Everything you need to know about concussions

Over the last 2 decades, there has been a lot of talk about the injury known as concussion. There has been a growing body of research about concussions—what they are, what causes them, and how we can better treat them. For this reason, the clinical management of concussion care has significantly changed in recent years; however, not all health care providers have been informed about these changes.  

My name is Logan Curry. I am a physical therapist at Advanced PT’s Appleton North location with advanced training in treating and managing concussions. I frequently get questions from patients or their parents about these injuries. Here are the answers to some common questions that I get about concussions. 

What is a concussion?

A concussion is a traumatic injury to the brain, which causes a cascade of events leading to inflammation, blood flow restriction, and a depletion of energy needed for normal neurological function. This is a functional injury to the brain without visible structural tissue damage to the brain. It causes signs and symptoms (such as dizziness, headache, fatigue, etc.) which can occur immediately or over time. Although these symptoms can be quite severe, typically we expect them to resolve in days or weeks following the injury.  

How do you diagnose a concussion?

A clinical assessment performed by a health care provider is necessary to formally diagnose a concussion. Assessment may include but is not limited to testing for cognition, eye control and vision, posture, gait, balance, and neck motion.  

Do you need to get imaging after a concussion?

No, it’s not necessary, but sometimes it may be appropriate. Currently, diagnostic imaging for clinical use cannot identify people who have sustained a concussion, so CT scans and MRIs will show no signs of tissue injury. If a person sustains significant head trauma and their symptoms progressively worsen or create an unstable condition, they should receive a CT scan to rule out something more serious. In other cases, a person may receive an MRI to assess for structural injury to the brain in cases where symptoms persist longer than expected.  

What do you do after a concussion to help recover?

Initially, a period of relative rest (reducing daily activities and limiting screen time) for the first 24-48 hours following injury is recommended. After this period of time, it’s important to gradually return to physical and cognitive activity with minimal increase in symptoms. Sometimes people want to avoid all stimulation that provokes symptoms following their injury. Unfortunately, this doesn’t help their brain adjust to the stimulation that comes with daily activities. After a concussion, the brain needs to be gradually exposed to normal stimuli as part of the recovery process.  

How does someone return to school, work, or sport?

Often after these injuries, people need to receive modifications or accommodations to their school or work day to allow them to return to those activities at a sub-symptom threshold level (with minimal increase in symptoms). This they can do with the assistance of a healthcare provider. Returning to sport should occur in a gradual manner under the direction of an athletic trainer or physical therapist. Returning to full participation in sport should occur after fully returning to school/work activities. 

How long does it take to recover?

The majority of concussions recover fully in a relatively short amount of time (14 days or less for adults and 30 days or less for children). Unfortunately, there are cases and situations where concussion symptoms can persist because the brain needs some additional help to get back to normal function. 

Should someone receive care or treatment after a concussion? I

t is important to have oversight by a medical provider to assist in helping a patient who has sustained a concussion return to normal activities. ER doctors, primary care physicians, and athletic trainers are often the first health care providers to see people following a head injury. In some cases, they may recommend that a patient receive care or treatment from other health care providers such as a physical therapist, occupational therapist, speech and language pathologist, neurologist, concussion doctor, neuro optometrist, and neuro psychologist. Their recommendation will be based upon the provider’s experience and the patient’s symptoms following an injury. Sometimes providers may not be aware of some options that may be available to help get their patient better faster. 

How does physical therapy help people who have concussions?

The main goal of physical therapy following a concussion is to help gradually retrain the brain to process information and return to normal activity and function. Every concussion is going to present differently, so treatment can vary from one injury to another. The physical therapist will perform a comprehensive assessment and determine the most appropriate treatment strategy to help each patient address their impairments and deficits as well as work towards achieving their specific goals. Physical therapy may include aerobic activity, treatment for the neck, exercises for the eyes, interventions for the inner ear, balance training, reaction training, and sports/job specific activities.  

Concussions are a very complex injury and not fully understood. Despite our limited knowledge on the subject, there are many great things that can be done to help people feel better faster and to assist in managing symptoms. If you have any additional questions about concussions or are curious about what physical therapy can do for treating concussions, feel free to contact me at lcurry@advancedptsm.com or 920-991-2561. 

Patricios JS, Schneider KJ, Dvorak J, et al. Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport-Amsterdam, October 2022. Br J Sports Med. 2023;57(11):695-711. doi:10.1136/bjsports-2023-106898 

National Athletic Training Month Recap.

National Athletic Training Month is held every March in order to spread awareness about the important work of athletic trainers (ATs). The care provided by these experts, whether to middle, high school, collegiate or professional athletes or the industrial athlete, can be life-altering. The athletic training ranks teem with stories of current ATs drawn to the profession through their interaction with an AT who helped them through a devastating injury when they were young. Such profound encounters contribute mightily to the next generation of ATs so vital to the health and well-being of athletes of all ages and disciplines.

As providers of front-line care, ATs offer wide-ranging skill sets that go well beyond the physical aspects of sports medicine. Their ability to connect with patients is perhaps the true hallmark of the AT. Another characteristic shared by many ATs is their slightly annoying reluctance to highlight their own skills.

As it’s National Athletic Training Month, we asked them the following question:

What unique value do you feel athletic trainers offer their patients?

And forced them to answer.

Lynsey Hansen – 11 year in athletic training, previous experience with youth, high school, and collegiate athletics. Past year and a half with Industrial and Tactical Medicine.

“AT’s have the unique opportunity to get to know their patients before they get injured in most cases, which can help improve the patient's outcome, and the AT also gets to watch them successfully return to their career, hobby they love, etc. Having that sort of relationship can help keep the small things small, but also incorporate techniques to aid the mental and emotional aspects when those injuries are more severe.”

Joe Hanel – 8 years in athletic training. All in Industrial setting.

“I think the general public is starting to understand that AT’s have a very broad range of knowledge about all kinds of injuries, human anatomy, kinesiology and more. When it comes to the front line of care, AT’s seem to be most knowledgeable in whole-body care. Most LAT’s need to be ready to treat any injury so our continuing education is not often specialized, allowing us to stay current on a wide spectrum of healthcare issues. I believe this really helps us stand out.”

Heidi Bohl – 13 years in athletic training, previous experience in youth and high school athletics. Past 4 years in Industrial and Tactical Medicine.

“Athletic trainers offer multiple skillsets that dabble in a variety of healthcare spectrums including physical care as well as emotional wellbeing. The range of training allows us to guide and address the whole body.”

Traci Tauferner - 17 years in athletic training, previous experience in youth, high school, collegiate and semi-professional athletics. Past 15 years in Industrial and Tactical Medicine. APTSM’s Director of Industrial and Tactical Medicine.

“I work mostly in the tactical setting. So for me athletic trainers bring valuable expertise to police and fire departments by offering specialized injury prevention, rehabilitation, and fitness training tailored to the physical demands of their jobs. Our knowledge of sports medicine principles can also help in managing and preventing work-related injuries, ultimately promoting the overall health and well-being of police officers and firefighters.”

Sean Gough – 12 years in athletic training, previous experience in high school and collegiate athletics. Almost 1 year with APTSM in Industrial and Tactical Medicine

“Athletic trainers excel in being the go-to, that trusted face due to the long-term relationships we build with patients—especially in the athletic setting but also now in the industrial and tactical space. Not only do we get to see our patients at a time where they are vulnerable, hurt, or uncertain about their future, but we also get to see them at their best.”

Marc Viergutz – 8 years in athletic training, previous experience in high school, collegiate, and professional athletics. Past 3 years with Lawrence University.

“AT’s offer a truly sport-specific view which is unique in the world of medicine. From the way we are educated to the way we approach things. It’s always from a view with the athlete’s sport in mind. We have the opportunity to work every day with that sport and provide tailored treatment plans.”

Megan Werner – 14 years in athletic training, previous experience in youth, high school, and collegiate athletics. Past 6 years in Industrial and Tactical Medicine and as Sports Medicine Coordinator.

“I feel athletic trainers offer a huge value to our patients because of our dynamic skill set. With our roots in athletics, we naturally learn to be flexible and are quick to adjust based on the needs of our patients and clients. We are always looking for ways to help our patients recover from injury or continue to improve their performance, no matter if their “playing field” is an actual field or court for an athlete, a manufacturing facility for an industrial worker, or a burning building for a firefighter.”

So if you see your friendly (or even somewhat laconic) athletic trainer, invite them to chat about their chosen profession as well as their national organization’s tagline for the month-long celebration: “From Head to Toe.”

Actually, once the ATs got going they couldn’t resist answering our second question (“How does ‘From Head to Toe’ encapsulate what you and Advanced PTSM do in athletic training?”), which we combined into a tidy paragraph that represented the group’s thoughts nicely:

“As athletic trainers, we are ready to address almost anything our patient might need. Our education includes emergency care, evaluating and treating orthopedic injuries, injury prevention, as well as concussion care, nutrition, and hydration. We’re also typically in environments like working with a team or company where we get the chance to develop strong relationships with our patients and get to know them as a person, not just their injury.”

Advanced PT Recognized with Community Heroes Award

It’s important to craft a mission statement wisely. You only get one sentence, and it must stand the test of time.

Ours goes like this: The mission of Advanced Physical Therapy & Sports Medicine is to provide individualized care based on clinical expertise with a commitment to patient advocacy, education, and community service.

Fast forward 25 years since the creation of that sentence, and those words ring true. Well, maybe one of the words has undergone a change in definition: community. In 1998, Advanced PT consisted of a single clinic location in Appleton, so “community” meant just the Fox Valley.

Now there are more than 30 clinics throughout Wisconsin.

But growing larger does not mean losing touch with what got you here in the first place: a commitment to doing things the right way.

As testimony, consider Advanced PT’s recent recognition as “Community Heroes” by the Wisconsin Office of Rural Health. Part of National Rural Health Day, which is celebrated on the third Thursday in November, the award is bestowed to practices and individuals for their outstanding contribution to improving the quality of and access to rural healthcare.

It also highlights the unique challenges rural communities face: provider shortages, an older population, and lack of transportation.

The Wisconsin Office of Rural Health describes our rural communities as “wonderful places to live, work, and visit. They are also communities where health care providers deliver innovative, affordable, and holistic primary care.”

Honoring the community-minded, “can-do” spirit that prevails in rural Wisconsin, the award recognized Advanced PT clinics in Ripon, Iola and Marinette.

PJ Christopherson, Clinic Director at the Advanced PT location in Ripon, views the award as a natural extension of the founders’ vision.

“We value supporting rural health care,” Christopherson said. “That’s been in our DNA from the beginning, not only to serve communities but to be part of them, growing with them and making them stronger.”

Adam Wirtz, Advanced PT Clinic Director in Iola, embraces the role he and his colleagues play to improve the quality of life for patients and communities.

“In America right now—for a lot of reasons—access to good quality health care is restricted in rural areas,” said Wirtz. “We take pride in working hard to address the unique healthcare challenges that rural citizens face today. It’s an honor to be recognized for our efforts.”

Serving communities for over 25 years, Advanced Physical Therapy & Sports Medicine is grateful for this award recognizing our commitment to rural health. We are proud to support the communities we work in, because we live in them too!

Advanced PT Pitches In to Move Research Forward

Dr. Barbara Van Gorp from the University of Iowa Rehabilitation Services & Physical Therapy presenting her research study with the support of Advanced PT in Sheboygan.

Advanced PT Pitches In to Move Research Forward The University of Iowa and Vanderbilt University Medical Center joined forces to study non-drug modalities to treat chronic pain. Sponsored by the National Institutes of Health, the clinical trial is focused on determining the effectiveness of Transcutaneous Electrical Nerve Stimulation (TENS) for individuals with fibromyalgia, neck and back pain. Advanced Physical Therapy & Sports Medicine is one of five physical therapy partners helping with the study across a six-state area.

Clinicians from Advanced PT locations with expertise in working with fibromyalgia patients as well as TENS are contributing to the pragmatic clinical trial, which uses a normal healthcare setting instead of a university-based research center. The goal of the trial is to determine if the addition of TENS to physical therapy for patients with fibromyalgia helps to reduce pain, increase adherence to physical therapy, reach personal functional goals, and decrease medication use.

A recent study established the efficacy of TENS for the treatment of musculoskeletal pain in fibromyalgia patients; this study seeks to gain further insights in what is considered to be the first pragmatic trial conducted in physical therapy practices.

A chronic condition, fibromyalgia is characterized by widespread musculoskeletal pain accompanied by fatigue, sleep disturbance, and cognitive symptoms. Individuals with the condition often have reduced activity levels due to the fact that activity itself can increase pain. The use of a TENS unit, which delivers electrical impulses through the skin via attached electrodes, can reduce the pain signals going to the brain, which may help relieve pain and relax muscles.

It is hoped that the data, once collected and analyzed, will have significant ramifications for how to better treat individuals with chronic pain without the use of drugs. Advanced PT is providing eligible patients the opportunity to participate in the study. To learn more or to schedule an appointment, call 920.991.2561.

The following clinic locations are participating in the clinical trial, which continues through 2024:

• Appleton North (2105 E. Enterprise Ave., Suite 113, Appleton WI)

• Appleton West (1640 N. Casaloma Dr., Appleton WI)

• Fond du Lac (355 N Peters Ave., Fond du Lac WI)

• Iola (115 N. Main St., Iola WI) • Marinette (1931 Marinette Ave., Marinette WI)

• Menominee (3841 10th St. Suite A, Menominee MI)

• Ripon (401 Eureka St., Ripon WI)

• Sheboygan (2124 Kohler Memorial Dr., 110A, Sheboygan WI)

• Stevens Point North (641 N. Division St., Stevens Point WI)

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To learn more about the study from their website, click here.

A Physical Therapist's Guide to Snow Shoveling Safety

Hello, everyone!

As a physical therapist, I’m here to share some important tips about snow shoveling. It’s a common winter chore, but if not done properly, it can lead to some aches, pains, and or injuries. So, let’s dive in!

Choosing the Right Shovel:

The first step to safe snow shoveling is choosing the right shovel. Look for one with a curved handle. This can help you keep your back straighter while shoveling.

Also, a smaller blade will require you to lift less snow, reducing the strain on your body.

Warm-Up Exercises:

Before you start shoveling, it’s important to warm up your body.

Try marching in place or walking for a few minutes.

Follow this with gentle stretching exercises for your back, arms, and legs to prepare them for the activity ahead. 

Your Physical Therapist can help you identify any specific stretches or areas to stretch that would benefit you most.

Proper Lifting Techniques:

When you’re shoveling, remember to lift with your legs and not your back.

Stand with your feet hip-width apart for balance and keep the shovel close to your body. Bend from the knees, not the back, and tighten your stomach muscles and buttocks as you lift the snow. Avoid twisting movements. If you need to move the snow to one side, reposition your feet to face the direction the snow will be going.

Potential Risks and Injuries:

Improper snow shoveling can lead to various injuries. These include strains and sprains, particularly in the back and shoulders. In severe cases, it can cause heart-related illnesses like heart attacks.

Remember, it’s a strenuous activity that raises your heart rate and blood pressure. Always listen to your body and stop if you feel pain or discomfort.

Watch for Overexertion:

Overexertion is a serious concern when shoveling snow. Be sure to take frequent breaks and drink plenty of water. If you feel any signs of overexertion, such as dizziness, sweating excessively, or shortness of breath, stop shoveling immediately and seek medical attention.

Conclusion:

Snow shoveling is a necessary part of winter for many of us, but it’s important to do it safely. By choosing the right shovel, warming up, using proper lifting techniques, understanding the risks, and watching for overexertion, you can keep yourself safe this winter season.

If you have any questions, please contact your physical therapist for further guidance.

Stay safe and warm out there!

Winter Safety in Industry: Navigating Cold Conditions with Confidence

As the temperature drops, it’s important to be reminded of best practices to stay safe (and warm). The following tips should always be top of mind:

1. Good Things Have Layers: Lasagna. Tiramisu. Employees who aren’t cold. Dressing in layers allows you to trap heat easily while providing you the ability to adjust clothing as needed. Start with a moisture-wicking layer (synthetic or polypropylene, not cotton!) to avoid your body cooling down due to sweat. Then add a light insulating layer (light fleece or long-sleeve shirt) to retain heat and, if needed, a heavier fleece to trap the heat and keep you warm. Choose layers that are compliant with your employer and allow the movement needed for work. A wind/waterproof layer can be added to increase protection during outdoor tasks.

2. Put Your Best Foot Forward: Good traction is key for navigating winter conditions. Invest in non-slip, insulated boots to prevent slips and falls on icy surfaces as well as to keep your feet warm. We chose the word invest deliberately, as well-made footwear will generate benefits. Avoid a tight fit that restricts circulation and movement. What’s inside of your boots is important as well. We recommend a two-layer sock system for cold conditions. Again, lose the cotton and opt for a thin polypropylene sock with a wool sock over top. The first layer allows moisture to be wicked from the feet, and wool stays warm even when wet from snow or sweat.

3. Have a Nice Trip, and See You Next Fall: This is not breaking news, but we’ll shout it out nonetheless: SNOW & ICE CREATE HAZARDS! Slips trips, and falls—the most common of workplace injuries—increase dramatically during winter months. To prevent such occurrences, along with the pain and embarrassment that often accompany them, snow and ice should be cleared from all walking surfaces. Salt and deicer should be used as quickly as possible for the best results. If walking on snow or ice is unavoidable, take shorter steps and walk slower to improve reaction time to traction changes.

4. I Don’t Feel Thirsty: Yes, but you still need to hydrate. During the winter season, it is not uncommon to feel like we need to consume less fluids. This can be perceived by less perspiration and decreased feelings of thirst. However, we are still losing fluids through respiration, sweat, and urination even in cold weather. Proper hydration is crucial to ensure our bodies can generate enough heat to maintain a healthy body temperature. Drink water regularly throughout the day even if you don’t feel thirsty. Decrease the intake of beverages with high concentrations of alcohol and caffeine as those can contribute to dehydration.

5. Communication Matters: Report any safety concerns promptly to ensure a quick and effective response to potential hazards and decrease the risk of injury. Enough said, right?

By following these safety guidelines, we can ensure a safe environment for everyone. Stay vigilant, stay warm, and let's navigate this winter season with caution and care.

All this being said, accidents do happen, and know Advanced Physical Therapy & Sports Medicine is here when you need us!

Orchestrating Care: Advanced PT at Lawrence University

The team behind the Lawrence University Conservatory

As the physical therapist serving music students at her alma mater, Amber Lisowe knew what question was coming first. She answered it before it was even asked.

“No, I don’t have any musical skills. None whatsoever.”

Her patients at Lawrence University don’t really care. They are less concerned with any musical predisposition she might share with them and more interested in the skills she brings diagnosing and treating their musculoskeletal issues.

And those issues can be considerable.

“These students are practicing and playing for hours, every day,” said Lisowe. “Imagine being in these athletic positions, using your arms and hands, your back, for that long.”

Her use of the term “athletic” is deliberate.

“There are a lot of similarities between collegiate musicians and their counterparts on the field,” Lisowe said. “Both are passionate, and both deal with injury.”

While Lisowe might deem her history of musical pursuits minimal, her athletic undertakings were anything but. A multisport athlete in high school, Lisowe went on to play basketball at Lawrence. As with many athletes who follow the path toward a career in the medical sciences, Lisowe was familiar with injury.

“At Lawrence, I tore my ACL,” said Lisowe. “Twice.”

The first happened early in her freshman season, a devastating blow but one she was determined to overcome. An ACL tear is a season-ending injury with a rehabilitation period of 9-12 months, but Lisowe was passionate about her sport and getting back to it as quickly as possible.

There’s a period of mourning, Lisowe says, that can last until you’re back on the hardwood. The rehab process means you don’t get back to practicing on the court for a full five months. By this time, any concerns of re-injury were the furthest thing from her mind.

“I’d already done running things in therapy, some jumping and cutting, so by the time you get a ball in your hands, your body just kind of takes over and falls into those routines,” Lisowe said. “When you’re back to playing competitively, your focus has shifted from thinking about the leg itself to the dynamics of the game.”

Lisowe would tear her other ACL in her senior year.

“With the first injury, I knew I could work hard and return for my sophomore season. This time there was no next season for me. Definitely a big thing,” she said.

Those serious injuries led to firsthand physical therapy experiences, which in turn kindled Lisowe’s burgeoning interest in the field. Following Lisowe’s time at Lawrence (she graduated with her Bachelor of Arts from Lawrence in 2014), she went on to earn her Doctor of Physical Therapy degree from Rosalind Franklin University of Medicine & Science. She joined Advanced Physical Therapy soon after to work in their Neenah clinic.

The opportunity for Lisowe to work with Lawrence University Conservatory of Music students happened when LU’s longtime physical therapist, Advanced PT’s Phil Sorensen, looked to cut down on his hours. Lisowe jumped at the chance to return to Lawrence.

“Coming from a smaller town, Lawrence was such a great place for me to find myself,” said Lisowe. “The growth and experiences I had there, the friendships I made, really helped shape who I am today. Athletics got me on campus, but the academics and everything Lawrence offers is what really drew me in.”

Lisowe now finds herself at Lawrence one hour a week, providing physical therapy sessions for her student-patients. She sees a range of musicians—freshmen to seniors, flute to clarinet, oboe to piano—with a variety of orthopedic issues.

“A lot of what I do is helping them to manage their pain, figure out what’s causing it, getting them stronger and finding the best positions to hold their instrument,” she said. “There’s not a certain group of people that appear to be more at risk. I enjoy training and teaching them all.”

Sorensen, who worked with LU’s music students for nearly a decade, describes the experience there as unique.

“There’s just such joy there. These students will walk out of a session and begin playing their horn, and stuff like that. It’s just a really cool atmosphere. It makes you young again.”

Lisowe too recognizes the special nature of the gig, one that gives as much as it gets.

“I just love being back here. I think it was meant to be,” she said. “I love being able to make a difference for such a diverse group of talented individuals.”

Mentioning the variety of students she helps, Lisowe notes the common trait all these musicians possess. And despite being “non-musical,” it’s a characteristic she shares with them, as demonstrated throughout her athletic career.

“They are all very motivated to get better so they can continue doing what they love,” said Lisowe.

Click here to learn more about Amber and Phil and the clinics they serve at in addition to their responsibilities at Lawrence.

Physical Therapy Month Spotlight—Dr. PJ Christopherson, DPT

Dr. PJ and family: Sarah, Cooper, Declan & Micah

It would give us no greater pleasure than to shine the spotlight on EVERY one of our providers in October, otherwise known as National Physical Therapy Month, but that ain’t going to happen.

This is a blog, not a book.

So we are choosing to introduce you to PJ Christopherson, and not just because of what he brings to our practice.

He had us with the first sentence that came out of his mouth.

“Yeah, I really tried to talk myself out of going into the PT profession. Because of my mom.”

Wait, what?

A Shawano native, Christopherson grew up with physical therapy. No, this is not an injury story. His mother, physical therapist Jean Darling, has been a fixture in the community’s health and fitness scene for a lifetime. Suffice to say Christopherson had significant exposure to all things PT.

“My mom lived and breathed physical therapy, so I was around it a lot,” Christopherson said. “But for some reason—and I’m not sure what that reason was—I thought of doing something else. Maybe I just didn’t want to pick something because my mom did.”

Christopherson nevertheless found himself gravitating to the health field. His high school anatomy class was an early inspiration; later, an introductory course on health careers at UW-La Crosse revealed the variety of career opportunities beyond PT that were available to him.

Following completion of the course, a turning point.

“Not sure I’d call it closure, but I had this acceptance that PT could actually be something I could see myself doing,” Christopherson said. “Maybe it was on my radar all along.”

Fast forward, Christopherson would earn his bachelor’s degree in Exercise & Sports Science and then (of course!) his Doctorate of Physical Therapy, both at UW-La Crosse. Newly engaged, Christopherson and his wife Sarah moved to the Milwaukee area, where she attended graduate school and he began his career at a small private physical therapy practice.

Not that he didn’t consider other options, including one at Advanced PT, the very place where his mom practiced and thrived.

“Fresh out of school I actually interviewed with (Advanced PT president and co-founder) Rob Worth for a job,” Christopherson said. “At that point, I felt like branching out a bit, doing my own thing.”

A year later, the couple—he from Shawano and she from La Crescent, MN—had the desire to get back to a smaller community. A job at Advanced PT’s Ripon clinic became available, so the Christophersons found themselves headed right where they hoped they’d be.

Now Clinic Director, Christopherson divides his time serving patients in several capacities. He works with his patients at the clinic on Eureka Street, which also happens to be the near-site clinic for the Ripon Area School District (RASD). Advanced supplies PT services to all RASD employees and is part of the care team delivering high-quality, low-cost care to the district since they recently transitioned to a self-funded health care plan.

The relationship began when the district’s primary care physician needed space. His arrival at 402 Eureka Street resulted in conversations (Advanced PT assists several districts with their healthcare via direct contracts) that led to the establishment of the near-site clinic with a range of providers, part of the district’s overall strategy to reduce costs by offering health services to employees free of charge.

“Being part of this means we can really help people on a community-wide level,” Christopherson said.

Christopherson also finds himself as part of the industrial team at Advanced, providing onsite physical therapy, injury management and rehabilitation services to employees at a manufacturing company in a nearby community.

“With these relationships, we’re more than just a provider of services,” Christopherson said. “We’re part of these communities, growing with them and making them stronger.”

Speaking of growing, the Christophersons are the proud parents of three young children; recently they moved to a larger house to accommodate the needs of the family and the extra space they were looking for. They both love where they live (Sarah is a home health occupational therapist), a beautiful area of closely knit communities with small-town values, thriving and upbeat downtowns, a wide variety of recreational opportunities and the convenience of being close to larger metropolitan areas.

“My Milwaukee friends joke that I live in the middle of nowhere,” Christopherson said. “No way. I live in the middle of everywhere!”

Compared to his Milwaukee experience (he also completed a physical therapy internship with the Milwaukee Brewers, providing orthopedic evaluations for prospects at their spring training facility in Arizona), Christopherson finds his current schedule just as jam-packed, perhaps even more so.

He wouldn’t have it any other way.

“I’m in the clinic four days, then one day a week I’m onsite, so I see a little bit of everything, neck to jaws, knees to ankles to shoulders, vertigo patients,” he said. “If you walk in the door, I will see you for X, Y or Z.”

That ability to treat a wide variety of patients is perhaps a gift from his mother, whose resume is ridiculously robust. The fact that he chose to follow in her footsteps makes her very happy, which has upsides when you have a three, two and one-year-old.

“Mom comes down from Shawano every week to babysit,” he said. “That’s been a game-changer.”

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To learn more about Dr. PJ and/or the Ripon clinic, click here.

Providing Experiences for the Next Generation of Professionals

Getting people back to what they love is the job of an athletic trainer. Ensuring there are plenty of high-caliber graduates ready to serve active populations is the job of universities and colleges, whose programs provide interactive learning environments that will prepare students to enter the profession.

Advanced Physical Therapy & Sports Medicine (APTSM) plays a vital role in the process.

“It’s important we offer internships and job shadowing opportunities for those on the path to becoming athletic trainers,” said APTSM’s Traci Tauferner. “The field is projected to grow 25% by the end of the decade.”

While there is a broad range of settings for the athletic trainer—physician practices, professional sports, clinics specializing in sports medicine, occupational health, and performing arts, to name a few—the vast majority of graduates will enter the field’s most traditional setting: schools.

That’s where Tauferner started out after earning her athletic training degree at UW-Oshkosh. With a robust resume developed since her graduation—she’s the Director of Industrial & Tactical Medicine at Advanced—Tauferner now devotes time both to her administrative duties as well as to the onsite therapy services she delivers at multiple locations.

Tauferner is committed to bringing attention to industrial athletic training, especially as the need for athletic trainers to prevent, evaluate, manage, and rehabilitate conditions faced by workforces—directly at companies and municipalities—continues to grow.

“Achieving injury prevention and cost control in this day and age for the industries and tactical groups we serve is not just a desired outcome,” said Tauferner. “In many cases, it’s a matter of survival.”

More than 55 Wisconsin companies and organizations utilize Advanced PT’s hallmark program of onsite wellness solutions. APTSM’s dedication to workplace health and safety has contributed to recognition at local, state, and national levels.

That kind of focus includes providing learning opportunities for those interested in pursuing a career in the field, and Tauferner is passionate about students understanding the paths available to them.

“It’s important for us to provide these experiences for the next generation, especially so in the bourgeoning industrial and tactical realms, as fewer than 5% of graduates are going into those sectors,” she said.

The connection between APTSM and Tauferner’s alma mater remains strong, as evidenced by UW-Oshkosh student Cade Littleton’s recent experience.

Littleton, a senior in the Masters of Athletic Training Program, spent the summer working through four specific rotations: clinical, hospital, professional team, and industrial/tactical.

Littleton said a few football injuries (“some hip and shoulder pain, but nothing huge like a blown ACL”) led him to seek treatment. Though his high school didn’t have a traditional athletic trainer, a nearby orthopedic group supplied the small school with a physical therapist, and Littleton found himself fascinated by the PT’s skills.

“I was just very interested in what he did, so much so that I actually job shadowed him for one of my classes,” said Littleton. “That set me on the PT path, but once I got to school and got a little more experience with athletic training, I became drawn to that, to work with a younger and highly active population.”

To meet the requirements of the program, one of Littleton’s rotations had him paired with Tauferner.

“This was actually the third time I had met Traci,” said Littleton. “I met her following a presentation she did on mental health, then at the WATA (Wisconsin Athletic Trainers’ Association) conference this year.”

For two weeks Littleton followed Tauferner’s schedule (“yeah, she starts early”), which included stints with the tactical groups she services.

“It was cool to see the firefighters and police officers and how they handle things at their own facilities,” said Littleton. “It was a lot different than my traditional experiences.”

With those tactical groups, Tauferner gave Littleton the opportunity to do full evaluations; she provided guidance, talking Littleton through treatment options and giving him the chance to “do his own thing.”

“Traci allowed me to do a lot more hands-on than I expected, so that was really cool,” he said.

He also learned about Tauferner’s use of and advocacy for modern cupping techniques.

“Just how she used cupping and explained it so it made sense to the client was very interesting,” said Littleton. “That helped me a lot because I’m still a student trying to figure this stuff out.”

Asked about key takeaways following the rotation, Littleton doesn’t hesitate.

“The experience pushes me to continue to learn, to ask questions, and to demand respect as Traci does.”

Littleton admitted he’d like to replicate the demeanor Tauferner exhibited throughout their time together.

“Traci’s vibe is straight confidence,” said Littleton. “The setting doesn’t matter.”

Summer rotations are complete, Littleton is now working with UW-O’s athletic trainer for 2023 football season. Set to graduate next May, Littleton is currently leaning towards working in the high school or college setting, but he’s not ruling anything out.

“I’m not 100% sure yet,” said Littleton.

If uncertain about his job setting, Littleton expresses a clearer view in the geographic sense.

“I’m up to moving,” he said. “I’m not a huge fan of winter.”

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If you or a student you know is interested in experiencing what Advanced does every day, contact us today!.

Recreating the Unthinkable: The Stevens Point Mass Casualty Event

Even when you know it’s a simulation, you’re a bit on edge. Maybe it’s because everyone is.

Or it might be the card they handed you to identify your role in the simulation, which reads “ACTIVE SHOOTER MOCK VICTIM INFORMATION.”

Advanced Physical Therapy’s Lynsey Hansen was ready for her role as a shooting victim nonetheless.

“I was hit but still responsive,” Hansen said. “I just followed what was on the card and did my part.”

The mock disaster, held in Stevens Point for Central Wisconsin first responders, required that exact mindset from everyone involved: be prepared to do your part.

The active shooter event is known as Rescue Task Force Training (RTF). Conducted annually by the Stevens Point Fire Department, Police Department and Emergency Medical Services Team, RTF provides the training ground for multiple agencies to respond to a simulated disaster scenario. The collaborative effort identifies opportunities for enhanced coordination among the agencies tasked with stabilizing a complex situation and triaging victims at a time when every second matters.

While this was Hansen’s first participation in the event as a member of Advanced PT, her boss has been there a few more times.

“Advanced has been working with Stevens Point Police and Fire for 13 years, so this was my 13th,” said Traci Tauferner, Director of Industrial & Tactical Medicine. “I go every year to RTF training, and every year I learn something new.”

Often assisting as a victim in the dress rehearsal, Tauferner recently has taken a step back to view things as an observer.

“As the provider of onsite rehabilitation for Stevens Point Police and Fire Departments, it’s a perfect time for us to educate ourselves about the physical aspects required by personnel to effectively do their jobs in a high stress mass casualty event,” said Tauferner. “With that knowledge, we will understand how we can best rehab them if they have an injury.”

In previous drills, Tauferner focused on her role as victim, viewing the triaging interactions she had with first responders tending to her injuries. This year’s perspective afforded her the opportunity to see department interactions, triage tools, deployment, and the results of public safety partners who have planned and trained together.

Scrutinizing the approach of first responders in managing a large-scale crisis assists Advanced onsite tactical providers.

“We aren’t police officers or firefighters,” said Tauferner. “If we don’t study how they do their work, we won’t understand how to strengthen them, condition them, rehab them, and protect them if they have an injury.”

Hansen, fresh from her first acting stint, appreciated the combined efforts of those who pitched in to coordinate the event.

“You’ve got staff members and groups from multiple locations—Stevens Point, Plover, Portage, etc.—that participate, which is so important because each situation will be unique and you’re going to need to pull from every available area,” Hansen said. “So getting that experience is so beneficial for all parties.”

Afterwards, departments held debriefing sessions, both individually and jointly; those wide-ranging conversations help drive next year’s training. All participants acknowledge the intricacies of fine-tuning the rapid deployment of resources among multiple groups, but their overarching goal is simplicity itself:

To create a unified response that saves lives.