DPT, ATC, CSCS

By Megan Kemp
megank@excelptmt.com

 

Are you currently living in pain? Have you in the past? If so, you are not alone. 50 million American adults have chronic pain and chronic low back pain is the leading cause of work limitations in the United States. It is generally well known that physical therapy is used following surgery or an injury. Unfortunately, it is much less commonly known that physical therapy is an effective and successful option for treating chronic pain.  

Typically, when people are in pain their first thought is to stop moving. This is often magnified when an individual has been in pain for months, or even years. So, if movement hurts, how can you reduce pain by moving? In order to understand this, it is important to first outline some important principles.  

Our bones and soft tissue structures operate under two important laws: Wolfe’s law and the SAID (Specific Adaptations to Imposed Demands) principle. These laws both imply that our body will adapt to the specific loads you place on it. If you overload the structures, you will have pain. However, if you optimally load the structures (e.g. bone, muscle, tendons), they will improve in strength. By improving your body’s strength, you will in turn be able to move with less pain.  

Physical Therapists are also the experts on identifying faulty movement patterns. Everyone has specific ways they move to accomplish basic daily tasks – walking, getting up from a chair, etc. Unfortunately, our movement patterns are not always optimal. This may be due to muscle imbalances, poor motor control of stabilizing muscle groups or pain. By optimizing your body mechanics, you will be able to reduce microtrauma on certain structures and in turn reduce your pain.  

The physical therapists at Excel Physical Therapy are highly trained in manual therapy techniques. For certain types of pain, a hands-on approach of soft tissue massage and joint mobilization and/or manipulation is indicated to reduce your pain.  

Regardless of the type of pain you may have, we take on an active role in helping you achieve your goals in reducing your pain. Our goal is always to empower every patient that walks in our clinic and help them achieve their goals of pain-free living. We provide a specialized approach to physical therapy that provides the most effective treatments, allowing our patients to return to their highest level of function as quickly as possible.

We have been proudly serving the Gallatin Valley in both Bozeman and Manhattan since 2001. Call us today to schedule an appointment so we can help you too.

 

excel_faviconMegan Kemp, DPT, ATC, CSCS is a Physical Therapist, Certified Athletic Trainer, and a Certified Strength and Conditioning Specialist in our Manhattan clinic. She’s a Gallatin Valley native and graduate of Manhattan Christian High School and received her Doctorate in Physical Therapy from the University of Montana. She graduated with her Bachelor’s degree in Athletic Training from Point Loma Nazarene University in San Diego, California and is a board-certified athletic trainer through the National Athletic Trainer’s Association. Megan also completed training from the National Strength and Conditioning Association and is a Certified Strength and Conditioning Specialist. She has served as an adjunct faculty member at Point Loma Nazarene University in their Masters of Kinesiology program. Prior to obtaining her Doctor of Physical Therapy degree, Megan worked as an athletic trainer at Point Loma Nazarene University.

Megan specializes in the treatment of upper and lower extremity athletic injuries, with clinical experience treating both high school and collegiate athletes. Megan is passionate about helping athletes of all ages return to their desired activity and strives to use the most current evidence-based practice medicine coupled with her knowledge of biomechanics to help her patients reach their goals. 

"Understanding Dizziness & Vertigo: How Vestibular Physical Therapy Can Help" @ Bozeman Public Library

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

Understanding Dizziness & Vertigo: How Vestibular Physical Therapy Can Help

presented by Bobby Bemis, DPT, COMT, Dip. MT, FAAOMPT

Join us to learn about how you can stop your (or your loved one’s) dizziness and vertigo symptoms. Excel Physical Therapy’s Bobby Bemis is a Cervical Spine Physical Therapist Specialist and Emory University Certified Vestibular Rehabilitation Therapist. He will host an informative talk about how to treat vertigo, dizziness and other vestibular issues with the latest research-based treatments. Learn how specialized training and treatment approaches, along with state-of-the-art equipment can help you.

Thursday, October 10, 2019

6:30-7:30pm

 
 
You will learn:
  • What is the vestibular system and how does it work?
  • What is the difference between dizziness and vertigo?
  • Specialized physical therapy treatment for:  migraines, BPPV (benign paroxysmal positional vertigo), anxiety, vascular events, Menier’s disease, Vestibular Neuritis, cervicogenic dizziness, motion sickness, vestibular hypofunction and more.
  • Demonstration of how infrared goggles are used for examination and treatment.
  • Bring your questions! Question and answer period with Bobby after the talk.

Click Here to learn why Bobby’s chose to become a Vestibular Specialist at Excel Physical Therapy

excel-LOGO-XBobby Bemis, DPT, COMT, DIP.MT, FAAOMPT is a fellowship-trained physical therapist at Excel Physical Therapy.  Bobby specializes in orthopedic manual physical therapy of the cervical, thoracic and lumbar spine. Although the spine is his specialty, Bobby has a high level of training in all regions of the body. After receiving his undergraduate degree, Bobby earned a Doctorate in Physical Therapy, became a Certified Orthopedic Manual Therapist (COMT), Diplomat of Manual Therapy (Dip. MT), as well as becoming certified in trigger point dry needling. Bobby then went on to become Fellowship trained and was then designated as a “Fellow” with the American Academy of Manual Physical Therapy (AAOMPT) after passing a rigorous oral and practical exam. Only a very small percentage of physical therapists achieve this elite status. The “Fellow” is a physical therapist who has demonstrated advanced clinical, analytical, and hands-on skills in the treatment of musculoskeletal orthopedic disorders and is internationally recognized for their competence and expertise in the practice of manual physical therapy. Bobby achieved an Emory University Certified Vestibular Specialist designation due to advanced training and examination from the Emory University Vestibular Rehabilitation Competency-Based Course.

 

Vestibular Treatment Now Available at Excel Physical Therapy Bozeman

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

One of the great things about being a physical therapist at Excel Physical Therapy is the commitment that all of our clinicians have to life long education. This philosophy of commitment to growing and learning benefits us as clinicians, you as patients, and the Bozeman community as a whole. It is one of the things that allow Excel PT to impact our community in such a positive way and offer the best care we possibly can.  

As a spine specialist trained in manual orthopedic therapy, I treat my fair share of cervical spines. It is one of my favorite things to treat. It is interesting and complex.  Manual therapy is hugely beneficial for a variety of cervical diagnosis. These diagnosis can include cervical stenosis, cervical discs, cervical radiculopathy, upper cervical dysfunction, headaches and even dizziness related to general cervical dysfunction better known as cervicogenic dizziness. One of the things I enjoy most is resolving dizziness related to cervical dysfunction. Anyone who has dealt with a bout of dizziness knows how uncomfortable and debilitating it can be. It is so helpful to have this skill as a physical therapist so I decided to start thinking about how I could start addressing dizziness from a variety of origins not just cervical dysfunction.  

This interest of mine as well as the need I saw in the community, resulted in me flying to Atlanta and enthusiastically participating in the Emory University Vestibular Rehabilitation Competency Based Course. This course is the gold standard in vestibular continuing education. It is an intense, evidence-based course designed for physical therapists, occupational therapists and MD’s with experience treating patients with vestibular deficits.

Participants who successfully achieve the Emory University Certified Vestibular Specialist designation successfully complete a practical exam, a written exam and a video exam demonstrating assessment skills including an oculomotor exam, balance assessment, gait assessment, fall risk assessment and other functional assessments. Participants also demonstrate appropriate treatment procedures for benign paroxysmal positional vertigo (BPPV) affecting posterior, anterior and horizontal canals for both cupulolithiasis and canalithiasis, for unilateral and bilateral peripheral vestibular disorders, and for central vestibular disorders including traumatic brain injury, concussion and stroke.  

What does all of this mean? If you have dizziness, vertigo, balance problems or a variety of other issues resulting in this type of discomfort, you can come to Excel Physical Therapy, located at 19th and College streets in Bozeman, for relief and treatment by a highly trained physical therapist. We have a customized “vestibular room” with all the necessary equipment for accurate diagnosis and treatment including infrared goggles. I look forward to working with our clients who will benefit tremendously from this specialized physical therapy remedy that has very successful outcomes.

 

excel-LOGO-XBobby Bemis, DPT, COMT, DIP.MT, FAAOMPT is a fellowship-trained physical therapist at Excel Physical Therapy.  Bobby specializes in orthopedic manual physical therapy of the cervical, thoracic and lumbar spine. Although the spine is his specialty, Bobby has a high level of training in all regions of the body. After receiving his undergraduate degree, Bobby earned a Doctorate in Physical Therapy, became a Certified Orthopedic Manual Therapist (COMT), Diplomat of Manual Therapy (Dip. MT), as well as becoming certified in trigger point dry needling. Bobby then went on to become Fellowship trained and was then designated as a “Fellow” with the American Academy of Manual Physical Therapy (AAOMPT) after passing a rigorous oral and practical exam. Only a very small percentage of physical therapists achieve this elite status. The “Fellow” is a physical therapist who has demonstrated advanced clinical, analytical, and hands-on skills in the treatment of musculoskeletal orthopedic disorders and is internationally recognized for their competence and expertise in the practice of manual physical therapy. Bobby achieved an Emory University Certified Vestibular Specialist designation due to advanced training and examination from the Emory University Vestibular Rehabilitation Competency-Based Course. 

 

-Bobby 

Vestibular Specialist added to Bobby Bemis, DPT, COMT, DIP. MT, FAAOMPT's Treatment Focus

By Tiffany Coletta
tiffany@excelptmt.com

Bobby Bemis, DPT, COMT, DIP. MT, FAAOMPT

Excel Physical Therapy is very pleased to announce that Bobby Bemis, DPT, COMT, DIP.MT, FAAOMPT has achieved an Emory University Certified Vestibular Specialist: 2019 designation due to advanced training and examination.

The Emory University Vestibular Rehabilitation Competency-Based Course is the gold standard in vestibular continuing education. The course is an intense, evidence-based course designed for physical therapists, occupational therapists and MDs with experience treating patients with vestibular deficits. Participants who successfully complete this course will complete a practical exam, a written exam and a video exam demonstrating assessment skills including an oculomotor exam, balance assessment, gait assessment, fall risk assessment and other functional assessments. Participants also demonstrate appropriate treatment procedures for Benign paroxysmal positional vertigo (BPPV) affecting posterior, anterior and horizontal canals for both cupulolithiasis and canalithiasis, for unilateral and bilateral peripheral vestibular disorders, and for central vestibular disorders including traumatic brain injury, concussion and stroke.

“Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you’re spinning or that the inside of your head is spinning. Benign paroxysmal positional vertigo causes brief episodes of mild to intense dizziness.”–Mayo Clinic

Bobby is treating vestibular clients in the Excel PT Bozeman office, located at 19th and College streets, who are experiencing dizziness, vertigo, and balance issues. Specific treatment interests include Meniere’s disease, benign paroxysmal positional vertigo (BPPV), vestibular neuritis, ototoxicity, nystagmus, labyrinthitis, vestibular hypofunction, acoustic neuroma, concussion, stroke, and vestibular migraines.

Learn more about Bobby’s advanced training and certifications here.

 

"You guys are knowledgeable, friendly & do a great job!" --Manhattan Patient

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