When Alexander's throat became extremely hoarse, he made the rounds of all the doctors where he was at any given time. None of them could help him. They could not find any physical reason for the problem. The Alexander Technique came about because the man would not take no for an answer. Since there was no one to come to his aid, Alexander began watching his every move. 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. Physiotherapists have a whole range of therapies for these ailments. They can be life-threatening at times, and they can certainly affect the quality of the patient's life. There are many neurological conditions and physiotherapy can help many of them. Alzheimer's disease takes away the declining years of many older people. It is surprising to note that it can occur in people 40 years old or younger. These exercises include ones for lower back pain that stretch or extend the back and ones that strengthen it. One is an exercise where one lies prone and moves as if swimming. This protects the back while giving the surrounding muscles a workout. Lower back pain exercises called flexion exercises strengthen the midsection to provide support for the back. This is the most important part of rheumatoid arthritis treatment. 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. 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.