PHYSICAL THERAPY & HAND THERAPY AT MISSOULA BONE & JOINT
Missoula Bone & Joint Physical Therapy, Hand Therapy and Sports Medicine aims to provide unrivaled orthopedic rehabilitation services to our community through excellent outcomes and outstanding patient experiences. Education and collaboration are key to achieving a successful outcome. We are proud of the relationships that we build with our patients. We offer specialized physical therapy and hand 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/occupational therapist in coordination with our physicians and PAs. Our goal is to improve how our patients function at home and at work.
Hours: Monday–Thursday 7:00am–7:00pm and Friday 7:00am–6:00pm.
Physical Therapy & Hand Therapy Patient Testimonials:
*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 18 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.
Dry needling (DN) is a skilled intervention used by physical therapists that uses a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular, and connective tissues for the management of neuromusculoskeletal pain and movement impairments. A trigger point describes a taut band of skeletal muscle located within a larger muscle group. Trigger points can be tender to the touch and can refer pain to distant parts of the body. Physical therapists utilize dry needling with the goal of releasing/inactivating the trigger points and relieving pain. Preliminary research supports that dry needling improves pain control, reduces muscle tension, normalizes biochemical and electrical dysfunction of motor endplates, and facilitates an accelerated return to active rehabilitation. If you think you may benefit from dry needling, please ask your physical therapist. cited: http://www.apta.org/StateIssues/DryNeedling/ResourcePaper/
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.
Kristin Biggins is an Occupational Therapist and her passion lies in connecting with her patients, educating them about their diagnoses, and assisting them in getting back to the activities that they love through occupation-based interventions. She has had a focused career as a certified hand therapist treating a wide variety of upper extremity diagnoses including orthopedic, trauma related, management of the arthritic hand, overuse syndromes, and neurological disorders.
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.
There are unique physical health concerns for men and women ranging from pelvic floor, to prenatal, and post-partum issues. Women and men of all ages and all activity levels can experience conditions related to these health concerns that are painful or disruptive.
Brianna specializes in pelvic floor diagnoses, and can help you address your concerns and guide you through a conservative program. Every appointment is designed to discuss your needs and your concerns in a safe and welcoming environment.
If you answer YES to any of the items listed below, WE CAN HELP!
Pelvic Health Therapy can help with any of the following symptoms:
• Incontinence or leaking during activity (i.e. running, jumping, squatting, lunging)
• Heaviness or ‘dragging’ sensations in the perineum with activity or prolonged standing
• Pain with insertion of a tampon or gynecological exams
• Issues following a cough or sneeze, requiring a change of under garments
• Abdominal pains or discomfort due to surgical incisions
• Difficulty controlling gas or fecal urgency
• Incontinence following prostatectomy
• C-section or episiotomy scar pain
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.
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.
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.
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.
Missoula Bone and Joint’s physical therapists and physical therapist assistants are eager to assist in your joint replacement recovery and to help navigate post-surgical challenges. We implement evidence-based therapy interventions in each treatment session with a focus on restoring ROM, improving strength, decreasing fall risk, normalizing gait pattern, controlling swelling, and decreasing pain. Our ultimate goal for you is to safely return to your daily activities and recreational activities including but not limited to hiking, biking, golfing, and gardening. Our team specializes in all areas of total joint rehabilitation including knees, hips, shoulders and ankles.
The Missoula Bone and Joint ambulatory surgery center is staffed with a mobility coach that is a physical therapist assistant or physical therapist. The mobility coach will work with you during your 23 hour stay in order to be safely discharged home as soon as possible. They will ensure that you are safe with mobility prior to leaving including walking, stairs and transferring in/out of your car.
Watch this video to learn more about Missoula Bone & Joint Physical Therapy
Patient Forms: If you would like to print out our patient forms prior to your visit, please click and scroll down to the Physical Therapy Forms.
Functional exercise videos for improving core strength by Deann Cleveland