Physical Therapy as a Means for Prevention 

By Matt Schumacher, DPT, MTC, CAFS, CSCS
matts@excelptmt.com

What do you think of when you hear physical therapy? Most individuals may have experienced or know of someone who experienced physical therapy with a past injury or surgery. This is the bread and butter of what we do as physical therapists through rehabilitating individuals back to what they love to do; however, most people do not know the benefits of seeing a physical therapist for “prehabilitation” or wellness checkups prior to a possible or potential injury from occurring.  

Just as one goes to the dentist for a biannual checkup for prevention of possible future dental issues, physical therapy has and can be an option for the public in addressing possible musculoskeletal impairments, muscle strength deficits, and range of motion deficits in the body. As most of us all know, exercise has been suggested to aid in multiple health benefits such as preventing chronic disease, boosting mental health, increasing overall longevity, reducing risk of cardiovascular disease, and improving bone health –  just to name a few. As orthopedic physical therapists, we are trained and knowledgeable in rehabilitation and appropriate exercise prescription following injury and/or surgery, but we are also trained in injury prevention by providing patients and clients resources for reducing their chance of an injury. 

As spring is approaching and we are gearing up for the beautiful Montana summer, physical therapy may be of benefit to you or someone you know to increase your chances of a healthy, active, and injury-free year. It is typically easier to address these possible impairments before an injury may emerge versus after an injury has occurred. Most everyone, including you, may benefit from a “biannual checkup” with physical therapy! 

 

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Matt Schumacher, DPT, MTC, CAFS, CSCS received his Doctorate in Physical Therapy from the University of Mary in Bismarck, ND where he was recognized as a nominee for Outstanding Student Award in his physical therapy class demonstrating excellence in academics, volunteering, and servant leadership. Following graduation, he received training from Gray Institute with a Certification in Applied Functional Science (CAFS). Matt also completed a rigorous year-long program with Evidence in Motion (EIM) achieving his Manual Therapy Certification (MTC) gaining advanced training in mobilization and manipulation techniques for common diagnoses of the spine and extremities. Matt specializes in assisting individuals following post-operative rehabilitation, sports medicine rehabilitation, and orthopedic injuries/ailments of the spine and extremities utilizing advanced knowledge and skill with manual therapy and appropriate exercise prescription. 

Your Chronic Low Back Pain Could Be Instability of the Spine Lurking in the Shadows

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

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While 80% of all US citizens will experience some level of low back pain during their lives, 10.2% (2006 US Survey) of all adults in this country have suffered from chronic low back pain that limits activity for an extended period of time.  As a physical therapist that specializes in treating the spine, I often have chronic low back pain patients that struggle to understand why their condition exists.  Many clients arrive for an evaluation after years with severe bouts of low back pain that comes and goes with minimal cause or explanation.  Trips to the doctor for medication, days missed from work, and visits to various types of practitioners are common with this diagnosis. My experience has found that some of these chronic low back pain patients have spinal instability as the source of their condition. 

Spinal instability or excessive vertebral segmental motion is a possible cause of chronic low back pain.  General wear and tear, previous injuries, and congenital abnormality of the vertebrae can be factors that lead towards instability.  Looking at the spine with the muscles removed, there is a beautiful structure that is present which allows for movement, but also provides stability from one spinal segment in relation to its neighbor (above or below).  The discs, ligaments, and vertebrae themselves provide this passive stability.  Compromise to these structures can lead to instability or an excessive amount of movement.  The muscles of core and deep spine provide protection and smooth movement between the vertebrae and the low back in general, which is termed dynamic stability. When passive stability is lacking, dynamic stability is in greater need.  However, dynamic muscular stability of this level is often lacking in spinal instability patients.  With these individuals, acute low back pain bouts arise when an activity, such as shoveling snow or even bending over to pick up a pencil from the ground, overloads the available passive and dynamic stability.

Perhaps the most common form of low back instability is an anterior spondylolisthesis or a slippage forward of a lumbar vertebra in relation to the vertebra below it.  This diagnosis can be picked up through a detailed and specific physical therapy evaluation and then confirmed with a specialized x-ray of the lumbar spine.  A spondylolisthesis has various grades, depending on the degree of slippage measured on the image. A mild or even moderate spondylolisthesis is best treated with specific core stabilization exercises and teaching the patient how to safely lift, given this diagnosis.  Higher grades of spondylolisthesis may require surgical spinal fusion to stabilize the segments. Many patients go years or decades without understanding the true source of their chronic low back pain.  In some cases, instability or spondylolisthesis is the culprit lurking in the shadows.

 

As the founding owner of Excel Physical Therapy, David Coletta, MPT, CMPT strives for our clinics to deliver unprecedented excellence with patient care in the Gallatin Valley. David established Excel PT in 2001 on the principles of specialization, advanced education and customer service. David specializes in the treatment of back and neck pain, spinal issues, whiplash, headaches, TMJ/jaw pain, and postural dysfunctions. 

A considerable amount of David’s advanced training occurred through the North American Institute of Orthopedic Manual Therapy (NAIOMT). He has completed advanced certification in manual therapy (CMPT) with NAIOMT, and he has received advanced training in dry needling techniques for the spine and extremities. David is a Certified Clinical BikeFit Pro Fitter.

Making Sense of Back Pain Seminar @ Bozeman Library

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

Community Education Series | Free & Open to the Public

“MAKING SENSE OF BACK PAIN: what you’re doing wrong for back pain

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

Thursday, October 11, 2018 | 6:30-7:30pm

Bozeman Public Library Community Room

  • What we are doing wrong with back pain as a society, as a healthcare system, and as individuals.
  • Why not all back pain is the same and why that is so important to understand.
  • Learn how to take the correct steps to control and manage your back pain in a healthy way.
  • Why MRI’s and x-rays may be sometimes misleading.
  • Learn practical exercises, movements, and modifications to help your pain and dysfunction.
  • Low back pain from all age populations will be discussed.
  • Q&A with Bobby after the talk.

Back pain is the most common complaint U.S. healthcare professionals receive daily. Come hear Bobby Bemis, a fellowship-trained orthopedic physical therapist through the American Academy of Manual Physical Therapy, discuss back pain and how you can find the pain relief you seek.

Bobby Bemis, DPT, COMT, Dip. MT, FAAOMPT 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 from the University of Colorado, Bobby earned a Doctorate in Physical Therapy from Regis University in Denver, Colorado. Post-graduation, Bobby 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 through the Institute of Manipulative Physiotherapy and Clinical Training (IMPACT). Bobby was designated as a “Fellow” with the American Academy of Manual Physical Therapy (AAOMPT) after passing a rigorous oral and practical exam. 

Conquering Low Back Pain Seminar 10/17/2018 @ Nogan's Cafe in Manhattan

By Jackie Oliver, DPT
jackie@excelptmt.com

Community Education Series | Free & Open to the Public

“Conquering Low Back Pain

presented by Jackie, Oliver, DPT

Wednesday, October 17, 2018 | 6:00-7:00pm

Nogan’s Cafe – 220 Wooden Shoe Lane in Manhattan

  • Understand anatomic sources of low back pain.
  • How a physical therapist uses specialized techniques to help alleviate low back pain.
  • Learn proven exercises to help low back pain symptoms.
  • Q&A with Jackie after the talk. Please bring your questions.

Back pain is the most common complaint U.S. healthcare professionals receive daily. Come hear Jackie Oliver, DPT of Excel Physical Therapy discuss back pain and how you can find the pain relief you seek.

Jackie Oliver, DPT completed her Doctorate in Physical Therapy at the University of Utah in Salt Lake City, Utah, one of the top Physical Therapy schools in the nation. 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. She is also trained as a Diabetes Lifestyle Coach and has worked for the University of Utah and CDC helping individuals decrease their risk of developing diabetes.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.

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. 

Posture Matters! Seminar 10/5/2016 @ Bozeman Library

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

Community Education Series   |   Free & Open to the Public

Posture Matters! Seminarpoor posture at work

Wednesday, October 5, 2016

6:30-8:00pm

Bozeman Public Library

Large Community Room

seating limited to first 100 attendees

Presented by David Coletta, MPT, CMPT

 

What You Will Learn:

  • Learn why your posture matters, how it can lead to health concerns, and what you can do to improve yours now.
  • Please bring your older kids! Learning to optimize posture at an early age can have life changing results.
  • With the popularity of personal electronic devices, poor posture is an increasing problem. People of all ages are at risk for developing a multitude of musculoskeletal problems, including neck pain, back pain, headaches, shoulder impingement, elbow tendonitis, thoracic outlet syndrome, TMD, etc.
  • Bring your questions! Q&A with David Coletta, MPT, CMPT during and after the talk.

 

David Coletta, MPT, CMPT specializes in the treatment of back and neck pain, spinal issues, whiplash, headaches, TMJ/jaw pain, postural dysfunctions and professional bike fitting. As the founding owner of Excel Physical Therapy, David established Excel PT in 2001 on the principles of specialization, advanced education and customer service. He enjoys finding long-term solutions for his patients — solutions that involve a fine-tuned combination of manual manipulative therapy and a targeted exercise program that address even the most difficult patient presentations.

 

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 David Coletta, MPT, CMPT
david@excelptmt.com

David Coletta, MPT, CMPT, physical therapist and owner of Excel Physical Therapy of Bozeman and Manhattan, recently completed a seven day advanced spinal manipulation training from the North American Institute of Orthopedic Manual Therapy (NAIOMT). The course was held at Andrews University in Berrien Springs, Michigan, and was taught by Erl Pettman, PT, MCSP, MCPA, FCAMPT, a world leader in the development and education of safe and effective spinal manipulation.

  • At Excel PT of Bozeman and Manhattan, we are dedicated to providing our patients with the highest level of physical therapy treatment. Our physical therapists focus on evidenced-based practice, rigorous continued education in specialized areas of treatment, and weekly research-based study to allow our patients to quickly and effectively achieve the best results. To further ensure preeminent physical therapy services and patient care, each of our patients are directly treated by our licensed, specialty certified physical therapists – without interaction from assistants or aides.

"I have never before had front office staff help me so much with insurance. I love the text reminders and Jason is so knowledgeable and great. Happy client!" --M.A., Bozeman Patient 

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