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COVID-19 - our updated policies and Virtual PT Visits Now Available

By Tiffany Coletta
tiffany@excelptmt.com

We are committed to you now and always since 2001.

Dear valued clients and community partners, 
 
Our leadership team continues to monitor the COVID-19 situation on a daily and often, hourly basis to make decisions regarding our practice. Our promise to you is to keep a safe and clean environment for those who need our services the most. We understand this is a very difficult time for everyone. 
 
Our Bozeman clinic is OPEN in agreement with the March 26th directives from the Gallatin Valley Health Department and the MT Office of the GovernorPhysical Therapy is considered an essential critical infrastructure and massage therapy-when provided in a physical therapy clinic-are under this directive. As a healthcare facility, we are currently one of the few options for those who are suffering due to cancelled surgeries, chronic pain, and other issues during this unprecedented time where healthcare has suddenly become a precious commodity. 
 
In the state of Montana, we have direct access for physical therapy care, which means a patient can be treated without needing a doctor’s prescription. Almost all insurance plans cover PT under direct access. Call our friendly front office team and we can check your plan for you. 
 
Virtual Physical Therapy Appointments  Our goal is to make sure to we are available for our patients and anyone else who needs us at this time while options remain limited. We are offering virtual physical therapy appointments for those who are unable to come into the Bozeman or Manhattan clinics.  Virtual PT appointments involve easy video conferencing on your computer, tablet, or smart phone and Switchback Healthcare to seamlessly deliver your custom exercises in a video format. It’s as simple and secure as clicking on an email link from us. Some insurance companies are paying for telehealth and, for those that are not, Excel is offering a discounted prompt pay rate of $70 per virtual PT visit. Our therapists and patients are finding online appointments very useful in efforts to provide a “next best option” to in-person appointments.  
 
Our Precautions and Prevention Policies  We have implemented COVID-19 policies per CDC guidelines to further increase precautions and prevention. All policies apply to both staff, patients and anyone entering our facility. Thank you to all for your patience and accommodation with these polices, which include the following:
We are: 

  • Screening patients on the telephone when making appointments and in the clinic before an appointment regarding illness and travel. Anyone having returned to Gallatin Valley after visiting a CDC community spread state or country with a CDC travel warning is asked to self-isolate for 14 days before attending in-clinic appointments.

  • Often checking temperatures.  

  • Not allowing any individuals to enter our clinic with ANY illness symptoms or symptoms of the virus. 
  • Not allowing any individuals to enter our clinic with concerning potential exposure while in Bozeman or with recent travel.  

  • Having our patients and therapists wash their hands thoroughly before and after each visit. 

  • Spreading out our patient appointments and reducing in-clinic staff to have a very low-flow clinic environment.
  • Not allowing visitors to attend in-clinic appointments with any patient (unless the patient is a minor). 

  • Tirelessly disinfecting patient and therapist contact surfaces. 

We are here for you!   As always, your physical therapist is available through email or phone and we encourage you to communicate with them regarding your care. Our PT team is able to schedule a virtual visit for you directly as well. Reach out to our front office team too with any questions at info@excelptmt.com or to also schedule a virtual PT visit. 

Please be safe, stay active and healthy. We are here for you as we navigate this situation. Let us know if you have any questions. 
With much love and appreciation, 
David, Jason and Tiffany 
along with the whole Excel PT and Massage team 


Bozeman team: 406-556-0562
info@excelptmt.com

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. 

Deep Vein Thrombosis: Everything you need to know about diagnosis and prevention. 

By Jackie Oliver, DPT
jackie@excelptmt.com

A deep vein thrombosis (DVT) occurs when a blood clot or thrombus forms in one of your deep veins due to slow moving blood. Most often a DVT occurs in the calf or lower leg, however a DVT can also form in other regions of the body such as the arm. Learning what puts you at risk for developing a DVT, as well as being able to identify the signs and symptoms associated with this medical condition is important for prevention of more serious complications like a pulmonary embolism (blocking blood flow to the lungs).  

The signs and symptoms of a DVT can include swelling in the affected leg, usually in the calf. This will normally feel sore and tender to touch. You may also see redness and warmth associated with the swelling. The hallmark sign of a DVT is that the pain does not increase or decrease with a change in position. DVTs can mimic a musculoskeletal injury like a calf strain without other symptoms like swelling and redness. The thing to remember is that a calf strain would have a mechanism of injury or a specific onset, whereas a DVT would have a history of prolonged sitting or recent surgery.  

Risk factors that increase the likelihood of developing a DVT include: a recent surgery, prolonged bed rest, pregnancy, smoking, age or sitting for long periods of time like when you are driving or flying.

If you find yourself in one of these categories there are a few measures you can take for prevention: 

1.) Avoid sitting still for prolonged periods. If you do have to be sitting or immobile for prolonged periods such as long plane flights or being laid up in bed recovering from a surgery or sickness, try pumping your feet up and down to get your muscles working and the blood flowing in your legs. 

2.) Wearing compression stockings during periods of immobility can help decrease the risk of developing a DVT. Talk to your doctor or physical therapist about getting compression stockings for travel or after surgery. 

3.) Regular exercise can also lower your risk of blood clots. A new study published by the Journal of Thrombosis and Haemostasis states that participation in sports, regardless of intensity, can lower your risk of developing blood clots by up to 39%. Regular exercise also decreases your BMI, which can also lower your risk.  

If you think you have symptoms related to a DVT it is important to get it checked out at an Urgent Care or Emergency Department as soon as possible. Your doctor will be able to detect a DVT using compression ultrasonography and will treat accordingly. DVTs can be a serious health problem but knowing the signs and symptoms can help prevent complications. Discovered early, complications from DVTs are preventable and easily treatable. 

 

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Jackie Oliver, DPT has an intense passion for helping and educating others as well as preventative medicine. Because of her college sports background, she loves working with athletes, biomechanical training and sport injury prevention. 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. Jackie is a certified dry needling provider with advanced training from Evidence in Motion and KinetaCore. Jackie also leads our Work Site Solutions programs.

 

Advanced Training...we're at it again! Matt Heyliger, DPT completes lower extremity course in Seattle

By Matt Heyliger, DPT
matt@excelptmt.com

Matt Heyliger, DPT, physical therapist with Excel Physical Therapy of Bozeman and Manhattan, recently completed the North American Institute of Orthopedic Manual Therapy (NAIOMT) Level II course held in Seattle, WA with a focus on assessment and treatment of lower extremity conditions. The course emphasized assessment of the foot and ankle addressing correlations with foot and ankle biomechanics and overall lower extremity function. Many mobilization and manipulation treatment techniques were presented for the foot, ankle, and knee. Matt has now completed all Level I, II and III courses through NAIOMT, the equivalent of 231 hours of hands-on continuing education coursework in manual therapy.

Advanced Training...we're at it again! Jackie Oliver, DPT completes shoulder and knee course in Seattle

By Jackie Oliver, DPT
jackie@excelptmt.com

Jackie Oliver, DPTphysical therapist with Excel Physical Therapy of Bozeman and Manhattan, recently completed the Kevin Wilk Shoulder and Knee Course in Seattle, Washington. This advanced-training course presented the most recent, relevant and state-of-the-art treatment options for the most challenging and unusual problems of the shoulder and knee joints. This evidence-based course also focused on the most comprehensive and effective information regarding shoulder and knee post-operative treatment as well as rehabilitation tactics for general knee and shoulder pain. Kevin Wilk is our country’s leading authority in sports and orthopedic injury rehabilitation.

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.

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Injury Prevention in Nordic Skiing: Knee Pain

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

Patellofemoral pain, or anterior knee pain, is the most common type of knee pain in Nordic skiing.   Repetitive stress to the soft tissue around the patella (knee cap) occurs due to poor tracking of the patella in the femoral groove.  This poor tracking can be the result of hip weakness causing poor control of movement of the femur (thigh bone), poor stabilization from the foot and ankle, and poor skiing technique.

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"I had such an amazing experience here. Best PT I've had! Thanks!" -- Bozeman Client

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