The fact that it allows them to play golf will make them even healthier, both physically and psychologically. Since depression is a growing problem among the elderly, any help they can get in this area is needed. Another role of geriatric physiotherapy is to help with rehabilitation after knee or hip replacement surgeries. This is partly because of the influence of physiotherapy on the workplace. Physiotherapy principles are being used to design better work places and work habits. They are also important in dealing with the occupational injury that does happen. Occupational injury problems include back and neck problems, carpal tunnel syndrome, shoulder and knee dislocations, tennis elbow, and leg and ankle strains. Electrical stimulation can be used to keep pain from being felt through the nervous system. It is used for tennis elbow and many other sports injuries. Massage and manual therapy can also be used for physiotherapy. Massage is one of the forms of soft tissue manipulation. However, soft tissue manipulation is to muscles what chiropractic is to bones. Physiotherapy costs can be financially crippling, or small change. It depends upon the existence of insurance or the ability of the patient to pay out of pocket. Insurance covers most physiotherapy costs, but if there is any doubt, do not be afraid to ask. Physiotherapy is there to make you feel better, not to make you worry about how much it costs. Aerobic exercise is very beneficial both during and after physiotherapy. It strengthens the muscles, increases oxygen to the muscles, and helps you lose weight. Aerobic exercises you can do include walking, running, swimming, or bicycling. Any exercise that gets you breathing heavily and your heart rate up will do. You will not be able to keep your license without keeping up on the latest knowledge throughout your physiotherapy career. Also, you may want to consider a specialty. There are physiotherapy career specialties in geriatrics, pediatrics, orthopedics, neurological disorders, and sports medicine, to name a few.