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What We Do

Orthopedic Surgery, Sports Medicine, & Physical Therapy Services.

Located in the heart of Boise Idaho, we offer a range of expertise in treating and preventing injuries for individuals dealing with a wide range of illnesses and injuries.

Whether you are a professional, a weekend warrior, or someone who loves staying active, ISMI is the perfect place to go for all your sports medicine and physical therapy needs.

Below, we will go over the procedures and physical therapy services that we provide!

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SERVICES

Arthroscopy

Arthroscopy is a medical procedure that we employ before our physicians and surgeons perform orthopedic surgery in Idaho, which allows orthopedic surgeons to visualize, diagnose, and treat problems inside a joint. It involves the use of a small camera, known as an arthroscope, which is inserted into the joint through a small incision. We use arthroscopy for the following procedures:

  • PCL and Complex Knee Multi-ligament Reconstruction
  • ACL Reconstruction Using Patellar Tendon, Hamstring, Quad Tendon or Allograft
  • Labral Repair
  • Tendon Repair
  • Cartilage Restoration
  • Osteotomy
  • Arthroscopic Rotator Cuff Repair
ALL SERVICES

Full and Partial
Joint Replacement

Full and partial joint replacement is a common medical procedure in our industry. Active individuals who engage in high-impact activities or suffer from chronic joint conditions often experience joint damage over time. In such cases, joint replacement may be recommended to alleviate pain, improve range of motion, and restore functionality. This includes:

  • Partial Knee Replacement; MAKOplasty (Computer-Assisted Knee Surgery)
  • Total Knee Replacement
  • Shoulder Replacement
  • Reverse Total Shoulder Replacement
  • Total Hip Arthroplasty

Diagnostic Musculoskeletal Ultrasound

Musculoskeletal ultrasound (MSK US) utilizes high-frequency sound waves to produce detailed images of the bones, joints, muscles, ligaments, and tendons within the body. This non-invasive and safe imaging technique enables our specialists to visualize and evaluate various body parts and conditions, including:

  • Rotator Cuff, Biceps Tendon
  • Finger and Hand Tendons and Ligaments
  • Elbow Tendons and Ligaments
  • Carpal Tunnel
  • Foot and Ankle Tendons and Ligaments
  • Achilles Tendon
  • Plantar Fascia
  • Patellar and Quadriceps Tendons
  • Iliopsoas Tendon Dysfunction (snapping hip)
  • Trochanteric Bursitis
  • Gluteus Minimus and Medius Tendons

Ultrasound Guided Injections

Idaho Sports Medicine Institute offers ultrasound-guided injections for targeted delivery of medications directly to the affected area. This technique combines the use of ultrasound technology with the administration of injections, allowing healthcare providers to visualize the affected tissue, such as tendons, ligaments, muscles, or joints, in real time. By doing so, they can precisely guide the needle to the specific location, ensuring that the medication is injected at the correct depth and angle.

PRP: Platelet-Rich Plasma Injection

Platelet-rich plasma (PRP) injections have gained popularity in recent years due to their ability to promote healing and enhance tissue regeneration. This cutting-edge treatment utilizes the patient’s own blood, which is processed to concentrate platelets and growth factors, and then injected into the injured area. PRP injections have been widely embraced in the field due to their potential to reduce recovery time and optimize healing. These injections have proven to be particularly useful in treating various fitness-related injuries such as tendonitis, muscle strains, ligament sprains, and even fractures.

Viscosupplementation

Viscosupplementation is a specialized service that involves injecting a thick, gel-like substance called hyaluronic acid directly into the affected joint. Hyaluronic acid is a natural substance found in our body’s synovial fluid, which lubricates and cushions our joints. By administering viscosupplementation, we can improve joint function and alleviate pain for individuals who are experiencing osteoarthritis or other degenerative joint diseases.

Sports Physicals

Conducted by healthcare professionals, sports physicals involve a comprehensive evaluation of an individual’s health and fitness level, focusing specifically on their ability to engage in physical activities. These evaluations are usually performed before an athlete starts participating in a sport and are often required by schools and sports organizations. In addition to our sports medicine services and physical therapy in Idaho, we perform these physicals for athletes in 9th grade or older.

Casting / Bracing / Orthotics

Our professionals can assist you in finding the best fit when it comes to casting, bracing, and orthotic interventions. We can work with over-the-counter (OTC) equipment, as well as custom-fitted protective pads and splints, and sports-specific casting. We can even modify OTC orthotics for you. By utilizing these techniques and tools, individuals can recover faster, prevent further injury, and enhance their performance. This can be extremely beneficial for those who engage in regular fitness activities like running, biking, and marathons.

Digital X-Ray

At Idaho Sports Medicine Institute, we have cutting-edge radiographic equipment located on-site at our facility. If you do have previous X-rays that were performed elsewhere, you should bring them with you to your first appointment.

Pre & Post-Operative Care

Whether someone undergoes surgery due to an injury or for performance enhancement purposes, proper care before and after the procedure is crucial for a successful recovery and future athletic performance. Pre-operative care helps prepare you both physically and mentally for surgery, while post-operative care promotes optimal healing and rehabilitation.

Exercise Prescription

By prescribing specific exercises and incorporating appropriate warm-up and cool-down routines, our physical therapy professionals minimize the risk of sustaining injuries during training or competitive events. These programs typically focus on strengthening the muscles, improving flexibility, and enhancing overall body mechanics, which can limit the chances of orthopedic injuries.

ASTYM

Augmented Soft Tissue Mobilization (ASTYM) is a cutting-edge treatment technique that focuses on the rehabilitation and restoration of injured soft tissues, such as muscles, tendons, and ligaments. It allows active individuals to recover and return to their optimal performance levels quickly.

Alter G

Alter G is revolutionizing the field of physical therapy and is quickly becoming an essential component in the rehabilitation and training of active individuals. This innovative technology utilizes an anti-gravity treadmill to aid in the recovery process of fitness-related injuries, as well as to enhance athletic performance.

Biodex Strength Testing​

A computer-assisted machine that assesses a patient’s isokinetic strength. The Biodex system is an advanced technology developed for the testing and rehabilitation of the human musculoskeletal system. It can be used to assess the lateral muscles’ strength status or rehabilitate them.

We use the Biodex Isokinetic Dynamometer to give us accurate and objective measuresof muscle strength. The test measures how much torque, or rotational force, the muscles can produce at different joint velocities. Although we typically test the muscles around the knee, shoulder, and ankle, the Biodex also allows us to measure strength in the elbow, wrist, and hip muscles. The testing provides important information regarding strength deficits and muscle imbalances.

When we perform a test, we look at several factors:

  • strength difference between the left and right side (or, injured and uninjured limb)
  • strength imbalance across the joint
  • strength relative to body mass
  • improvement on subsequent tests

 

A test will take approximately 1 hour, depending on the joint(s) involved. Immediately following the test, the results are reviewed with the client.

Running Gait Analysis

The way an individual moves while running, known as their gait, can have a significant impact on their performance, as well as their risk of injury. A thorough analysis of one’s running gait involves examining various aspects such as foot strike, stride length, hip rotation, and posture. By assessing and understanding these factors, professionals at Idaho Sports Medicine Institute can diagnose any underlying issues and develop appropriate treatments or preventive measures.

VO2Max Test

A maximal exercise test that measures how much oxygen you use while exercising. The test is performed on a treadmill or bike while connected toa machine that analyzes your expired air.

VO2 max is the best overall measure of cardiovascular fitness and sets the upper limit tothe production of energy (ATP) via aerobic metabolism.

The test involves:

  • Hooking yourself up to a mask and a heart rate monitor
  • Walking or jogging on the treadmill until you are physically exhausted.
  • Gradually increasing the speed and/or incline every few minutes.
  • Building to your maximum effort over 10-20 minutes

 

The test provides data on:

  • How much oxygen you use as you exercise.
  • The maximal oxygen you can consume during exercise.
  • Your maximum heart rate
  • Information about training zones and how the body burns calories, carbohydrates, and fat.

Lactate Threshold

This test measures the point at which lactate builds up in the bloodstream during incremental exercise. The LT is a good indicator of submaximal fitness, such as what exercise pace can be maintained over a prolonged period of time without fatigue.

During an LT test, subjects exercise at progressively higher work rates until they are at or near exhaustion. Blood samples are taken at regular time intervals throughout the test and analyzed for lactate concentration.

LT testing can be used to:

  • Determine an appropriate training intensity.
  • Monitor progression in athletes of all levels
  • Compare a lactate profile before vs after a training program.
  • Predict submaximal fitness.
  • Measure running and cycling fitness.

 

A LT test is similar to the VO2 max test, although it consists of slightly longer periods of time between changes in workload.

Hybrid VO2max and Lactate Test

A combination of the VO2 max test and Lactate threshold test simultaneously. The athlete will start by doing a standard lactate test while connected to the metabolic cart so that gas exchange can be measured. Once the physiologist determines that the athlete has reached their anaerobic threshold, the physiologist will switch to a VO2 max protocol, and continue until oxygen consumption plateaus.

Body Composition Testing

Body composition testing measures the proportions of different components that make up a person’s body, such as lean muscle mass, fat mass, bone density, and water content. By obtaining accurate body composition data, we can optimize your training programs, and monitor changes in response to exercise or rehabilitation.

Fitness/Sport Training Program Design

A well-designed training program created by Idaho Sports Medicine Institute typically includes a combination of strength training, cardiovascular exercises, flexibility exercises, and fitness-specific drills. Each component is carefully structured to ensure the athlete’s body is adequately prepared for the demands of their sport. For instance, a soccer player may require exercises that focus on improving their agility and speed, while a weightlifter may need a program that emphasizes strength and power.

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