The muscles that are tightened because of poor carriage of the body can be worked until they are less tender. Some muscles may have contracted, or shortened, due to postural problems. Other muscles which oppose them might have lengthened and weakened. It is necessary to stretch the shortened muscles before trying to strengthen, or tighten, the longer muscles. Geriatric physiotherapy became a specialty of physical therapy study in 1989. Since then, physiotherapists have worked to understand the problems of the aging. There is a long list of problems dealt with in geriatric physiotherapy. Alzheimer's, arthritis, balance disorders, cancer, cardiovascular disease, incontinence, joint replacement, pulmonary disease, stroke, and osteoporosis are only a few of the problems covered by geriatric physiotherapy. 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. These are questions to answer before going to the clinic for help. The simple answer is that no one can pinpoint the exact amount of treatment a person will need, so overall physiotherapy costs are just an estimate. It is possible for an experienced and skilled physiotherapist to make a fairly accurate approximation of how long treatment will take. Early in one's treatment, the plan will take shape. It will include ways to prevent rheumatoid arthritis from disabling one. As time goes by, the focus will shift to a more here and now sort of treatment. Exercises will be geared more towards current problems. Water exercises can be used for people with rheumatoid arthritis. The last thing you need is to have to go through the process again. You can take certain steps to avoid physical injuries that would require you to go back. Aerobic exercise is very beneficial both during and after physiotherapy. It strengthens the muscles, increases oxygen to the muscles, and helps you lose weight.