Advanced Performance and Rehabilitation Services is a physical therapy practice providing the highest quality lower extremity care for hip, knee, ankle and foot injuries. Our physical therapists provide lower extremity care for all ages and ability levels. Our therapists are extensively trained in the most effective rehabilitation techniques to get you back to the things you enjoy the most. Our lower extremity rehabilitation programs take a multi-faceted approach that focuses on the person as a whole and targets the cause of injuries to prevent future re­occurrence.

• Tendon and Tendonitis Injuries
• Meniscal Injuries
• Bursitis
• Arthritis
• Pre and post surgical hip replacements
• Pre and post surgical knee replacements
• Post and pre surgical ACl, MCl, lCl, and PCl care
• Shin Splints
• Achilles Tendonitis
• Plantar fascitis
• Sprained Ankles
• Post lower extremity fracture care

Benefits of Physical Therapy for your Lower Extremity Injury:

• Decrease pain
• Improve function
• Decrease time off work
• Return to sport and recreational activity faster
• Education regarding injury
• Future Injury Prevention

Whether your injury is the result of work, sport, or daily activities our services and facility will provide you with the rehabilitation to get you back to what you enjoy.
 
Please contact us at 406-587-4501 if you have questions or if you would like more information.

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AGING WITH ACTIVITY

It is the goal of each of us to remain as functional, independent and self-able as possible for as long as possible in our everyday activities, be that at work, play, family times and in our personal daily home activities.

Our physical therapy approach is geared toward helping individuals achieve their functional goals.
Do You:

• Want to keep hiking and skiing?
• Want to keep gardening?
• Play with your grandchildren?
• Keep your own home?
• Want to be able to get up and down from a chair on your own?

Orthopedic, neurological, and many other conditions may decrease your activity level. Our goal is to help you regain or boost your functional level to give you the quality of life you desire.
Problem Areas That May Be Addressed To Increase Independence & Function:

• Balance
• Fall prevention
• Strengthening
• Functional maintenance
• Posture
• Joint mobility
• Agility
• Osteoporosis

FUNCTIONAL PHYSICAL ASSESSMENT

This testing battery has been developed by our clinic to give you a scoring of your current functional level. From the results an appropriate exercise program can be developed. This test can be repeated over time to give you a monitoring of specific functional aspects.
 
We can help you AGE WITH ACTIVITY!
 
Please contact us at 406-587-4501 if you have questions or if you would like more information.

The vestibular system is the part of the inner ear and the brain that gives us the ability to maintain/control balance and eye movements. A problem with anyone of these systems can result in a vestibular disorder.

Common symptoms of Vestibular Disorders:

• Dizziness
• Unsteadiness/Imbalance
• Vertigo
• Nausea

Common Symptoms of Vestibular Disorders:

• Benign Paroxysmal Positional Vertigo (also called BPPV, BPPN, BPV)
• Labyrinthitis (inner ear infection)
• Head injury or concussion

What Happens During Vestibular Therapy:

The therapist will complete a thorough evaluation looking at posture, balance, eye and body movements. Based on results of the examination, a treatment plan will be designed to include specific exercises and activities designed to decrease symptoms and improve function.
How Will Therapy Help Me?

In most cases with consistent and correct exercise you should feel steadier on your feet, and have reduced symptoms of dizziness, vertigo, nausea, headaches and fatigue.

The Earlier We Can See Them The Faster They Can Recover

Grade I and some Grade II ankle sprains can affect an individuals ability to function at work, at home, or at play. Many people are unsure of what they can do, how much pain to allow, and what is the best way to regain function as fast as possible. The sooner we can see an individual after injury the better the outcome.

The Sprained Ankle Program was developed by Gary Lusin, PT, MS, ATC, CSCS several years ago to specifically reduce swelling, pain, poor gait, caution on the part of the patient, and to restore function and confidence in the patient to resume activities of daily living and work activity.

The Sprained Ankle Program has been very successful with persons of all ages and skills, including athletes and injured workers. Components of the Program are:

• Focused examination of the injured ankle and lower extremity
• Application of a specific taping technique to reduce swelling and provide support
• Use of specific manual therapy soft tissue mobilization techniques, if necessary
• Instruction and counseling to the patient about home care and activity level
• Instruction and counseling for pain control, proper gait, weight bearing, and balance techniques
• Ultrasound (if necessary)
• Instruction in progression of closed chain exercises to restore function
• Up to 5 visits over a 10-21 day period
• Total cost of $80.00

This program is NOT for significant Grade II or Grade III ankle injuries, as those require different healing parameters and more involved physical therapy treatment.

This program has proven to be very cost effective for patients and is extremely effective in getting patients back to optimum function as soon as possible, and in a safe manner.

For more information on the Sprained Ankle Program please do not hesitate to call us at
406-587-4501.

ORTHOTICS…Are They For Me?

Advanced Performance and Rehabilitation provides high quality affordable permanent and temporary orthotics that are designed by experts in gait and biomechanical analysis. When seeking orthotic therapy please consider the advantages of having one of our physical therapists evaluate your feet. Please call 587-4501 for more information or questions.

What Can Orthotics Do?

• Promote normal and efficient foot and ankle motion.
• Reduce risk of injury (or re-injury) to the entire lower extremity.
• Provide greater control and support to the foot by using appropriate inserts to shoes
     (dependent on YOUR foot type)
• Temporary orthotics provide an inexpensive means to determine if you will benefit from
      orthotics.

Common Problems Appropriate for Orthotic Therapy Include:

• Bunions
• Foot pain
• Heel pain including plantar fasciitis
• Achilles tendonitis
• Chronic ankle instability
• Shin splints
• Patellofemoral pain syndrome
• Iliotibial band friction syndrome
• Patellar tendonitis
• Hip bursitis/tendonitis
• Low back injuries

Please contact us at 406-587-4501 if you have questions or if you would like more information.