APRS Blog.

Shoulder Injuries and Volleyball

Being around volleyball my entire life has exposed me to a variety of injuries specific to the sport. One of the most frustrating and debilitating injuries a lot of volleyball athletes will deal with is shoulder pain.  More often than not, …

Telehealth and Physical Therapy

Although the COVID-19 pandemic has pushed insurance companies to allow for TeleHealth physical therapy services, it must be noted that our professional organizations had been working diligently to get this approval long before the virus appeared. I imagine I speak …

Training/Staying Active while Dealing with an Injury

Most of us have dealt with an injury at some point in our lives.  Beyond physical pain, injuries can also lead to psychological distress when they interfere with one’s ability to perform the activities they enjoy.  One question that I’m often asked …

Concussion Baseline Testing

As our community continues to trudge through the COVID-19 pandemic together, the vision of what back-to-school and back-to-school activities will look like continues to be unknown. Usually as we prepare to head back to school, we think about gearing up …

Orthotics: What are they and do I need them?

Orthotics are defined as “a device capable of controlling motion in the foot and leg by maintaining the foot in the most optimal and neutral position.” Orthotics should make you feel more balanced, stronger, faster, and just better in your …

Preventing Shoulder Injury as an Overhead Athlete

The focus of this blog post is to provide information that will help overhead athletes avoid injury and improve their performance. Overhead athletes, such as pitchers and volleyball players often deal with shoulder pain. This is partly due to the …

Get PT First During the COVID-19 Pandemic

Because of the closures of physician’s offices, stoppages of elective surgeries, and social distancing guidelines resulting from COVID-19, many people with pain or joint issues have had appointments or surgeries delayed. If you’re one of them and you haven’t seen …

I have Crystals in my ears, Really??

As a Vestibular physical therapist, one who treats people with dizziness/vertigo/imbalance, I often hear, “Crystals? In my ears?” from many patients with dizziness. Yes, you do have “crystals” in the inner ear (they are normal and called “otoconia”). When they …

Lateral Ankle Sprain Rehabilitation and Prevention

As we enter the season of hiking, trail running, fishing, and outdoor recreation this summer, navigation over rocky and uneven terrain or quick direction changes can result in injury. One common injury that can occur from these activities are lateral …

Backpack Fitting 101

With summer right around the corner and trails beginning to dry out, many families in Montana are beginning to plan for summer adventures.  For many of us, those adventures include hiking, backpacking, and camping.  While enjoyable, many associate these activities with nagging …

The Role of a Therapy Dog in Healthcare

“Man’s best friend“ is a common phrase used to describe a domestic dog, referring to its millennia-long history of close relations, loyalty, and companionship with humans. Living in Bozeman, MT,  we see this common phrase; “Man’s best friend,”  living and breathing all through the …

Vestibular Decompensation

These are certainly some unusual times that have required adjustments to our daily routine. Moving into the 7th week of quarantine we find ourselves working from home, schooling children at home, and trying to exercise at home to name a …

Low Back Pain? Here Is Why Movement Is Your Best Treatment

Low back pain occurs in 80% of the population in the United States, making it the most common cause of pain for which people seek out physical therapy. Most acute (<3 months) low back pain will often resolve itself within …

Your computer based work station – does not have to be uncomfortable

To all of you that are working in different locations, at different levels and under different circumstances, here are a few ideas to help you remain comfortable completing your computer-based work. It is a step-by- step guide to set up …

Keep working on your PT/exercise goals!!!

Congratulations! We all survived the first weeks of the coronavirus crisis dealing with our new environment i.e. telework, kids being out of school or figuring out new ways to do business. The APRS Team is committed to supporting you and our …

FAI (Femoral Acetabular Impingement) – What is it and what can be done about it?

The fastest growing orthopedic surgery in the U.S. over the last ten years has been arthroscopic surgery of the hip. This procedure has increased by more than 400% in that time. This may be good or bad depending on your …

Pre-season Ski & Snowboard Training

Ski and snowboard season is almost here!  You can smell and feel the soft, fluffy powder on the way!  Are you ready?  Whether you are gearing up for your first Montana ski/board season or you have already purchased your 27th consecutive season pass at …

Fly fishing and shoulder pain

This post is for those fly-fisher men and women out there. Fall has come to Southwest Montana and with it comes not only great opportunities to fish a dry fly, but also the opportunity to chuck some hefty streamers at …

Improve your posture to reduce or eliminate pain!!!

Whether you are a student or working a “9-5” job a large portion of your day is spent sitting at a desk, studying, in meetings, on your phone/laptop/computer, etc. The vast majority of the population that is required to sit …

Dry Needling: What does it benefit?

What is dry needling? According to the American Physical Therapy Association (APTA), dry needling is defined as a skilled intervention that uses a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular, and connective tissues …

Pregnancy and Dizziness

Difficult Pregnancy. . . Bed Rest . . . ICU . . .Prolonged Hospitalization. . Dizziness and Vertigo . . . How are they related? Let’s start with a difficult pregnancy. As many of you likely know, the birthing process …

APPLYING A HOLISTIC APPROACH TO PHYSICAL THERAPY

The concept of holistic health care was first introduced to me in the form of Yoga Nidra (Sleep Yoga) while I was on my 4th overseas assignment. I was a US Diplomat at the time and despite working out several …

Post-Surgical Nutrition Guidelines for Optimizing Healing

Nutrition is often the forgotten child of post-surgical healing. People typically think about choosing a provider, the risks of surgery, the financial commitment, potential time off work, the associated pain, limited mobility, and the rehab, but forget about what they …

Youth Athletics, Over training, and Parents

As one sports season transitions into the next season, I am reminded of the importance of rest and recovery for our youth athletes.  Between school sports, club options, private lessons, personal training, etc. our youth athletes are increasingly provided with …

Barefoot (aka Minimalist) vs. Shod (traditional shoes) vs. Super Cushion and does it matter?

I truly love this topic with runners.  It has sparked a tremendous debate in all circles of the sport of running.  These debates open up new possibilities and discussions in gait biomechanics, joint arthrokinematics, rehabilitation guidelines, training recommendations, footwear design, …

The Relationship between Antibiotics and Achilles Tendonitis/Ruptures.

Quinolones and fluoroquinolones are broad spectrum antibiotics used to treat bronchitis, urinary tract infections, pneumonia and other respiratory infections3.You may have heard of these antibiotics by their more common names such as Cipro, Levaquin and Floxin. But did you know …

Low Back Pain in Dance and Gymnasts

In the general population the statistics regarding the prevalence of low back pain are significant but in young athletes participating in dance and gymnastics the statistics are staggering.  It has been shown that back pain in gymnasts can be as …

Reform School

Spring is here, summer is just around the bend, and right now you likely fall into one of two training categories: 1) you’re right on track, to run, bike, climb, swim, and conquer whatever herculean goal you made for 2019; …

-itis vs. -osis

I am a physical therapist in Bozeman, MT and feel blessed to be part of such an active, recreationally minded community. I am fortunate to have a steady stream of injured individuals motivated to address their impairments seeking care at …

Dizziness and Physical Therapy

Have you ever felt dizzy? If so, you aren’t alone. About one in three US adults over 40 years of age have experienced some type of dizziness and it is the 3rd most common reason people access their primary care …