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Sports Medicine

Welcome to the Beartooth Billings Clinic Sports Medicine Program page.   Please click on any of the following links for information about Sports Medicine, Concussion Testing, and also for policies and procedures concerning Sports Medicine and Concussion Management.  

Billings Clinic Sports Medicine

What does the Sports Medicine Program Provide and How Does It Work?

Concussion Information and Return-to-Play Policy

Other Sports-Related Conditions Requiring Physical Therapy 

Compensation Patterns

Beartooth Billings Clinic Concussion Management Policy 
Thank you and please do not hesitate to contact us for more information.   Complete contacts are listed under the "Who do I Contact for More Information Link" (above), and the direct phone number for our main Rehabilitation/Sports Medicine office at Beartooth Billings Clinic is  406-446-0630.

WHAT YOUR SPORTS MEDICINE PROGRAM PROVIDES

The Program provides a team consisting of Athletic Trainers, Physical Therapists, Primary Care Providers and Orthopedic Specialists.

1. Athletic Trainer – Certified (ATC)

  • Provides evaluation and treatment of sports injuries.
  • Will complete a written evaluation and send a copy home with the athlete. A copy will also be given to the coach.
  • Will be at the school twice a week for evaluations and treatment.
  • Provides education for families, coaches and athletes. Feel free to call the athletic trainer if you have any questions about your child.
  • Will provide coverage of all home football games and tournaments by request.

2. ImPACT Testing

  • Research-based computer test developed to help clinicians evaluate an athlete after a concussion and return the athlete to sport safely.
  • Baseline testing provided preseason.
  • Visit the ImPACT website.

3. Summer Enhancement Programs

  • Improve speed, coordination and vertical jump.
  • Strengthen muscles to avoid injuries.
  • Program team consists of PTs, ATC and strength coach.

WHEN AN ATHLETE IS INJURED:

It is important for him or her to take care of the injury promptly. To sign the student up with the ATC (Athletic Trainer – Certified), please call the school secretary. Only the coach, parent or ATC can sign the student up, students may not sign themselves up.  If needed, prolonged rehabilitation will be done in formal Physical Therapy.

Until he/she has a chance to see the athletic trainer, please remember the following:

RICE: Rest, Ice, Compression, Elevation.  Icing should be done at intervals of 20 minutes per hour. Depending on severity, practice should be limited or stopped until injury has been evaluated.
  • NSAIDS*: (Ibuprofen, Aleve) may be used for inflammation/pain if desired as directed by physician.
* EXCEPTION ~ In the case of a concussion, DO NOT use Aspirin, Ibuprofen (Advil, Motrin), or Naproxen (Aleve).

SPORTS MEDICINE
The Primary Goal of our program is to provide quality care to our student athletes by:
Providing in-season athletes with immediate injury assessment and rehabilitation to allow safe return to sport as soon as possible.
Educating coaches, athletes, parents and school on injury prevention and off-season strengthening and conditioning.

SPORTS MEDICINE SCHOOL SCHEDULE:

JOLIET:    Monday & Wednesday*    

ROBERTS:    Monday & Wednesday*    
RED LODGE:    Monday & Wednesday*   
ROOSEVELT:    Monday & Wednesday*    

*Junior High:  Please note that the above schedule applies to Junior High students on Mondays only.  Contact the Main Office (446-0630) if you need a Sports Medicine Professional to make a special stop at any Junior High practice.

High School: In-season athletes will get first priority during scheduled times. If time allows, middle school and out-of-season athletes will be seen. Times are approximate.

BEARTOOTH BILLINGS CLINIC MISSION STATEMENT:

“Our Mission is to save lives and promote healthy living.”

SPORTS MEDICINE CONTACTS

Becky Abrams, MS, ATC, CSCS 406-272-6440
Mark Goldy, PT, ATC, CSCS 406-200-9034
Physical Therapy in Red Lodge – 446-0630
Physical Therapy in Joliet – 962-9860 or 446-0597

CONCUSSION INFORMATION

  • If your child has a concussion, it is important for them to be evaluated by an ATC and your primary care physician as soon as possible.
  • ImPACT test is recommended to be performed within 72 hours of the injury and repeated as necessary.
  • The athlete may not return to participation until cleared by the evaluating physician.
  • It is OK to: Use Acetaminophen (Tylenol) for pain and headaches, eat a well-balanced diet, use an ice pack on head and/or neck, go to sleep and rest.
  • DO NOT: Take Ibuprofen, aspirin, naproxen, or drink alcohol.
  • Your child should be in an environment with limited: loud noise, bright lights, computers, video games, television and phones (including texting) until symptom-free. Light exercise may only begin under the direction of provider or ACT.
  • Click here for a downloadable ImPACT brochure with Consent and Release form.

BEARTOOTH BILLINGS CLINIC RETURN-TO-PLAY PROTOCOL, FOLLOWING CONCUSSION

  • Athletes should not return to play on the same day of injury.
  • Athletes need to rest until asymptomatic (physical and mental rest).
  • The athlete must have written medical clearance from treating provider.
  • Athletes must pass a Progressive Physical Activity Program monitored by athletic trainer.
  • Example of stages for Progressive Physical Activity Program:
  1. Light aerobic exercise only (e.g., stationary bike)
  2. Sport-specific exercise
  3. Non-contact training drills (can start light resistance training)
  4. Full contact training after medical clearance
  5. Return to full competition (game play)
  • If symptoms recur the athlete should return to stage one and be referred to treating provider.
  • There should be approximately 24 hours (or longer) for each stage.
  • Resistance training should only be added in the later stages.

OTHER CONDITIONS OR INJURIES REQUIRING PHYSICAL THERAPIST AND/OR ATHLETIC TRAINER SUPERVISION AND REHABILITATION
Shoulder impingement/dislocation, acute or chronic neck/back pain, elbow/wrist/hand pain, tendonitis of any tendon (overuse injuries, i.e., shin splints), sprains (ligaments), strains (muscle), knee cap dislocation or tracking problems, meniscus tears, ligament disruptions, foot/arch pain, fractures, pre/post-surgical repairs, soft tissue trauma, bone fractures, head injuries/concussions, nervous system damage.
*not a complete list of all potential diagnoses

COMMON “NOT SO SUBTLE” CONDITIONS THAT WOULD BENEFIT FROM TREATMENT TO PREVENT INJURY OR CHRONIC DISABILITY
Persistent pain and/or discomfort not attributed to occasional muscle overload soreness. Back pain, shoulder pain with repetitive overhead activities, repetitive “popping”, or “snapping” sounds with particular activities, increased knee pain with squatting/loading activities, inside knee or foot pain, “hyper” or “hypo” flexibility, core/abdominal weakness, repetitive ankle “roll outs”, “snapping” hip syndrome, etc.

The above are all “signs and symptoms” of abnormal biomechanical movement in the body.

Abnormal biomechanical movement can be caused by muscle imbalances, altered flexibility, balance deficiencies, habitual posturing, inappropriate bracing, and genetic predisposition.  This forces the use of COMPENSATION PATTERNS which leads to increased risk for injury during moments of vulnerability.

A FEW EXAMPLES OF COMMONLY SEEN COMPENSATION PATTERN CONSEQUENCES
  • Poor calf flexibility during weight acceptance with landing on jumps – inversion ankle sprains or medical arch/foot pain.
  • Poor core/abdominal stability with free weight training – increase spinal compressive/shear forces, increasing back pain, stress fractures, etc.
  • Forward shoulders/rounded posture, slumped sitting – partial or full shoulder dislocations, shoulder impingement, back pain, hamstring tears.
  • “Knock-knee” weight loading landings, weak quad/hip stabilizer muscles, wide pelvis – ligament, meniscus, kneecap dislocation injuries, foot pain.

For more information about injuries, concussions, concussion protocol or our sports medicine team, please see the "Who Do I Contact?" Link on the first page, or call our main office, Beartooth Billings Clinic Physical Therapy, at 406-446-0630.  Thank you and have a safe season!