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.


The Program provides a team consisting of Athletic Trainers, Physical Therapists, Primary Care Providers and Orthopedic Specialists. Our Sports Medicine program seeks to provide medical care to all the athletes in our community, both high school and our local community, including the Silver Run Ski Education Foundation. We provide Athletic Trainer visits twice a week during the school year and coverage of some games and tournaments. Our Registered Dietitian is available for any questions and we offer one free visit for student athletes as well.  We’ve been a proud partner of the Home of Champions Rodeo for over 20 years providing highly skilled, coordinated medical care to injured rodeo athletes at no cost to the contestant.

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

ImPACT testing s offered to all student athletes. Baseline tests are given freshman and junior years, as well as to new students and if any student has had a concussion since last baseline test. ImPACT tests are not given to students age 12 or younger, per the ImPACT testing guidelines. Before an athlete takes the baseline test, a consent form must be signed and returned. Dates and times for testing will be set up at each school by the ATC.  Please call the school or ATC with any questions.

If a concussion occurs, the athlete will need to see ATC at School and will also be referred to their primary care provider of choice. The athlete will need to have a written return to play release from their primary healthcare provider.

  • 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.


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).

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.


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.


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


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


  • 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 directed by your healthcare provider.
  • 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.


  • Athletes should not return to play on the same day of injury.
  • Athletes need to rest until symptom-free (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. This program takes a minimum of 5 days to complete.
  • 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.

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.

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!