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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.

4 tips for getting the most out of your doctor's appointments

Happy Wednesday, The feedback I got from last week's newsletter prompted a great conversation with friends on the trail about how to have a productive conversation with our providers. Communicating with health care providers is a ubiquitous challenge so today's newsletter is all about how to do just that. Here are four tips I have learned through advocating for myself and for my patients over the years. Write your questions for your doctor out in advance I know for me, as soon as I step into...

My own biggest health insecurity

Happy Wednesday, When I first had my cholesterol tested at age 35 my doctor asked how much I exercise and how much red meat I eat. As someone who had yet to begin her recovery journey from perfectionism I answered, “well, I could be better about both.” The reality? I lifted weights, climbed, and ran several times a week each. I was exercising a lot, and honestly struggling to eat enough to keep up with it all. One of my real questions was “how do I get enough protein to recover from all of...

Nicotine pouches, vaping and injury recovery

Happy Wednesday, Did you know that a standard requirement of pre-operative orthopedic care is smoking cessation before surgery? This week's newsletter is a bit lengthy and nerdy but I want to give you all the facts. I try to keep these emails focused on topics especially for outdoor athletes, but this is too big of a topic to narrow down to just this group! Tobacco and Nicotine I have seen smoking cessation delay surgeries that would otherwise have been done ASAP. In these cases the surgeon...

The worst moment after an injury isn't when you think it is

Happy Wednesday, One of the hardest moments in injury recovery is when you’re already 80% better. Honestly. If you’ve struggled with this you’re not alone. I had a couple of clients hit this phase of recovery recently. Let’s imagine you sprained your ankle. Back up to the exact moment on the trail that it happened. Maybe you limped off the mountain, knowing that you would need true rest and recovery before this would get better. You cleared your schedule and took up knitting to keep your mind...

Advice from a retired river guide

Happy Wednesday, You know how I’m always talking about what you can do now before the summer season really gets going to take care of your body? Let’s be real. There will always be that season when you didn’t nail early season training, or things you could have done better. You not going to throw in the towel and call it a season before it even begins just because you could have done something better. Imagine this for a moment. You are a raft guide, kicking off a summer season where you plan...

From couch to triathlon: A 6-year dream come true

Happy Wednesday, Have I told you about Shawn? No!? Well if you're dying to hit the trails again, by foot or by bike, you're gonna LOVE hearing this... Shawn was laying on the couch with a hot pack on his back, nursing a back injury that had him laid up for a week. It was the 5th time this had happened this year and he was starting to give up on his lifetime dream of completing a triathlon. Every time he started to train again, this would happen. When you’ve struggled with injuries like this,...

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,...

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.