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.

 

Exercise Induced Muscle Cramps: Kind of a Big Dill

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

You know the feeling. You can see the finish line but you can’t get there because of a sudden onset of a muscle cramp in your calf that is demanding you stop. Dehydration and electrolyte imbalance were originally thought to be the cause of muscle cramping; the current theory is one of central regulation. In other words, muscle fatigue or stress create an imbalance in signals from the muscle to the central nervous system. As a result, the central nervous system alters motor neuron control and signals the muscle to continue to contract resulting in a cramp. Factors thought to be related to exercise induced muscle cramps include prolonged activity, muscle fatigue, increased exercise intensity, high levels of static stretching prior to exercise, and multiple high intensity workout days prior to competition. Muscle cramps often resolve as spontaneously as they occur, and usually within a few seconds to a couple of minutes. Suggested treatment of a muscle cramp includes rest, prolonged stretching with the muscle at full length, and pickle juice! You might think that pickle juice is related to electrolyte imbalance, but a new theory suggests that certain molecules in pickle juice (or other pungent foods) attach to receptors in the mouth and upper GI tract that are directly connected with the central nervous system. These receptors help the central nervous system to reduce the signal to the cramping muscle, therefore diminishing the cramp and your discomfort. So the next time the end is in sight but a muscle cramp is holding you back, grab your pickle juice. Because finishing a race is an accomplishment – it’s kind of a big dill.

Murray B. How curiosity killed the cramp: emerging science on the cause and prevention of exercise-associated muscle cramps. AMAA Journal 2016; Fall/Winter: 5-7.

 

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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. 

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.

Excel PT Running Camp 2018

By Tiffany Coletta
tiffany@excelptmt.com

Open registration starts May 10th, 2pm! Big Sky Wind Drinkers members may register April 26-April 30th.

Attendee’s of our May 9th, 2018 Running Strong Seminar at the Bozeman Library will also receive priority registration access. 

Excel Physical Therapy is hosting our annual Running Camp on Saturday, June 16, 2018, 8AM-12PM, at our new state-of-the-art Bozeman location. We are located at 1823 West College Street, (corner of South 19th and College). 

This comprehensive 4-hour workshop ensures you are running strong to avoid pain & injury. Your registration is reserved with a $10 donation. We will donate your registration amount to the Gallatin Valley Food Bank in your name. Waiting list: This event is limited to the first 30 participants who register. You may sign up for the waiting list via our eventbrite.com registration page which will contact you via email if space becomes available.

Our Running Camp is a way for our team to share what we are passionate about with our community-from treating runners in the clinic to providing running mechanics education to running the local trails ourselves.

Our Running Specialist PT Team will guide up to 30 participants, ages 18+, through:

  • A discussion of training principles to reduce the risk of injury, stretching and strengthening exercises to supplement your running program, and a discussion on cadence training. 

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

  • Special Guest discussions with Mike Wolfe, professional ultra-runner/The Mountain Project owner; Erika Rauk, MS, RD, LN, Registered Dietician; and Curt Smith, Schnee’s Shoes Footwear Manager. Inspiration, Nutrition, & Gear!

  • Cadence retraining during a short local training run with our Running Specialist PT Team.

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

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

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

  • Raffle prizes include a 60-minute massage appointment with Excel PT’s Tristin Lowe, LMT and 2 entries for the Sweet Pea Run 5K. We are proud sponsors of the Big Sky Wind Drinker’s Sweet Pea Run! Our running camp is designed to help get you in top running form for this annual early August Bozeman running tradition.

Presented by: Megan Peach, DPT, OCS, CSCS and Jason Lunden, DPT, SCS 

Our mission at Excel Physical Therapy is to support our community through service, education and promoting the value of health and well-being; the Excel Physical Therapy Running Camp is our commitment to you to provide you with the most up to date strategies for a successful running program. Your strongest miles are ahead of you! 

Running Camp 2017
Running Camp 2017
Running Camp 2017

Running Strong Seminar - 5/9/2018 @ Bozeman Library

By Tiffany Coletta
tiffany@excelptmt.com

community education series

Running Strong: How to Run While Preventing Injury  

Join us Wednesday, May 9, 2018 at 6:30pm in the Bozeman Library Community Room for a lively discussion on running mechanics and injury prevention. Our team of running specialists, Megan Peach, DPT, OCS, CSCS, and Jason Lunden, DPT, SCS will review running injury prevention advice to help you run strong and pain-free. 

Our Physical Therapists will discuss:

  • How to customize your running mechanics to prevent running injuries.
  • The top risk factors for running-related injuries – running mechanics, flexibility, strength, foot strike patterns, and training errors.
  • Q&A: Bring your questions for the Excel PT running experts to answer.
  • Priority Registration! Seminar guests receive priority registration consideration for our June 16th, 2018 Running Camp at our new state-of-the-art Bozeman location. Our annual running camp, limited to the first 30 sign-ups (waiting list available), is a 4-hour comprehensive running workshop filled with great info from our running experts and community special guests. Since this is a community outreach event, the suggested running camp online registration is a $10 donation which will be donated to the Gallatin Valley Food Bank in the registrant’s name. Click Here for more info.

Door prizes! Free and everyone welcome.

Attendee’s of our May 9th, 2018 Running Strong Seminar held at the Bozeman Library will receive priority registration access for our annual Excel Physical Therapy Running Camp 2018 community education event, held on June 16th, 2018, 8AM-12PM at our new state of the art Bozeman location at 1823 West College Street (corner of 19th and College Streets.)

Our team’s mission at Excel Physical Therapy is to support our community through service, education, and promoting the value of physical well-being; this seminar is our commitment to you to provide you with the most up to date strategies for a successful running program so you can Live Better and Play Smarter.

"Jason, David and Megan are awesome! They have all treated me for various issues. They have saved me from a shoulder surgery. I feel so good after my PT appointments. Excel PT has a very special team." --Bozeman Patient  

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