Since qualifying as a physiotherapist in 1990 Karen has held a number of different positions working both in the NHS and private sector. In 1995 she became the head Physiotherapist to Bradford Bulls RLFC, a position she held for 3 years before having a year out working with England Junior Women Basketball. In 1999 she joined Huddersfield giants RLFC as head physiotherapist and joined the physiotherapy books of UK Athletics in 2001/02. In 2009 and 2010 she was the Consultant Physiotherapist to Bradford City Football Club and is currently the Head of the medical unit at Wharfedale Rugby Union. Karen has run her own private practice for over 10 years providing physiotherapy treatment for a number of professional footballers, athletes, squash and rugby players from union and league. Alongside this she has specialised over the last 10 years in the clinical assessment and treatment of spinal dysfunction working as a private physiotherapist alongside the spinal surgeon Mr Martin Knight treating and rehabilitating his patients. Karen has completed a number of clinical courses in the assessment and treatment of the spine including Kinetic Control Movement Dysfunction and Spinal Stability and all levels of the Muscle Energy approach to assessment and treatment of spinal dysfunction. Karen is a co-founder of the West Yorkshire ACL group set up to maintain and improve standards of practice in the treatment and rehabilitation of ACL deficient and reconstructed knees. After completing her MSc in Sports Medicine from the University Of Nottingham In 1997, Karen has taught on the undergraduate Sports Science degree programme at Leeds Metropolitan University and lectured for Sports coach UK on the role of core stability in the development of power and speed. She has lectured extensively on the topic of knee rehabilitation throughout the country.