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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. 

Running Experts Forum 2019 • April 17th @ 6:30pm

By Tiffany Coletta
tiffany@excelptmt.com

Community Education Series – free and open to all 

 

Running Experts Forum

 

Join us for an interactive, moderated panel discussion with Bozeman’s running experts about ALL things running. Door Prizes!

 

Wednesday, April, 17, 2019

6:30-7:30pm

Bozeman Public Library Community Room

Follow this event on Facebook!

 

Panel discussion topics to include: 

Injury Prevention • Running mechanics • Training tips & techniques • Shoe selection • Foot strike pattern • Staying motivated • Answering your questions! 

 

Panel Guests:

  • Our first panel guest is a Montana State University distance coach! Hear a coach’s perspective on training, technique, and injury prevention.

  • James Becker, PhD is an assistant professor at MSU in the Health and Human Development program. His research interests include biomechanical aspects of human performance and biomechanical factors contributing to orthopedic injuries and he has published numerous articles on running mechanics and running related injuries.  

  • Erika Rauk is a registered dietician and also has a masters degree in exercise physiology and sports nutrition. 

  • Nikki Kimball is an elite ultramarathon runner with numerous national titles, physical therapist and a longstanding member of the “Runners World” magazine advisory board. 

  • Jason Lunden, Sports Clinical Specialist, Physical Therapist and co-owner of Excel Physical Therapy 

  • Moderated by Megan Peach, Physical Therapist & Orthopedic Clinical Specialist at Excel Physical Therapy

Do you have a running question you’d like the panel to answer at the forum? Post your question on our Facebook event page. While you’re there, check out the Relax & Run Giveaway contest on our Facebook and Instagram pages. Post a question, like/follow us and enter to win a free 60-minute Excel Massage!

Seating is limited to 100 attendees. For more information, contact Megan Peach, DPT, OCS, CSCS at 406.556.0562 or megan@excelptmt.com.

  

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. 

Sharing Running Training Principles from The Excel PT Running Camp

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

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Excel Physical Therapy recently hosted our biennial Running Camp that reviewed the mechanics of running, training principles, and footwear to help you stay injury free during your summer running program. As it turns out, errors in training are responsible for up to 70% of running injuries.  In case you missed it, here’s a re-cap of the training principles we discussed to help reduce the risk of injury: 

  • Avoid year-long training 
  • Avoid running more than 40 miles per week 
  • Train two or more but less than 5 days per week Rest days are important! 
  • Increase mileage by no more than 10% every 2-weeks 
  • Stretch daily to ensure normal joint mobility 
  • Do strength training exercises for your core 2-3 days per week 

As runners, up to 90% of us will sustain an injury over the course of our running careers that temporarily prevents us from running. Proper training principles will help to reduce the risk of injury and improve your chances of a successful running program. 

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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. 

BSD7 Running Camp Workshop helps raise funds for Bozeman Schools Foundation

By Tiffany Coletta
tiffany@excelptmt.com

Megan Peach and Jason Lunden were honored to offer a private Running Injury Prevention Workshop for Bozeman School District employees this month in our Bozeman office. We hosted this 2 hour workshop for a nominal fee and raised $186. The Excel Physical Therapy leadership team chose to donate this total amount, paid by district employees, to the Bozeman School Foundation in honor of the inspiring and dedicated teachers and staff of Bozeman School District. 

Giving back to our community is important to the entire Excel Physical Therapy team and a key part of our mission and core values. Learn more how we support our community in other ways here: https://excelptmt.com/our-team/community/

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.

Joint pain from osteoarthritis? A whole new world of relief!

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

Imagine a world where joint pain from osteoarthritis has less to do with “overuse” or “wear and tear” of the joint and more to do with lack of exercise, a sedentary lifestyle, one’s diet and systemic inflammation. How would that impact you, your family and your lifestyle? Maybe instead of staying off those painful joints you would move more? Instead of chalking your pain up to “genetics” or “worn out joints” maybe you could have more control over your pain? Maybe you would start to look at your diet and what impact it has on systemic inflammation in your body? Maybe suddenly your whole perception of your joint pain would change? 

I am here to tell you that more and more high-level evidence is reporting that the old notion that osteoarthritis is solely a result of joint overuse is outdated and incorrect. Study after study shows that the world I asked you to imagine above is the world we live in. We should all jump for joy because that means we have more control over joint pain resulting from osteoarthritis than we ever thought before. That means that physical therapy, exercise, diet and overall lifestyle is more important than ever. 

Research has shown that recreational runners have a lower incidence of osteoarthritis compared with competitive runners and sedentary individuals. Research also shows that the link between obesity and osteoarthritis has more to do with inflamed adipose (fat) tissue, elevated cholesterol and lipids (fat) in the blood leading to systemic inflammation and perhaps less to do with increased joint loading. There is even a study that looked at obese mice and showed that running on a wheel in a cage, protected their joints instead of damaging them. The take home message of this study is that exercise alone, separate from the resulting weight loss, promoted joint health! 

If you suffer from joint pain resulting from osteoarthritis or unexplained joint pain, I strongly encourage you to make an appointment with a physical therapist. It might not only help your pain but change your whole life. 

Bobby Bemis, DPT, COMT, DIP. MT, FAAOMPT is a fellowship trained orthopedic physical therapist at Excel Physical Therapy in Bozeman, Montana.

"Physical therapists, front office team, facility all excellent!" -- M.H., Bozeman Client

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