GREAT NORTHERN PHYSICAL THERAPY P: 406-586-4678

Preventing Early Summer Injury

As the days get longer and the trails get drier it usually means your running and biking miles will start to increase. We get asked a lot how to prevent injury in this transition season. Often this is when we go from exercising more at the gym or on the ski hill to running and biking. There are two things that we usually tell people. First, try to increase your miles somewhat slowly. Is it the best idea to go from running 10 miles a week to 10 miles in one day? Probably not.


But if you slowly increase your distance and number of days you’re being active it can help give time for your body to adjust. Second and most important, is to be doing some form of cross training. This means two things. First, spending at least one if not two times a week doing some good strength training. We know that having a strong core and strong glutes will significantly decrease your risk of injuring yourself when you run or bike. Second, it’s always a good idea to switch up your activities every now and then. That may mean that you bike one day and run the next, instead of solely biking or running. The last thing I tell people is that it is good to take a rest day. Our bodies need time to recover and taking a day off can aid in that recovery process! We’re all eager to get out there and spend time in the mountains but just remember to take care of yourself so you can stay injury free all season!

GNPT Welcomes Rita Pascoe

Sep 5, 2023

Great Northern Welcomes Rita Pascoe!Great Northern is excited to announce that starting mid- September we are hiring a new Physical Therapist, Rita, who specializes in neurological rehab! Rita was born and raised on a farm and ranch near Red Lodge, Montana, where she...

Physical Therapists Help Active People Live Better

Aug 9, 2023

Physical Therapists Help Active People Live BetterPhysical therapy has a lot of benefits for active people. Athletes, weekend warriors, and people who work in physically demanding jobs can all benefit from the expertise of a physical therapist. Here are 3 ways...

Change in Weather…Change in Exercise

Mar 27, 2023

Great Northern Physical Therapy Ph: 406-586-4678 Fax: 406-586-4670 www.greatnorthernpt.com Changes in the Weather Mean Changes to Your Exercise Bozeman, MT March 2023 When the weather gets cold, you should make some changes to how you exercise. We're not talking about...

Breathing and Your Pelvic Floor

Feb 13, 2023

The pelvic floor is certainly a hot topic of conversation for many men and women. Specifically, people begin to focus on their pelvic floor when they are having incontinence, urgency/frequency, prolapse, or pain associated with going to the bathroom or having sex. These are all issues related to pelvic floor dysfunction. But, what many don’t realize, is that your pelvic floor is also integral in one of our most basic functions: breath.

The diaphragm, our respiratory muscle, is located at the bottom of the ribcage. At rest, the diaphragm is a domelike shape, and with inhalation the diaphragm muscle contracts and drops downward toward your pelvis. This downward motion is followed by a shifting downward of internal organs, into the pelvic bowl. The pelvic floor muscles and fascia make up the bottom of the pelvic bowl. So, with this downward force during inhalation, the pelvic floor muscles also descend or stretch slightly downward. Immediately following inhalation and pelvic floor descent, is exhalation, and similarly, the pelvic floor follows the diaphragm as it rises upward to a resting position. This synchronous rising and falling of the diaphragm and pelvic floor is often referred to as the “piston effect”.

Not to be left out, the lower abdominal muscles (transverse abdominis) also contribute to this synchronous movement pattern. Working together by relaxing and stretching with inhalation and a “belly breath”, and tightening and drawing inward slightly with exhalation. In this way, the diaphragm, abdominals, and pelvic floor make up an abdominal cylinder that modulates intra-abdominal forces and pressure changes.

When this cylinder isn’t coordinating well together, or if there is tightness or weakness within the system, we see common musculoskeletal complaints: low back pain, SIJ pain, poor stability through the back and pelvis, hip pain, pelvic pain, incontinence, urgency/frequency of urine or stool, prolapse, poor posture, balance issues, and intolerance to exercise.

Our pelvic floor physical therapists can help evaluate these movement patterns and coordination of these systems, and create a treatment approach specific to you and your individual challenges.