Karen joined Black Hills Orthopedic and Spine Center in 2006. She earned her Physical Therapy degree from the University of North Dakota. She has received special training in the areas of osteoporosis prevention and management, postural dysfunction, exercises for the aging, manual therapy for the spine and extremities, TMJ, and myofascial release techniques. Karen has also taught community education classes to help others learn how to prevent osteoporosis and continue exercising with age.