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Guide Physio & Rehab

My mission is to help mountain athletes like trail runners, skiers, and hikers improve their health and happiness by helping them feel stronger and more resilient. I write about the injuries and training hurdles that my clients ask about and experience.

How to: a summer bod that can (safely) go anwhere and do anything you want!

Happy Wednesday, If you’re anything like me, your weekly screen report isn’t something you like to brag about. But it’s spring in Montana and the trails are dry so we’re turning off screens and getting outside after work, right!? The reality though, is that many of us are held back by fear of injury that is actually dampening the excitement and stopping us from doing what we really want outside. Fear of an injury in the immediate future is one of the single biggest deterrents keeping people...

When you're most likely to get injured in this spring

Happy Wednesday, I think about this a lot - if I coached you to jump up and down 1700 times in 10 minutes (or even 15 minutes) would you lose some trust in me? Okay, don't answer that yet, we’ll come back to it. As the season is changing more and more of us are getting out on the trails! I love this time of year but it is one of the most common times for people to end up in my office from overuse injuries. Today, I wanted to share what I see as some of the most important things for you to...
Katy smiling with her arms crossed in a burnt orange turtle neck in front of a squat rack. She has shoulder length brown hair and brown eyes.

Big news in the world of preventative health research!

Happy Wednesday, I have big news this week! The foundational recommendations about resistance training (in other words, the sports medicine guidelines that all your trainers, and your trainers’ trainers, have been using to build workout programs) have been updated for the first time in fifteen years. The American College of Sports Medicine last published recommendations for resistance training in 2009. Research into resistance training has exploded in the last decade, though, and an update...

2 million Americans will experience a fracture due to a preventable 'silent disease' this year

Happy Wednesday, Do you know how many women will experience a bone fracture due to osteoporosis in their lifetime? 1 in 10 women 1 in 5 women 1 in 3 women 1 in 2 women Scroll down to find out the answer. But before you do, here are a couple of hints. Osteoporosis is the development of low bone density that can happen as we age. 80% of people who develop osteoporosis are women. In fact, women are at higher risk of fracturing a hip due to osteoporosis than they are to develop breast, ovarian,...

Have you ever felt like your pain comes out of nowhere?

Happy Wednesday, Maybe you’ve had one of these seemingly unexplainable but painful experiences: You didn’t do anything unusual yesterday but your back has been spasming since you got out of bed today You broke your ankle 20 years ago and multiple x-rays and doctors said it healed — but now it's your internal barometer and tells you when a storm is coming You had a crummy day at work and then screamed when you got a tiny papercut You once injured your knee skiing and now instinctively grab...
20 year old Katy eats a peanut and butter sandwich on Lolo Pass with her snowboard and backpack, the year is 2006 and Katy gave herself this haircut

What we can learn from the mistakes we made in our 20s

Happy Wednesday, The trend this week on Instagram is to share photos from 2016. From what I can tell, it’s all about reminiscing to a time when things felt simpler (and less existentially fraught.) But I have another take on it after reflecting on what changed for me in 2016. 2016 marked the start of graduate school for me. The last 10 years has been constant growth - going back to school, becoming a physical therapist, taking my first PT jobs out of school, becoming a business owner. It’s...

What do weighted vests, Pilates, and muscle ‘toning’ programs all have in common?

Happy New Year! So what do weighted vests, Pilates, and muscle ‘toning’ programs all have in common? They are not resistance training or strength training. First, a little background. Resistance training refers to training that is done at 70-80% of your 1 rep max. It is recommended that most adults do resistance training 2-3x a week for each muscle group. A 1 rep max is the most weight you can lift in a single lift. The good news is that you don’t actually have to do a 1 rep max. The bad news...

4 goal setting tips that aren't just SMART goals

Happy Tuesday, I spend a lot of time thinking about health and fitness goals with my clients and since becoming a business owner have leveled up my own goal setting. Since it is that time of year where many people are thinking about who they want to be in 2026, I thought I would share some reflections from looking back at my own goals in 2025. Hopefully, these provide some food for thought beyond the usual SMART goal framework. Goals should reflect how you want to spend your time My goal: Run...

Creatine - an important supplement for physical health, or an expensive daily habit?

Happy Wednesday, Personally, until recently, I have avoided supplements because I never knew how to judge the ‘good’ ones from the ones with good marketing. Professionally, I've always given a generic answer when asked about supplementing with creatine because I am not a registered dietician (RD). While I can provide some general nutrition advice, I usually recommend talking to an RD for individualized recommendations based on your own health conditions and goals. But I get asked about...

100 miles in the desert with and the grit it takes to do it

Happy Wednesday, This weekend I am supporting my friend and long-time client, Chelsea Glenn, at the Javalina Jundred - a 100 mile race through the desert complete with rave-like dance parties, tattoos, and all the race snacks you can eat. I will run 20 of those miles with her through the night. My job as a pacer will be to gas her up when it's tough, play upbeat inspiring music for her, help her if she’s struggling (I’m not allowed to carry anything, or physically assist her in any way). I...

My mission is to help mountain athletes like trail runners, skiers, and hikers improve their health and happiness by helping them feel stronger and more resilient. I write about the injuries and training hurdles that my clients ask about and experience.