
Top Exercises for Managing Ankle Injuries
Are you suffering from weak ankles? Are you always rolling or spraining your ankles? Are you battling with foot/ankle tendon injuries? Try these exercises to improve your foot and ankle strength and stability.

Performance Benefits of Heat Acclimation for Athletes
Summers in Missoula continue to get warmer & for many that means setting the alarm earlier for their workouts. However, research shows that heat training can be very beneficial in preparation for races & overall exercise performance. Perhaps hitting snooze & moving your exercise plans to a warmer time of day, isn’t such a bad idea! Learn more about what heat training is, its benefits, & how to get started below.

Understanding & Addressing IT Band Pain
Whether you enjoy biking, camping, hiking, or trail running, summer is the best time of year to live in Big Sky country and enjoy the outdoors. Here at Sapphire PT, we work with a lot of patients who have running-related pains and one of the most common is the IT band.

Carbon Fiber Plated Running Shoes: Are they right for you and your feet?
As runners, we are constantly on the lookout for the next great shoe, hoping to find the Holy Grail of running shoes. I am guilty of owning an embarrassingly large number of running shoes. While each pair serves a different function, I am still waiting for the shoe which does it all.

Calf Raises, Criterion for Norm
Manual muscle testing has been a standard clinical measure used to assess muscle forces since the early 1900s by Lovett and Wright.1,2 Originally developed in response to polio’s impact on muscular strength in children, this grading system has since been cultivated to allow physical therapists the ability to subjectively assess and grade muscular strength for the sole purpose of identifying areas of weakness and limb asymmetries in all ages.1 Research has also produced functional standards to help assess strength without needing a doctorate degree. One of the quickest and easiest tests to perform is the single leg calf raise.

Knee OA: To run or not to run?
We gravitate toward running because of many wonderful benefits. To name a few, running maintains heart/ lung/muscle/ tendon/ bone density health, and that’s just the body. Running also helps improve mood, reduces stress (boosting the immune system), and gives us a great connection to the community.

New Exercise Physiology Services Available in Missoula
Join us in welcoming Sam Van De Velde, Exercise Physiologist to the many talented services available in the Sapphire Physical therapy building. From testing, coaching, to strength training, Sam is here to support you in your athletic endeavors from novice to expert.

Returning to Run Postpartum
When we have surgery or have a common orthopedic injury, there are typically protocols and guidelines for physicians and physical therapists to follow to determine the best plan of care moving forward. However, when it comes to recovering after having a baby, there are little guidelines and research to help guide the recovery process.

The Windlass Mechanism & Foot Function
The wonders of the human foot go beyond the 28 bones, articulating joints, and over 100 tendons and ligaments. The foot contains four layers of muscle responsible for toe and foot motion and stability. Regardless of the type of shoe you put on your foot, the foot itself is designed to absorb impact and propel us over ground and over a variety of terrain. One mechanism unique to the human foot is the windlass mechanism. The windlass mechanism is an ingeniously engineered feature which warrants our appreciation and understanding.

Hamstring Strains: Reducing Risk & Returning Faster
Hamstring injuries are common among runners and have a high rate of recurrence.1 Therefore, it is especially important to focus on isolated strengthening after injury to restore muscle function and reduce risk of re-injury.
Hamstrings work the hardest during the terminal swing phase of running, right before your foot contacts the ground. As the leg swings forward, the hamstrings lengthen and contract eccentrically to decelerate the hip and knee in preparation for foot contact.2 Therefore, it is important to have good hamstring strength in a lengthened range and make sure your strength is good both as the muscles are lengthening and shortening. Here are some general questions answered to help with recovery and reduce risk of injury.