NOVEMBER 8, 2012
Winter is upon us. Here are some tips to keep you healthy during the snowy/icy season.
by Physical Therapist Kenna Sikveland, Bozeman Deaconess Rehabilitation Services

Develop Safe Walking Habits
  • Pay attention to the ground underfoot while walking sunlight, shadows, recent snow removal activity, frozen ruts, curbs, steps and other obstacles can alter the degree of traction within a single step.
  • On slippery surfaces, slow down, shorten your stride and walk flat-footed to maximize contact with the ground.
  • Wear appropriate footwear and consider using ice grippers on your shoes/boots; using trekking poles to assist with balance; attach ice tips (small crampon-type devices) to any canes/crutches.
  • Try to stay strong and flexible year round this will improve your balance and ability to safely recover from small slips.
Protect Your Back When Using the Snow Shovel

We love snow piling up at the ski hill, but in our driveways ugh! Snow removal is a leading cause of low back injuries in the winter.
  • Warm up those joints and muscles before you pick up the shovel take a short walk, do a few knee bends and gentle trunk rotations.
  • Choose an ergonomically correct, lightweight shovel.
  • Maintain good body alignment while shoveling: Keep the shovel close to you, working in small movements. Push snow instead of lifting where able. Avoid twisting while lifting or moving the snow do not throw large loads over your shoulder.
  • Work at a comfortable pace and take breaks to relieve pressure on your spine by standing up straight and walking around for a few minutes.
  • Fresh snow is lighter and easier to move, so get to work!
Preventing Winter Sports Injury
  • Skiing, snowboarding, ice skating, hockey, and sledding can lead to sprains, strains, fractures, and dislocations.
  • Many injuries happen on the first run or the last run of the day. Give your body an adequate warm up before engaging in your chosen sport and stop when fatigued before your form starts to fall apart!
If an Injury Does Occur

See a doctor immediately if your fall or wreck results in:
  • Loss of consciousness
  • Deformity of the joint or limb
  • Inability to bear weight through injured limb
  • Severe swelling with numbness or weakness
  • Pain that does not subside with rest
Less severe injuries can often be managed initially with RICE (Rest, Ice, Compression, Elevation). If symptoms persist longer than two weeks, contact your physician or physical therapist for further evaluation. Most injuries respond more quickly to rehabilitation when treated during the sub-acute phase two to six weeks rather than letting a dysfunction become chronic. If your injury required surgery, your physician will determine at what stage of healing physical therapy is appropriate. Physical therapists are experts at restoring mobility and function and can play an important role in guiding your full return to life's pursuits.

For more information on Bozeman Deaconess Rehabilitation Services call 406-585-1002.


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Internal Medicine


Our physicians have had special study and training focusing on the prevention and treatment of adult diseases. Internists are specially trained to solve puzzling diagnostic problems and can handle severe chronic illnesses and situations where several different illnesses may strike at the same time. We focus on your wellness (disease prevention and the promotion of health), women's health, substance abuse, mental health, as well as effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Our internists are doctors for adults--both in treating disease and keeping patients well. As specialists in adult heath care we care for our patients for life. We oversee our patient’s care even when other doctors are involved.

Medical Home
Medical Home is a team-led, patient-centered approach to health care, where the patient is the most important player on their healthcare team.  The patient and the medical home team develop a plan of care created specifically for the patient, focuses on wellness and prevention, keeps the patient connected with the health care team and coordinates care with other health care providers.
We offer open scheduling and expanded hours for our patients convenience. Patient-Centered Medical Home practices result in better quality of care and lowed costs for the patient by increasing access to more efficient, more coordinated care. By avoiding unnecessary hospitalizations and emergency room visits, these early results are producing savings for payers, purchasers and patients.

Bozeman Deaconess Health Group clinics each received NCQA Level 3 Patient Centered Medical Home honors
Bozeman Deaconess Belgrade Clinic, Bridger Internal Medicine, Spinelli Internal Medicine, Internal Medicine Associates and Family Medicine and Pediatrics are recognized by the National Committee for Quality Assurance (NCQA) for using evidence-based, patient-centered processes that focus on highly coordinated care and long-term participative relationships. 



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Internal Medicine

Bozeman Deaconess Bridger Internal Medicine
925 Highland Blvd
Suite 1100
Bozeman, MT 59715

Phone 406-414-5506
Bozeman Deaconess Internal Medicine Associates
905 Highland Blvd
Suite 4500
Bozeman, MT 59715

Phone 406-414-2400
Bozeman Deaconess Spinelli Internal Medicine
931 Highland Blvd
Suite 3210
Bozeman, MT 59715

Phone 406-414-5533

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