PHYSICAL THERAPY & HAND THERAPY AT MISSOULA BONE & JOINT
Specialized Physical Therapy Services
Missoula Bone & Joint Physical Therapy and Sports Medicine aims to provide unrivaled orthopedic rehabilitation services to our community through excellent outcomes and outstanding patient experiences.
We offer specialized physical therapy services while utilizing the latest advancements in rehabilitation. Our experienced therapists work closely with our Orthopedic Providers to help restore function, improve mobility, relieve pain, and prevent or limit musculoskeletal injuries or conditions.
All new patients receive a comprehensive evaluation and treatment plan developed by a licensed physical therapist in coordination with our physicians and PAs. Our goal is to improve how our patients function at home and at work.
To schedule a physical therapy appointment, call our Missoula office at (406) 542-4702 or Request an appointment online. Physical Therapy hours are Monday–Thursday, 7:00am–7:00pm and Friday, 7:00am–6:00pm.
Our services include: *Please click on the expandable tabs below to learn more about each service*
Physical therapy is the most critical aspect of recovery and return to sport after injuring an ACL.
Whether you have undergone surgical repair of your ACL or you are taking a non-surgical approach, your rehab program will be the key to your recovery and return to activity.
Our expert clinicians have years of experience treating patients recovering from ACL tears and have a comprehensive program to get you back to the activities you enjoy. Our 26-week program is customized to meet your specific individual needs for a total body recovery.
Trauma, surgery, or overuse injuries can create scarring, fibrosis, or improper healing of soft tissues that can lead to chronic pain and limited mobility.
Marla Crago, PT, certified ASTYM ™ provider at Missoula Bone & Joint Physical Therapy, can help reduce pain and pressure over tendons, and improve scarring and soft tissue mobility to treat chronic tendonitis, repetitive overuse conditions, sprains, strains, and a variety of other diagnoses.
With a specific treatment regimen supported by clinical research and years of outcomes studies, a course averaging 8-12 sessions helps most people see improvements and return to activities with less pain and restored movement.
At Missoula Bone & Joint, licensed athletic trainers support 19 of the region’s high schools. They also support MHSA-directed public and private secondary schools, youth sporting events, Missoula Marathon, rodeos, tournaments, and Special Olympics in the Missoula area.
Missoula Bone & Joint athletic trainers work with our physicians and other healthcare professionals to optimize activity and participation of athletes and patients of all ages and experience levels. Learn more about our athletic training program.
Research shows that physical exercise and activity are key factors in the recovery process for breast cancer survivors. It is our goal to restore your physical function and get you back to the things you love most.
While medical treatment for breast cancer is saving more and more lives, many of these treatments result in life-changing side effects. At Missoula Bone & Joint, Marla Crago, PT, has experience working with breast cancer patients to help with the side effects of breast cancer treatment.
Marla will help you move better, regain strength and energy, and help you return to the activities you love. Together, we will create an individualized and progressive exercise and manual therapy program to restore your range of motion, decrease swelling, and reduce pain. Our goal is to help you achieve your goals after breast cancer treatments.
The Otago Exercise Program is an individually tailored, home-based program focusing on strength training, balance retraining and walking that is evidence based to reduce the risk of falls in older adults. According to the Centers for Disease Control (CDC), every 20 minutes, an older adult dies from a fall. Using testing measures from the CDC's STEADI Initiative (Stopping Elderly Accidents, Deaths and Injuries), our certified therapist, Sam Morton, will assess the risk of falling in each individual, and create a customized plan designed to reduce the risk of falls and fall related injuries.
At Missoula Bone & Joint Physical Therapy, we strive to provide exceptional orthopedic care. We pride ourselves in the fact that we specialize in treating orthopedic conditions that limits people from performing their daily tasks or achieving their personal goals.
Our therapists utilize a comprehensive approach to evaluate the body that allows us to create an individualized plan of care for each patient. Your plan of care may include restoring range of motion, improving strength, normalizing muscle imbalances, restoring joint and soft tissue mobility, training in proper body mechanics, gait and balance training, and patient education. Our number one goal is to get you feeling and moving better.
We specialize in many different areas and conditions including, but not limited to:
- Low back pain
- Neck pain
- Shoulder pain
- Knee pain
- Foot & ankle pain
- Hip pain
Pre- and post-operative
- ACL reconstruction
- MPFL reconstruction
- Rotator cuff repair
- Hip labral repair
- Shoulder labral repair
Hand therapy is a specialty practice in orthopedics that focuses not only on the hand but can include the entire upper extremity. The overall goal of hand therapy is to restore as much return of hand/arm use as possible given the patient’s particular condition.
The discipline is practiced by occupational and physical therapists. After treating hand and upper extremity injuries for a minimum of 2000 hours, a therapist is eligible to sit for the hand therapy certification exam, and upon successfully passing the exam, will have the designation of being Board Certified and a Certified Hand Therapist (CHT.)
CHTs cover a wide variety of orthopedic conditions that can include traumatic injuries and chronic painful conditions, such as joint replacement, tendon/nerve repair, fracture stabilization and amputation, as well as soft tissue trauma. Treatment of these post-op conditions will often require fabrication of a custom orthosis (splint) to stabilize and protect the area during healing.
CHTs also treat conditions such as carpal tunnel syndrome, tendonitis of the digits, wrist and elbow, inflammatory arthritis, sprains and instability of joints.
If you find yourself requiring the services of a CHT, it will most likely be as a referral from a physician, physician assistant or nurse practitioner. The experience will start with a one-on-one interview as part of a comprehensive evaluation for the purpose of putting together a treatment plan. During the evaluation, the CHT may take measurements of movement, strength, swelling, sensory and identify the various symptoms related to your condition.
During your initial visit, you will receive a detailed home exercise program that is designed to advance range of motion and strength, decrease swelling, address scar tissue and manage pain. The therapist/patient experience is a collaborative one, involving discussion about activities, level of hand use, concerns and your goals. There is also ongoing communication with your referring doctor.
Tim Tracy has been a CHT for more than 30 years, what he still loves most about his job is the satisfaction of helping a patient achieve a great outcome!
We offer multiple styles and varieties of taping techniques including the use of the Kinesiotape method. Kinesiotaping was developed to promote the body’s natural healing process as well as to support and facilitate joint, muscle, and tendon function.
It is effective for inflammatory conditions, neurological and orthopedic sports injuries, and can be used by patients of all ages.
Research supports Kinesiotaping in conjunction with other physical therapy treatments to promote return to function.
At Missoula Bone & Joint Physical Therapy we offer pediatric services for a broad range of conditions and injuries. Our Physical Therapist aims to restore function in children and help them return to sports and daily activities, as well as assist parents/coaches/caregivers in their rehabilitation endeavors.
A skilled individualized evaluation and assessment will be performed and a comprehensive treatment plan will be devised to fit the child and family’s needs. Patients range in age from infants to 18 years.
Are you tired of chasing pain, having symptoms go away only to return in the same or new location? Postural Restoration® is a form of physical therapy taught by the Postural Restoration Institute® (PRI) that analyzes body position, movement and breathing pattern. It is a holistic approach that identifies postural asymmetries and compensatory movement patterns that can often be the underlying cause of persistent pain and dysfunction.
This approach utilizes specific exercises and manual techniques to correct body position and restore normal movement, allowing for pain-free function.
Jason Miller, PT, MS, PRC, has had extensive post graduate training in the advanced treatment of Postural Restoration®. Jason is the first and only Postural Restoration Certified™ (PRC) provider in the state of Montana, through the Postural Restoration Institute® (PRI).
NEW PROGRAM - Running Gait Analysis + individualized running form and technique programs
Learn how to improve your running gait. Maintaining full joint range of motion and functional stability required for running takes a small investment that pays off with reduced risk of injury and improved performance. Running Gait Analysis is the best way to develop a program specific for you.
Combat hours spent sitting or standing for work with individualized mobility and stability activities to maintain a smoother, more efficient running stride. Let's take a close look at your running mechanics to identify key areas and strategies to make you more efficient.
Kristina Pattison, DPT, CSCS, is a doctor of physical therapy and a certified strength and conditioning specialist at Missoula Bone & Joint. Kristina is also a semi-professional mountain runner competing internationally in ultra-distance events. She is passionate about helping runners achieve their performance goals and staying injury free. Photo: Kristina in Bob Marshall Wilderness, taken by Ben Herndon.
Cost: Comprehensive analysis, including video analysis of your running gait - $150
Follow up visit to progress strengthening and stability and identify movement retraining -$90
Gait Analysis involves walking or running on a treadmill under the watchful eye of Kristina. A video recorder will also be utilized to capture your walking and running style. She will analyze the way you move, closely observing your feet, ankles, knees and hips. Kristina can then show you what is happening to your joints at the different phases in your walking and running motion using slow motion video and freeze frame. Kristina can identify areas of weakness and poor biomechanics and then develop a corrective program to improve your running performance and reduce your risk of injury.
Keep your stride strong and your running swift!
Whether you are an athlete in hopes of returning to a sport or a weekend warrior wanting to participate in your hobbies and activities, it is important to make sure you have someone with the knowledge and understanding of rehabilitation for return to play. Our expert clinicians not only assess the surgical repair or injury itself, we also take a full-body approach to treat any areas that may prevent future injuries from occurring.
Our physical therapists have advanced training in multiple areas of sports medicine rehabilitation, including strength and conditioning (CSCS®, or certified strength and conditioning specialist) and functional science (CAFS®, or certification in applied functional science).
With this training our expert physical therapists are able to provide individualized, research-driven programs with specific return to play criteria to make sure you are ready and safe to return back to sport or your favorite hobbies.
Strength and stability throughout critical areas of the body are shown to reduce risk for injuries and enhance sports performance. As a supplement to your rehabilitation program, clinicians at Missoula Bone & Joint Physical Therapy and Sports Medicine are prepared to tailor your training specifically to the demands of your sport.
With certifications as Strength and Conditioning Specialists and in Applied Functional Sciences, our practitioners can develop a functional training program to facilitate your smooth transition back to high-level athletics with confidence to ensure that you reach your goals and full potential.
Temporal Mandibular (Jaw) Dysfunction (TMD) can be a source of jaw pain, headaches, and neck pain. Physical therapy to address this joint uses exercises and manual techniques to improve jaw position, motion, and surrounding muscle tone.
Functional exercise videos for improving core strength by Deann Cleveland
Are you a runner? Check out the videos below by Kristina Pattison, for tips on hip exercises: