Because falls are such a problem, the osteoporosis therapy is crucial. Along with that, geriatric physiotherapy is responsible for preventing many falls because of work with balance and gait. Some clinics focus entirely on balance issues for the elderly. Much of the work of geriatric physiotherapy is not aimed at returning patients to their earlier states of health. These injuries can be treated through physiotherapy. Given the right treatments and an injury that will respond to treatment, much progress can be made. Full functioning may be regained. It may even be possible for them to go back to work rather than being laid up at home. An answer to what is physiotherapy is what kinds of treatments physiotherapists use. The doctor has the patient lie face-down and inserts the acupuncture needles across the back. The doctor then finishes the procedure for lower back pain. Pain relief after a series of treatments usually lasts months. Massage is also used for lower back pain. The massage used must be done by someone well-versed in the treatment of lower back pain. Physiotherapy can help with these problems too. One thing people going through amputee rehabilitation need to realize is that gait is a good deal of the battle. If one walks correctly, people will not even be able to detect one's limp, even with a prosthetic leg. This skill can be learned from physiotherapists. Some of these injuries are fairly minor and will heal well with a limited amount of physiotherapy, while others need physiotherapy for the rest of their lives. As always with physiotherapy, the first step is evaluation. A plan is formulated that will include therapies specific to the kind of spinal cord injury the patient has. They may even have trouble walking or getting up and down stairs at all. Difficulty swallowing or breathing; dizziness, poor balance and falls, and a total lack of endurance plague many of these patients who have neurological conditions. Medications or surgeries can help with some of their problems, but many problems are ones they will have to abide.