Distinctly Montana Magazine

W W W. D I S T I N C T LY M O N TA N A . C O M 69 BOZEMAN 406.587.0122 1532 Ellis Street, Suite 103 BELGRADE 406.388.7229 403 Gallatin Farms Ave. BOZEMAN WEST END 3406 Laramie Drive COMING SOON 406.587.0122 450 Ellis Street, Suite 201 Bozeman, MT 59715 bridgerorthopedic.com Get back to your life. Freestone Rehabilitation WHAT PROCEDURES OR PROTOCOL DOES YOUR PRACTICE HAVE IN PLACE FOR DIAGNOSIS AND TREATMENT? DR. SCHEER: I have found that the most important part of evalu- ating a new patient is to listen to them. Medicine has so many tests today but the history and physical examination is where the rubber really meets the road. Part of the new patient work-up is to obtain x-rays of the problematic joint. However, I often tell people that "I do not treat x-rays, I treat people." We do have access to a variety of tests that are often quite helpful for the more complicated patients, but the doctor-patient relationship is by far the most beneficial. HOW IS A PATIENT'S AGE A DETERMINANT FOR YOUR SELECTION OF A TREATMENT? DR. LEGRAND: Bozeman is a unique community in that we have a disproportionately active community with 60-and 70-year-olds logging 50+ days a year at Bridger Bowl. We have the different lifestyles of a 63-year-old accountant versus rancher. As such, age is certainly more than a number and treating patients appropriately for their physiologic age rather than chronological is the norm at BOSM. at said, it is clear that our body tissue changes over time, which has implications for treatments. ere are several areas where true chronologic age has clear implications for treatment options. As examples, prior to age 30 or 40, there appears to be a higher failure rate with ACLs surgically reconstructed with allograft (cadaver tissue) as opposed to autograft (patient's own tissue). Similarly, the highest risk for a 16-year-old who dislocates their shoulder is recurrent instability while for a 70-year-old with the same injury, the biggest risk is rotator cuff tear. >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> of osteoporosis, have a small frame, or are on hormone replace- ment therapy; your x-ray demonstrates bone loss; you've noticed height loss of ½ inch or more within one year. HOW DO YOU EVALUATE AND COMMUNICATE OPTIONS AVAILABLE TO YOUR PATIENTS? Our personalized treatment recommendations are based on individual bone density, laboratory testing (blood test), and evaluation of the patient's health history (including medica- tions), and their lifestyle. Options may include Balance and Fall Prevention Physical erapy, Nutrition consultation, and Drug erapy to increase bone density. Treatment plans are moni- tored and retested. Bone Density Testing (DXA scan) can be performed at Mis- soula Bone & Joint. is test measures bone mineral density (BMD) and the amount of BMD relates directly to bone strength. e spine and hip are typically measured because this is where most osteoporotic fractures occur. WHAT RESOURCES WOULD YOU RECOMMEND? e National Osteoporosis Foundation (www.nof.org) and International Osteoporosis Foundation (www.iofbonehealth.org). Our board-licensed • Naturopathic Physicians • Acupuncturist • BodyTalk Specialist • Holistic Dietary Consultant • Massage Therapist • Mental Health Therapist working together to offer you lasting results! Looking & Feeling Better Mood Energy Hormone Balance Immune System Better Nutrient Absorption 962 Stoneridge Drive, Suite 2 springintegrativehealth.com 406-586-2626 Dr. Alisun Bonville COLLABORATIVE HEALTHCARE TO ADDRESS THE BODY, MIND AND EMOTIONS CONTINUED

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