Big Country Rehabilitation - Glenrock


Big Country Rehabilitation, LLC is located in Glenrock and is dedicated to providing a professional hometown atmosphere that incorporates current research-based intervention techniques individualized to your needs. We work closely with other healthcare providers in the community and surrounding area as part of your interdisciplinary team to ensure exceptional outcomes. We utilize community provided transportation to make it easier for you to access our clinic. As a member of the community, we are very excited to get the opportunity to work with the Glenrock high school by providing education experiences for students interested in pursuing a career in physical or occupational therapy.

Pediatric Department Info

Location Details

Address: 525 East Birch Street, Glenrock, WY 82637
Hours: Mon, Wed, & Fri: 8:30AM - 1:30PM  |  Tues & Thurs: 1:00PM - 4:30PM
Fax: 307-436-8729
Shelby Hoskinson, OTR/L

Clinic Supervisor


From a young age I have always enjoyed helping people. I chose occupational therapy because it provides the opportunity to help people return to completing meaningful activities and function within their daily lives. I enjoy getting to know each patient and I sincerely appreciate the fact that I am given the opportunity to assist people along their continuum of care and recovery.


  • 2017- Master Degree of Occupational Therapy- University of North Dakota

Professional Society Memberships:

  • Wyoming Occupational Therapy Association
  • American Occupational Therapy Association

Certifications/Specialized Training:

  • Vestibular Certification
  • Stroke Survival
  • Trauma in Child Development
  • Upper Extremity Rehab
  • Donetelli's Pathophysiology of the Shoulder
  • Kinesio Taping-KT I and II

Community Involvement:

  • Coaching Youth Basketball

Hometown: Glenrock, WY

Family: Husband- Casey Hoskinson

Hobbies: Reading, home improvements, spending time with family, basketball.

Michael Utt, DPT

When I was a junior in high school I decided on physical therapy as my future career. I initially chose PT because I thought it would be fun to work with athletes. As I went through school I realized that I enjoyed working with all types of individuals with a variety of orthopedic related ailments. I lived the majority of my life in eastern North Dakota and am now here in Wyoming to explore what else is out here in the country and grow as an individual. In my short time here in Casper, I have grown to truly enjoy the community and I am excited to see more of what this city and area has to offer.


  • B.S. in General Studies with a Health sub-plan from University of North Dakota – 2016
  • Doctor of Physical Therapy degree from University of North Dakota – 2018

Certification/Specialized Training:

  • Vestibular Certification
  • Practical Blood Flow Restriction

Professional Memberships: American Physical Therapy Association – Orthopedic section

Hometown: Casselton, ND

Hobbies: Basketball, golf, weightlifting, hiking and the occasional jog.


Services Offered

Latest News & Info

How to treat lower back pain from your Wyoming physical therapist

June 19, 2019

As the weather heats up, nothing can ruin your summer fun like lower back pain. Lower back pain can stop you from enjoying even the most relaxing of activities - from laying on a beach to taking a nice walk through the local landscaping you might be stopped by lower back pain. Here are some things that might be causing your lower back pain, and why you should see your Wyoming physical therapist.

Disc Issues
This is a common issue, and often a painful/uncomfortable one. Disc pain can be characterized by sharp pain in the lower back, that might migrate down your leg as well. If you are experiencing this type of pain, and it gets worse when you are sitting or bending over - you might have disc issues. Herniated discs often cause these issues, and it’s more common in younger generations than you might think.

Sacroiliac Dysfunction
Sacroiliac Dysfunction is a mouthful, but it’s also something that can cause pain during sitting, driving, broad pain, or pain while getting in and out of your car. It is a little harder to diagnose, but overall Sacroiliac Dysfunction is an issue with the sacrum and/or ilia. These types of issues can be long lasting, and take awhile to diagnose through MRIs or xrays. If you think you are experiencing this problem, be sure to have an open and honest conversation with your doctor. 

Spinal Stenosis
As your body ages, the ligaments connected to your vertebrae can begin to thicken (a result of osteoarthritis). As these ligaments thicken, the spinal canal can begin to narrow which causes additional pain and discomfort. Spinal stenosis can get so bad that you might begin to have difficulty walking and may require more than physical therapy assistance. If you think you might have developed spinal stenosis, seek medical attention and care immediately.

Muscle Strain
If the back pain is sudden onset, and doesn’t last for very long, you might have just strained a muscle or a ligament. While healing from a muscle or ligament strain, you’ll need to take things slowly and be careful not to create any additional pain or issues. As you recover from a strain, just make sure to keep using your back. While rest and relaxation is helpful, so is light physical activity such as walking and stretching. If you realize this is far too painful, refer to some relaxation and then connect with your Wyoming physical therapist. 

If you don’t meet any of the symptoms listed previously, but you are still experiencing chronic back pain - talk with your Wyoming physical therapist. Chronic back pain can be defined as back pain lasting longer than three months, but no one wants to deal with back pain for that long. At North Platte Physical Therapy, we are here to help meet your needs when it comes to managing and healing back pain. We serve the communities of Wyoming and Nebraska with 22 clinics offering a full range of physical therapy services for post-cast recovery. Contact us today for more information.

Staying healthy during the summer - from your Wyoming physical therapist

June 12, 2019

The summer months are here to stay, and as you spend more time outside you might be more likely to sustain injuries. Injuries can come in a number of forms and can often sneak up on you. You might be enjoying a hike with friends or family and start to feel a soreness in your ankle - or maybe you are enjoying a family cookout and take a misstep when taking food outside. No matter what happens or when, there are some ways you can avoid injury - take it from your Wyoming physical therapist.

Warming up 
If you plan on having a physically active day, it’s important to spend time warming up. This can include a light walk and stretch before you even leave your home. While warming up for a kayaking trip, hiking trip, or even a run outside a light walk or stretch can do wonders for your health and preventing injury. 

Pace yourself
It can be easy to get ahead of yourself when it comes to enjoying the summer weather. It might be tempting to do the 7-mile stretch versus the 5-mile on your first kayaking trip of the summer. Just remember, that although this might be fun, it isn’t always worth it and you can get seriously injured by over-exerting yourself. Remember to take things easy as your start a new exercise routine.

Pacing yourself applies to more than just physical activity. If you are working in the yard, around the house, or cleaning out a garage make sure you take extra care. It can be tempting to take more bags of mulch at once to avoid multiple trips, but this can actually lead to injury. Keep an eye on the way your body feels while performing household chores and maintenance.

Take care of yourself
While you should be doing this year-around, it’s extra important to take care of your body during the summer months. Heat can cause dehydration, and lack of proper nutrition can only accelerate these issues and cause more problems. Be sure to fuel your body properly, and carefully, during the summer. It’s going to be more important to consume more water as well if you notice that you are more tired than usual. 

Taking care of yourself includes warming up, as previously discussed, but also cooling down after physical activity and giving your body plenty of rest time. Rest time is essential in maintaining a healthy body, but also helping to reach your personal fitness goals.

If you begin to notice that you might have sustained an injury, or you aren’t feeling at your best, be sure to contact your Wyoming physical therapist for assistance. At North Platte Physical Therapy, we are here to help meet your needs when it comes to managing and healing back pain. We serve the communities of Wyoming and Nebraska with 22 clinics offering a full range of physical therapy services for post-cast recovery. Contact us today for more information.

Four ways to speed up recovery after Wyoming back surgery

May 29, 2019

You are about to undergo, or are currently recovering, from back surgery and you may be wondering if there are ways to speed up your recovery time. The good news is there are a few things you can do to speed up recovery, and get back on your feet! We’ve provided you with four ways to speed up your recovery, but want to remind you that before changing or adding to your recovery regime, consult your Wyoming physical therapist. Everyone has a different recovery time and process, so what works for one might not work for all. 

Get Healthy
You might be considered healthy already (in which case stay healthy), but if you could do better this is a great time to really focus on your health. Fueling your body with the right foods will not only have you feeling better, but will help your body begin to recover quickly. If you haven’t already, talk with your physical therapist about starting a light exercise routine to aid in the recovery process. With back injuries and recovery you will need to be cautious, but light exercise can help decrease any pain you might be experiencing and get you on the road to recovery.

Kick the Bad Habits
Have any bad habits lurking in your closet? Now is a great time to work on kicking your bad habits, such as smoking cigarettes. We know we don’t have to tell you about all of the negative outcomes that cigarettes can cause, but by not smoking you can speed up your recovery time as well. 

Your Day to Day
When operating day to day, be sure to follow the basic mobility requirements and regulations set out by your physical therapist. They have set these guidelines for a reason, and any deviation could slow your recovery time. By following them to a “t” you are more likely to recover quickly and safely. In addition, be sure to have someone in your home who can assist you with movements, household chores, and basic things such as eating, drinking, and even bathing. An available and attentive caregiver will be your key to a safe and speedy recovery. Be sure to take care when bathing, you don’t 
want to overstrain your body or cause damage to your incision. Often times your doctor might recommend avoiding washing the area under running water for the first two weeks - in which case have some assist you in using a damp washcloth. 

Stay Vigilant 
While following your doctor’s recommendations for care and maintenance, be sure to stay aware of how your body is feeling and how your wound is healing. Check the incision daily to ensure there is no infection, and that there is no inflammation or redness. This can be indicative of a deeper problem that might cause you to see your doctor.

At North Platte Physical Therapy, we are here to help meet your needs and ensure a safe recovery after a back surgery. We serve the communities of Wyoming and Nebraska with 22 clinics offering a full range of physical therapy services for post-cast recovery. Contact us today for more information.


Seven tips to making the most of your Wyoming physical therapy treatment

April 24, 2019

When you are ready to pursue your Wyoming physical therapy options, it’s important to get the most out of your physical therapy treatment. Afterall, you are using physical therapy to get better and to heal your body. These are our seven tips to making the most out of your physical therapy experience, and ensure that you will keep getting better. 

1. Ask Questions
Your physical therapist is here to assist you. If you have any questions don’t hesitate to ask them - they are here to help. The best physical therapists will be ready and open to answer whatever questions you might have and reassure you of any fears that you might be experiencing. 

2. Communicate
This goes hand in hand with asking questions, but make sure you are communicating with your physical therapist often and openly. If you are feeling any type of new pain, or feel that you might have re-injured yourself talk to your physical therapist immediately. 

3. Complete All Exercises 
Your physical therapist has assigned you particular exercises for a reason. Make sure you complete all exercises as ordered during your appointment but also at home. Your physical therapist might have assigned you additional exercises for home, and if they did there is a reason for that. 

4. Stay in Contact with Your Physician 
As you complete your physical therapy, keep in contact with your primary care physician. It’s important to keep your medical records up to date but also ensure that your doctor knows how you are managing and handling your pain. 

5. Stay Patient
Physical therapy isn’t a quick fix - it’s going to take time for the physical therapy to truly work and heal your body. By staying patient and focused on all of your exercises you will get better, it’ll just take some time. Don’t give up.

6. Set Goals
Your physical therapist might have set goals for you, but it’s important to create your own goals as well. Your goals are going to be a great motivator in sticking to your routine, your schedule, and ultimately getting better. When setting goals keep them realistic, achievable, and something that will help you keep moving forward. 

7. Don’t Skip Appointments
This might seem like an obvious one, but don’t ever skip your appointments. Appointments are key to getting better and sticking on a strict schedule will help you to continue to improve. If you are feeling pain, don’t skip your appointment just communicate with your physical therapist. They can help you identify why you are experiencing pain, and adjust your workout as needed. 

Are you tired of dealing with chronic pain? Or are you ready to improve your current situation? Contact us today to let us know what’s bothering you. Our team of professionals will implement a safe, effective, and reasonably-priced treatment plan that will have you living better, whether that means sleeping more soundly or getting through your work day without pain. Patients across Wyoming and Western Nebraska have relied on North Platte Physical Therapy for their pain prevention and physical recovery needs for years.

Using physical therapy as treatment for pain

April 17, 2019

Long-term pain, also known as chronic pain, can be treated through the use of physical therapy - in fact, physical therapy might be your best option at treating this type of pain. Most of the time you will need a recommendation from a doctor to see a physical therapist, but it can definitely be worth asking your doctor for one. We’ve put together our top reasons as to why you should consider investing in physical therapy treatment for your chronic pain. 

How does physical therapy treat pain?
Pain doesn’t always originate from where you think it does, and that’s why physical therapists are going to treat the source of the pain. Participating in physical therapy will help with joint and soft tissue mobilization and provide treatments that help to relieve pain, restore muscle, and get your body back on track to feeling better.

Physical therapists are experts in treating the body - not only can they help you identify the pain but they can help you treat it through a series of exercises. These exercises might include low-impact aerobic exercises such as walking, swimming, or stationary bike exercises. 

Physical therapy might also treat pain through the use of stretching, or body-weight strengthening exercises. The point of physical therapy is to treat your pain through the use of exercises and to get your body moving. In many cases your physical therapists will also prescribe exercises to complete at home - be sure to do these as prescribed to assist with pain.

What should I expect? 
Before your appointment check with your physical therapist to see if there is anything special or out of the ordinary you should be prepared for and check with your insurance company to see how much is or isn’t paid for. Be ready to discuss when your pain started, how it has intensified, if it has spread, and what mobility issues you might be having. You will most likely be moving around a lot in your first appointment as your physical therapist identifies your current issues, so make sure to wear clothing that is easy to move around in and be active in. In addition to exercises, be prepared that your physical therapist might utilize other tools such as a heating or ice pack, ultrasounds or even a massage. 

Will it be painful? 
The answer to this is complicated, but not in the way you think. Physical therapy will not be painful, but it might be challenging or uncomfortable. Physical therapy is designed to help your body heal and get stronger, so push yourself! Your physical therapist will never put you through anything that will harm you.

Tired of dealing with chronic pain? Or are you just looking for new ways to help improve your strength or mobility? Contact us today to let us know what’s bothering you. Our team of professionals will implement a safe, effective, and reasonably-priced treatment plan that will have you living better, whether that means sleeping more soundly or getting through your work day without pain. Patients across Wyoming and Western Nebraska have relied on North Platte Physical Therapy for their pain prevention and physical recovery needs for years.