Kybun Shoes: The Path to Pain Relief, Improved Mobility, and Enhanced Well-being

  1. “Walk on Air” Sensation: Kybun shoes are designed with a special air-cushion sole technology that creates a “walk on air” sensation when walking. The soft and elastic sole absorbs impact forces, reducing the stress on joints during each step. This unique feature provides a gentle and comfortable walking experience, particularly for individuals experiencing joint pain, arthritis, or other musculoskeletal conditions.
  2. Pain Relief through Joint Weight Relief: One of the most significant benefits of Kybun shoes is their ability to alleviate pain by relieving weight on the joints. The cushioning effect of the air-cushion sole distributes body weight more evenly, reducing pressure on the knees, hips, and ankles. This weight relief can be particularly beneficial for seniors with degenerative joint conditions, such as osteoarthritis, helping to ease discomfort and enhance mobility.
  3. Improved Posture and Balance: The design of Kybun shoes encourages proper posture and balance during walking. Moreover, the cushioned sole provides a stable base, allowing for better weight distribution and reducing the risk of falls. By promoting optimal alignment of the spine and pelvis, Kybun shoes can help seniors improve their posture and maintain balance, further preventing injuries.
  4. Strengthening Muscles and Supporting Rehabilitation: The unstable nature of Kybun shoes challenges the muscles in the feet, ankles, and legs to constantly adapt during walking. This instability engages and strengthens various muscle groups, contributing to enhanced muscular support and stability. For individuals recovering from injuries or undergoing rehabilitation, this shoes can aid in muscle strengthening and proprioceptive training, facilitating a quicker and more complete recovery.
  5. Enhanced Mobility and Independence: Pain and mobility issues can limit a senior’s ability to engage in daily activities and hobbies they love. By providing pain relief and improving walking mechanics, Kybun shoes enable seniors to move more comfortably and confidently, thereby enhancing their overall mobility and independence. This newfound freedom allows them to participate in social gatherings, outdoor activities, and other enjoyable pursuits without the fear of discomfort or instability.
  6. A Non-Invasive and Drug-Free Solution: Kybun shoes offer a non-invasive and drug-free solution to managing pain and mobility issues. Unlike medications, this shoes address the root cause of pain by reducing joint impact, making them an attractive option for individuals seeking natural pain relief without potential side effects.
  7. Integrating Kybun Shoes into Daily Life: To fully benefit from Kybun shoes, it is essential to wear them consistently and incorporate them into daily activities. Whether strolling in the park, going shopping, or simply walking around the house, this shoes can be worn in various settings to promote pain relief and improved mobility throughout the day.


Kybun shoes offer an incredible walking experience, providing pain relief, improved posture, balance, and muscle strength for seniors and individuals with mobility issues. By alleviating weight on the joints and promoting proper alignment, This shoes empower seniors to move with comfort and confidence. Also, this non-invasive and drug-free solution allows seniors to reclaim their independence, enjoy their favorite activities, and experience an enhanced overall sense of well-being.

As a physiotherapist an medical kybun partner, I highly recommend considering Kybun shoes as a valuable addition to your pain relief and mobility improvement strategies.

How to reduce the risk of falls at home

Do you know how to reduce the risk of falls at home? Worried that as you get older you may start tripping and falling more often? Desperate to reduce your risk of falling?

Falls are very common in older people, which is why 1 in 3 adults over the age of 65 will have at least one fall in a year.

Many patients have experienced a fall and it is often a very distressing experience for an older person, even if they are not seriously injured.

Although serious injuries do not always occur, there is always a risk. There is always a risk that a fall will result in broken bones or life-changing injuries, which can mean losing your ability to be independent in the future.

But falls are preventable!

Why do falls occur in the elderly?

As people age, their overall physical condition and balance tend to decline.

One of the most common reasons older people fall is muscle and bone weakness, which may be due to inactivity or other health conditions such as osteoarthritis.

Another very common cause is medication, which interferes with balance and coordination.

The good news is that you can do something about it! Here are some ways to reduce the risk of falls at home.

How to prevent falls at home

Eliminate tripping hazards

It is important to eliminate any tripping hazards you may have in your home.

Carpets and rugs are one of the biggest allies of falls, so it’s best to make sure they are not located at the top or bottom of stairs.

Trailing cords can also cause trips if you forget they are there. Make sure loose cords are bundled together and away from busy hallways when moving around the house.

Eat and hydrate well

It’s important, too, that you eat well; to maintain your energy levels. Lack of food can make you weak, and this could lead to a fall.

If you don’t have much of an appetite, eat small amounts of food throughout the day instead of 3 large meals – something to eat is always better than nothing!

Stay hydrated, it’s vital to prevent falls. Not drinking enough water can make you feel dizzy, which could decrease your sense of balance and energy levels, risking a fall.

To stay well hydrated, try to drink 6 to 8 glasses of water throughout the day.

Support your bone health

Your bones are the foundation of your body and allow you to stand and walk. As time goes on, your bones can become weak or stiff, which can make it difficult to move freely.

A good way to increase the health of your bones is to consume calcium-rich foods, such as yogurts, milk and green leafy vegetables.

Vitamin D also plays a key role in helping your bones stay healthy, so getting plenty of sunshine and protein-rich foods such as fish is essential.

If you suffer from weak bones, you can also try some lifting exercises to gradually increase your strength.

Not only will these techniques reduce the risk of falling, but if you do suffer a fall, you will reduce the likelihood of serious injury.

Keep your home well lit

At night, it can be very difficult to see in the dark when you need to get out of bed. A great way to reduce the risk of falling at night is to keep your home well lit.

Consider installing a night light somewhere in your bedroom. You could even use motion detection lights that will turn on as you move around the house, giving you peace of mind knowing where you are going.

How physical therapy can help reduce the risk of falls at home

If you are concerned about your balance and risk of falling, physical therapy may be the solution you’ve been looking for.

Our team has worked with many patients who are unsure of themselves and worry about losing their independence in the future.

During treatment, we can help you alleviate concerns and work to drastically improve your balance and strength to reduce the risk of falls. We can help you with strength training and fall prevention exercises to help you recover and feel confident.

If you have more questions, I encourage you to come to our Nordicfysio clinic in Punta Prima or contact us and we will see what the cause is and how we can solve it.

3 things we do every day that can cause neck pain

How about we ask you a few questions to help you live with less neck pain? If you answer “yes” to any of them, we recommend you read on.

When you sleep at night, do you sleep on your stomach or with more than one pillow in a twisted position?
When you relax at home, do you look at the TV screen because it’s hanging high on the wall?
When you go outside, do you carry your purse on one shoulder?

Chances are you’ve answered “yes” to at least one of these three questions. And as you’ve seen, these are things we do every day that can cause neck pain.

So, let’s take a look at the 3 most common mistakes we encounter in our patients that cause “neck pain”.

1) Watching television.

Watching TV is a habit, but the real problem with watching TV is HOW you watch it!

Are you doing it with the TV hanging high on the wall, propped up with your feet up, while watching your favorite show?

While you may think it’s comfortable and relaxing, the truth is that it may be creating a problem for you. If you’re watching TV this way, it can be taxing on your neck and head.

Many people make the same mistake, and don’t realize that the position they’re in could be affecting their body and their health.

How can this be solved? TV stands are almost always the same height to protect the neck. If you are sitting on the couch watching TV, the TV will be at the height of your eyes.

When you watch TV, don’t let your head look up or extend, and this will help you avoid headaches, eye problems and muscle tension.

2) Your purse

Carrying your purse on one shoulder is something most of us are guilty of, but did you know it’s also one of the leading causes of neck and shoulder pain?

Since all the weight of your bag is on one shoulder, or on one side of your body, it can throw your muscles and posture out of balance, which is why you sometimes see people with one shoulder higher than the other!

This is why the way to solve this problem is to reduce the weight of your bag and periodically change the side on which it is carried.

Shifting your bag to the opposite side will help balance the way your body supports the weight, relieving the tension accumulated in the muscles and thus also solving any posture problems! A tip is to change it every 10 minutes or every time you pass two streets.

3) How we sleep

Another habit we have on a daily basis is the way we sleep.

You may notice that if you sleep with your head resting on more than one pillow, your neck and back are not well aligned, which means you will have more pressure on your muscles and spine.

Also, if you find yourself sleeping on your stomach, your head will most likely be on its side. This means your body is in a twisted position all night for hours at a time and that is very damaging.

Although your neck is designed to rotate from side to side, it is not designed to stay in that position for many hours. So if you choose to sleep on your side, use a pillow that doesn’t lift your head too much, but is in line with your shoulder. And if you choose to sleep on your back, sleep with a thin pillow so that your neck and spine are straight.

If you have more questions, I encourage you to come to our Nordicfysio clinic in Punta Prima or contact us and we will see what the cause is and how we can solve it.

Why recovery takes so long?

You may be experienced only a slightly improving (or none) from your treatments. Whether it’s physical therapy, chiropractic, acupuncture, massage, whatever; you feel that nothing is improving or it goes so low.

Does it sounds familiar?

This may be due to several factors:

1.- Wrong thecniques used by the therapist (doesn’t mean that this thechnique is poor, only that is not the right one for your problem.

2.- Lack of knowledge of the therapist /use of traditional or classical out fashion techniques thats leads to poor treatments.

But there is also a third cause of why recovery takes time, which very few people know or take into account, which is…

3.- Insuficient voltage (energy) in the cells of your body that makes them unable to carry out the recovery processes and therefore get a fast recovery.

Here in our clinic in Nordicfysio we make sure to live (overcome) up to the first to factors, and about the third one we solve by using Scenar physio.
It consist in setting the energy the cells need (like recharging bateries) so they can start working better and thus the recovery process will get faster.

If you have more questions about why recovery takes time, I encourage you to stop by our Nordicfysio clinic in Punta Prima or contact us and we will see what the cause is and how we can solve it.


The COVID-19 pandemic has caused short-term and long-term major dysfunctions.

In the respiratory system that require the application of special techniques.

In these cases, respiratory physiotherapy is an ally that improves the function of the muscles to breathe.

We will show below what it is about and what its benefits are.

What is respiratory physiotherapy?

It is a specialty within physiotherapy aimed at prevention, treatment and stabilization of respiratory disorders such as asthma, cystic fibrosis, respiratory insuffiency, bronchitis, or tuberculosis.

Its application improves, among other things, ventilation in the lung area, dyspnea, gasses exchange, muscle function, and tolerance to exercise.

Respiratory physiotherapy is made up of a set of procedures that allow to diagnose different conditions to then perform therapeutic techniques that release the airways.

They also promote respiratory relaxation and readjust effort in each patient.

These procedures can be done at home, a clinic or hospital, even when the patient is intubated, but they should always be done by a  professional physiotherapist.


Its benefits

At present, we can say that respiratory physiotherapy improves dyspnea significantly, exercise capacity, and quality of life related to health. 

As the main objective is to eliminate secretions (accumulated mucus), obstructions that make breathing difficult, are avoided to decrease the possibility of lung infections.

Among its benefits we have:

1. It reduces dyspnea (feeling short of breath) immediately as well as respiratory distress.

2. It keeps the airways open and free of secretions, in addition to avoid the accumulation of mucus in the lungs.

3. It improves lung expansion and elasticity, preventing injuries.

4. It helps control coughing.

5. It increases the strength of the respiratory muscles.

6. It recovers the ideal breathing and the model of correct breathing is learnt. 

7. It reduces the time of hospital stay.

8. It improves gasses exchange and it facilitates oxygen to reach all the cells of the body.

9. It prevents postural defects.

10. It improves the quality of life of the person by providing a better night rest. Also, it reduces the disease process, it decreases the need for medications and it teaches the patient to keep calm. 

As we can see, physiotherapy improves the supply of oxygen to the whole body, by releasing it from the secretions produced in the respiratory airways.


Next, we will name other benefits considering some specific areas where it can be used.

In paediatrics

Respiratory physiotherapy can be applied to babies and children as long as it is required. Even more, when infants are susceptible to diseases such as bronchiolitis or pneumonia.

The therapy improves the gasses exchange and breathing. Its use in babies is essential, since their respiratory system is still developing and it may present oxygenation problems.

In outpatient therapies

It provides relief in chronic diseases such as asthma and cardiac insuffiency. Depending on the particular requirements of the patient, it can be carried out once or twice a week until the user’s condition is restored.

In hospitals

We perform it when the patient is hospitalized and sometimes immobilized. 

In these cases, we recommend respiratory and motor physiotherapy during the stay. A daily session improves or prevents the development of some respiratory disease and it strengthens lung function.


In home therapies

It is indicated for patients who has been discharged and are in their recovery phase.

It can improve the health of the patient in cardiac events (heart attack), respiratory disorders or transplants.

We will do it once or twice a week. In this process, the patient should perform daily kinesiotherapy exercises that are indicated.

The healthcare professional can be supported by equipments that do more fluid secretion and facilitate its removal, such as nebulizers and flutter (small pipe-shaped device with a steel ball inside).


Respiratory physiotherapy in COVID-19 times

Severe COVID-19 patients can spend a lot of time in intensive care, being immobile and connected to breathing apparatus. Infection, inflammation and lack of movement lead to significant loss of mass muscle, including the respiratory muscles.

Pneumonia is one of the main diseases caused by a virus. This condition causes lung function to be decreased in a great way.

 In recovery, the lung tissue is severely affected, with scars and thickenings that make it difficult for oxygen to reach the capillaries and, therefore, they affect breathing.

The alteration caused by pulmonary fibrosis is gradual and irreversible, but if caught early and treated, it can be delayed or stopped.



In addition to respiratory sequelae, as a result of prolonged immobility, muscle atrophy develops with reduced strength and joint mobility in extremities and trunk.

Respiratory physiotherapy includes, in these cases, physical exercises and tips on managing symptoms and sequelae to improve quality life of the patient.

Physiotherapy exercises. Treatment and prevention

There are different techniques with which we will help the patients in their recovery and maintenance of health. Among these, we can find:

1. Postural drainage. It is the most popular technique for removing secretions. The goal is to get the mucus to drain into the larger bronchi and trachea by effect of gravity and to be expelled with coughing. It is important that the patient knows how to cough and breathe deeply.

2. Expansion exercises. It involves expanding the thorax with big hold inspirations, retention and slow expiration.

3. Diaphragmatic breathing. It refers to periods of slow breathing with the relaxation of the accessory muscles, together with the  diaphragmatic breathing.

4. Chest percussion. They are continuous tapping with the hollow of our hand.

5. Chest vibration. Hands are placed on the rib cage and it produces a vibration with the breathing. They combine the compression and postural drainage. It serves to dislodge secretions attached to the bronchial walls.

6. Chest compression. It is done with a hug that compresses the rib cage, where pressure is applied to the lower and lateral portions of thorax and sternum.

7. Intended coughing. Coughing can be triggered by gently pressing on the trachea when inspiration ends. It allows mucus (that has been removed) to be expelled or it can be swallowed. 

Although physical therapy is not a substitute for medical treatment, it complements and improves its effectiveness.

It helps to accelerate the recovery of the patients so that they can breathe freely.



Most people don’t see a doctor until they feel pain and discomfort in their body. They do not know that we can avoid the suffering and deterioration of the organism with specific prevention actions.

The salutogenic model focuses on this.

Salutogenic model and prevention

The salutogenic model is based on studies by Aaron Antonovsky in the surviving women of the concentration camps.

They, despite having suffered extreme conditions of stress and suffering, were able to recover and improve.

The sociologist detected that there are two basic components to achieve this recovery: resources and a sense of coherence.

How does the salutogenic model influence the maintenance of health?

The means of recovery are linked to the terms or characteristics that people possess or that can be found in the environment; they can be knowledge, money, clothes, food, intelligence, etc.

We should identify them and then make use of them from the better way.

Appropriate and focused use of these resources helps create a sense of coherence of the individual, that is, the orientation he/she has towards life, a feeling of confidence in believing that everything will improve and go well.


Some researchers define it as a strategy to face the stress, to solve problems or overcome tragic events.

This would explain the health and well-being that some people achieve, and that allows them to achieve a higher quality of life.

Positive thinking, positive health

We must emphasize that health is related with psychosocial and physical factors, which can promote the well-being of people and pain reduction.

Among the healthy factors are the following:

  • Personal satisfaction
  • Altruistic actions
  • Recognition of self-control
  • Ability to solve problems
  • Autonomy
  • Valuable interpersonal relationships

Positive thoughts lead to healthy emotions (self-esteem, security, pride, love, fulfillment, etc.) and, in the end, they build the pillars of positive health.

Prevention and health

The salutogenic model proposes to provide people with knowledge and tools that allow them to take advantage of their own resources, enhance their quality of life and create healthy habits.

One of these primary tools is prevention.


It is an advantageous instrument to promote health.

It focuses on communities and individuals to make them aware of the importance of their positive actions in anticipating a pathological case.

‘Better safe than sorry’ popular wisdom says and, in the case of health, it is totally true.

Each person, through the use of available resources, can avoid conditions that lead to physical or mental illness.

What are the risk conditions?

They are the conditions that we must monitor every day or with the recommended frequency.

We can adopt the following prevention actions and habits:

  • Eating a healthy diet
  • Doing exercise
  • Getting medical tests to detect hypertension, obesity, glucose, cholesterol, triglyceride or parasite levels.
  • Giving up habits like smoking or drinking alcoholic beverages.
  • Developing a sense of coherence aimed at well-being.

According to the information provided by World  Health Organization, chronic diseases include a 63% of annual deaths in all the world.

These diseases develop slowly and gradually, but their treatment and correction are possible with early detection.

These diseases include the following:

  • Cardiovascular diseases such as metabolic syndrome, heart attack acute myocardial or stroke.
  • Chronic respiratory diseases such as asthma.
  • Diabetes.
  • Oncological diseases such as cancer.

Why should we wait for an extreme case or a severe pain?

We can detect most diseases with properly diagnoses. It is easier to prevent and has less associated costs.

Types of prevention

There are three levels of prevention depending on when it is detects the state of the disease.

Primary prevention

It aims to prevent the onset of the disease by controlling the risk factors , so it is carried out in healthy individuals.


Some examples are vaccination campaigns, feeding campaigns, physical exercise or the reduction of domestic accidents.

Secondary prevention

It is focused on stopping or slowing down the process of a disease that has already begun.

The actions it includes are early detection, diagnosis and the treatment.

In this phase, the treatments are more efficient.

The campaigns to detect the cancer are an example of secondary prevention

Tertiary prevention

In this case, the person is already sick and prevention is carried out in order to delay or reduce the sequelae and complications of affectation.

It is intended to improve people’s quality of life.

Some examples are the therapy with children with Down syndrome or post-infarction rehabilitation.

Physiotherapy as a key element of prevention

The common thing is that we visit the physiotherapy clinic when we suffer an injury or we feel severe pain, but in rare situations, we consider it as a useful prevention tool.

Of course, physiotherapy is really important in the treatment of injured patients, but it also has a preventive competence, it is a sanitary branch.

  • It serves to prevent injuries.
  • It spreads postural corrections and it stimulates fitness with exercises that prevent musculoskeletal injuries.
  • It promotes the reeducation of the body against repetitive movements.
  • It stimulates the learning and practice of rehabilitation movements to increase muscle tone and posture.
  • It teaches people how to do usual activities to avoid injury.

Physiotherapy in seniors

Nowadays, most people want to grow old healthy. For this, geriatric physiotherapy has a lot to offer.

It is dedicated to working with patients over 65 years of age in prevention of injuries or in the improvement of pathologies related to age such as loss of joint function, balance, or muscle mass.


The ailments that can occur with age have a solution.

Sometimes a personalized exercise program is enough and it is supervised by the physiotherapist.

They will help us maintain our autonomy and independence with physical and psychological benefits.

The premises of the salutogenic model have a highly potential beneficial for health and to reduce pain;

It is introduced gradually, and it includes prevention methods as well such as physiotherapy that will make us have a better state of health throughout our life.


All the actions that the human body performs can be done differently with different postures.
Ergonomics and postural hygiene are focused on performing them safely to reduce the load on the spine and associated muscles.

What is posture and postural hygiene?

Posture is the position that each person adopts when performing their activities, when walking, sitting, standing or sleeping. On the other hand, postural hygiene is a group of alignments to maintain the correct position movement of the body in motion or immobility, in order to avoid injuries and to protect mainly the spine.

Proper posture maintains symmetrical body alignment around the head-spine-pelvis axis with the total weight distributed equitably.
Bad posture does not respect this alignment.

Factors affecting posture

Not only movements done incorrectly or repetitively affect posture, there are factors that may go unnoticed and that noticeably alter.

  • Genetic and anatomical factors, like the particularities of birth.
  • Mood, tension and stress.
  • The objects that are occupied and loaded daily: bed, sofa, bags, work chair, etc …
  • Sport or training.
  • Overweight.
  • Sedentary lifestyle.
  • Bad nutrition.
  • Physological state of the musculoskeletal system.
  • Excessive muscle requirement.

higiene postural

Dangers of incorrect postures

 Performing efforts and maintaining daily postures correctly reduces the risk of back pain and possible damage to health. On the other hand, not maintaining proper postural hygiene can produce functional and physical disorders that directly affect the quality of life of the person.

Spinal affections

1. Hyperlordosis: It appears as a very marked curvature of the spine in the lower back, as if forming a “C” in the lumbar region.

2. Hyperkyphosis: It is the increase in the anterior curvature of the spine vertebral and dorsal.

3. Scoliosis: Structural malformation of the spine that looks like a “C” or “S” shaped curve due to lateral deviation. It alters the spinal flexion and vertebral rotation.

4. Rectifications: They consist of the reduction of normal curvature of the spine, that is, when it is straighter than normal. It can occur at the lumbar, cervical or dorsal level.

Impairments in daily life

1. There is a risk of having more injuries to different parts of the body when overloading some body areas and leaving others unprotected.

2. With a curved spine the abdominal muscles are weakened and they may have a bulging belly.

higiene postural

3. Lumbar pain in the back from being hunched over a lot time, standing or carrying very heavy objects, as more pressure is done on the back and neck.

4. Pains in the center of the back when sitting or standing for a while excessive because of our work routines, for example. Chronic neck and shoulder pain generated by an overload on the last cervical vertebrae by maintaining a fixed position in an incorrect way  (typing on the computer or washing dishes).

Also, it usually occurs when there are contractures generated by stress.

5. Tingling and numbness of arms and legs (paresthesia).

6. Impaired appearance, as an incorrect body posture projects an image with more age and weight, while the proper posture provides slenderness and elegance.

7. Muscles and bones can be misaligned, affecting the joints and movement.

8. The spinal column wears down and becomes more fragile.

9. Flexibility and stretching of the muscles is decreased.

9. More falls and injuries can result from impaired balance.

10. Respiration and digestion are difficult due to “trapping” the area of ​​the abdomen with a hunched posture.

higiene postural

Benefits of being aware of the need for a correct body posture.

  • It improves breathing and circulation. When people are keep hunched over, the lung capacity decreases, as straightening the oxygen flow increases up to 30%.
  • It provides energy. Breathing better favours energy expenditure, it reduces the risk of feeling depressed and limits chronic fatigue.
  • It prevents muscle aches, injuries and spinal disorders.
  • It distributes correctly the body mass, it avoids lumbago, cervicalgias, and other muscular pains.
  • It reduces stress. Sitting upright increases resistance to work and avoid negative emotions. Some studies have published that the level of fear also decreases with a good position.
  • It provides a feeling of well-being. By improving breathing and eliminating muscle pain creates a feeling of harmony and comfort.
  • It increases self-esteem. You have more confidence in yourself, it generates the feeling of power and encourages positive thoughts.

Prevention and recommendations

To have a proper posture it is necessary:

  • Being aware of it during everyday activities.
  • Staying active with gentle exercises like yoga, walking, or practice swimming.
  • Maintaining a healthy weight to avoid increasing load on the dorsal spine and pelvis.
  • Wearing comfortable low-heeled shoes, high heels alter the balance, increase pressure on the muscles and can cause falls.
  • Ensuring that working areas have the height proper sitting position, as well as finding the correct postures in our daily habits.
  • Performing physical therapy with health experts to eliminate pain and avoid further injury.

Examples of postural hygiene

When sleeping

The best position is on your back or slightly on your side. The knee must be bent a little and the hips and shoulders must be slightly rotated as prevention. The pillow should help the head and neck stay straight with the column. To prevent the hip from dropping, it can be placed a pad between the knees.

When sitting

Considering the height and back of the chair, the movements required and the tools needed. The feet should rest on the floor and the knees should stay at hip height. The endorsement must present the lumbar curvature with a soft material. You must get up and walk or move every 50 minutes. The necessary objects must be found at the arm distance.

Ironing and cooking

The most important thing is the ergonomics of our equipment and kitchen: the counter and ironing board should be at the level of your navel and the use of a small bench to rest and alternate feet is highly recommended. Taking care of postural hygiene and ergonomics in all daily activities will promote a healthy, and energetic way of life and without pain.


Experiencing continued pain of any kind generates in people a negative impact on their daily activities and prevents them from enjoying the life in a full and satisfactory way. Identifying the consequences is a step towards recovery.

Pain is an unpleasant physical sensation, related to damage in body tissues and that limits people’s ability or capacity to carry out your daily activities. It can be sharp (short duration) or chronic (long-term, generally more than six months).

Types of pain

There are different ways to classify it. Sometimes they overlap and they are regularly interrelated. The following classification is one of the best known:

– Nociceptive: caused by a condition in the body and it acts as a protective sign. Some examples are: joint pain, low back pain, sports injuries.

Inflammatory: caused by damage to the soft tissues of the muscular and skeletal structure. It is usually local and perceived as mild or intense. It presents more frequently in the hips, shoulders, hands or lower back.

– Neuropathic: related to nerve injuries. It can be described such as tingling or stinging sensations. Sometimes the main cause is not detected.

 Most significantly, it can alter people’s lifestyles and it can affect family and work activities and independence.

Chronic pain

When you have an acute illness, it is possible to know that you have an injury or a problem that, when taken care of, it is solved quickly. When the pain is chronic, the situation changes. It can last for months or even years. The origin can be an infection or injury or have a keep going cause.

Sometimes an apparent cause is not shown, the person suffers from osteoarticular pain, headaches, low back pain, neuropathic or cancer pain.

Many older adults suffer from chronic conditions. These are presented more frequently in women than in men and, in general, they have psychological consequences.


People with chronic pain often develop psychological and interpersonal conditions economic problems, and their quality of life is seriously diminished.

Psychological problems

They appear gradually and they make people to stop performing their habitual activities and this leads to people becoming socially isolated.

– People often feel tired or suffer from insomnia.

– They lose appetite or taste for food and lose weight.

– Sexual desire decreases, there is apathy and even losing the ability to feel pleasure and enjoy things appears.

Anxiety, depressive disorders, disappointment and feelings of despair are presented.

– Low self-esteem.

– In very prolonged cases, irritability, sadness, mood changes.

– The perception of uselessness and / or guilt is strengthened.

– Demotivation appears and many future plans collapse or remain unfinished.

– Intrusive thoughts develop, which make the person believe that is under the control of their own pain and makes them unable to do work or enjoy activities.

– In severe cases there are thoughts of death and suicide.

In addition to physical harm and suffering, people with chronic pain see their interpersonal life affected, by not meeting the expectations of their beloved ones.

Their quality of life worsens considerably with lack of physical activity, independence and lack of entertainment. Economic problems become serious with possible sick leave, medical costs or disability.

Aspects that are affected

Chronic affectations produce great psychological and emotional reactions which can increase the patient suffering in various aspects:

Physiological: it affects the functionality of the own biological structure of the human being.

Mental: it causes negative thoughts and vicious circles.

Emotional: it directly affects the self-esteem and image of the person that suffers.

Behavioural: it modifies activity patterns and alters daily tasks

Social: it is generated by the voluntary isolation that the person is infringing himself/herself.

On many occasions, the very conception of life is modified and it establishes a new one in which pain is an integral and daily part of the personal world of the sick person.

Prevention and treatment

Most prevention cases focus on inflammatory pain, with measures in the hygiene of the posture, in balanced diet and healthy, in blood tests to identify vitamin levels, hormones and chemicals, bone densitometry or spinal exams. The required tests are found in the “Pain Check up” that health professionals use with their patients.

On the other hand, psychological treatments have shown good results to improve the chronic condition suffered by many patients:

Relaxation. Considering that people with chronic pain feel strong tension and anxiety, relaxation techniques decrease adrenergic activity and generate feelings of peace and acceptance. The most used techniques are: massage, emotional release technique, progressive muscle relaxation, tai chi, breathing techniques, yoga or neurostructural physiotherapy.

Biofeedback. Also known as biofeedback, it is used to restore the body’s self-regulation.

Commitment and acceptance therapy. It consists of accepting suffering and it establishes a strategy that avoids confrontation, in addition to commit to basic goals for growth and improvement.

Hypnosis. To work on the thoughts, emotions and behaviours of afflicted people, this technique promotes their change as a key factor.

Mindfulness. This therapy is based, fundamentally, on focusing on the present moment without judging, predisposing or interpreting, but on accepting reality as it is. Some studies report that patients undergoing this treatment have a higher quality of life and live with fewer negative emotions.

Emotional writing. It is believed that, when writing the situations and experiences, these are organized to make sense of future experiences and facilitate social relationships.

Physiotherapy. The treatments that physical therapy can offer are focused on going to the root of the problem, acting effectively and holistically , to eliminate or mitigate pain. There are many treatments and manual techniques, as well as medical equipment, which has proven to be a key tool in the treatment of chronic pain.

  Working with attention. Attention is selective, limited, and controllable, which means that it “chooses” which stimuli it attends, because they cannot be all of them, and it is possible to “focus” its priorities.

If attention is focused on pain, the painful experience intensifies and causes more suffering and discomfort (magnifying glass effect) so it is important to “distract” it with activities of intense interest.

If you want to improve the quality of life and reduce chronic pain and its effects, there are professionals who can integrate different techniques and therapies, healthy habits and promotion of self-care to achieve surprising and lasting results.


Older people experience, to a greater or lesser extent, mobility difficulties associated with the rigors of age.

These complications are also noticeable inside their homes. Not in vain, it is the space in which they spend the most hours throughout the day. Within the framework of active aging that we wish for all our older people, it is essential to condition their homes so that accidents related to their growing health mobility problems can be avoided. 

Next, we will review how we have to approach the adaptation of their homes to make it really effective.

The keys to a home adapted to the elderly

First of all, we must bear in mind that, when adapting a housing for reduced mobility, we should not wait for the accident to occur. At these ages, its consequences can become even irreversible.

Therefore, the home adaptation process must be progressive. Apart from avoiding the misfortunes mentioned above, it will be necessary for the elderly person to get used to the novelties that are being implemented, from a psychological point of view.

It is important that they don’t feel traumatized by including too many changes in a short space of time, since they could overwhelm them. And besides, an elevator, a stair lift or a ramp cannot be installed overnight.

Likewise, we have to appreciate that we not only prepare a house adapted to the day-to-day life of its main resident. This one also has to have the appropriate accessories for caregivers.

These caregivers can be family or friends, but also professionals, so we have to bear in mind their needs as well to achieve the maximum benefits of active aging.

Aging in Place Design Checklist: How to Design Safe and Accessible Homes

Although each room requires its adaptation processes, depending on of its different uses and characteristics, there are some guidelines that we must bear in mind     when we want to make the house safer for the old person.

The first thing to remember is that we always have to get information about the legal nature of the works we want to undertake.

There are some of them, such as the placement of certain technical aids, which do not involve great difficulties or annoyances. For example, placing a handhold or unfolding a non-slip mat will not require any special procedure, beyond its installation.

However, any action that affects the facilities shared with the neighbourhood will involve agreements within the framework of decision of the neighbourhood community. In this respect, it should be remembered that the new Universal Accessibility Law favours the elimination of architectural barriers.

In this sense, if the elderly person who suffers from mobility problems is also disabled, he/she will have a better chance of obtaining benefits in the field of universal accessibility.

The different Public Administrations grant this aid for combating obstacles in the surroundings of the community of owners and in common areas where the elderly with disabilities live.

But we have to value other maxims to guarantee safety of the spaces that our elders inhabit. For example, there are plenty various items that can cause slipping, such as certain rugs.

The adaptation of the rooms, on the other hand, not only has to do with difficulties in walking through them. The technical aids have been designed according to the limitations that affect the rest of the senses.

Without going any further, regarding the eyes, the use of the TV remote control with a larger and a more simple keyboards will be provided. Also, the electrical switches will be seen in the darkness through phosphorescent colours.

Sufficient lighting, both natural and artificial, becomes consequently, an indispensable requirement when it comes to ensuring safe steps between rooms. They have been revealed as especially useful for securing the motion sensors, which turn on the lights when certain limits are crossed.

The furniture must be chosen based on ergonomic criteria and comfort. It is worthwhile, along these lines, to remove superfluous elements, since they can lead to tripping and it costs more to clean a house with an overdone decoration.

But we must a not forget that we cannot turn a home into an aseptic space. So it is still important that the older person keeps photos and memories that make their day more bearable.

 Preparing rooms with health as a priority

Finally, we are going to explain how each of the main rooms of the home can be designed for an old age person, considering health as a priority.

The bathroom

The bathroom is one of the most risky rooms. In fact, up to 46% of the domestic accidents of our elders happen while carrying out essential hygiene.

The basic premise in the bathroom is to avoid falls. Therefore, surfaces that are conducive to slipping (such as some floors and mats) will be replaced by other non-slip ones, such as some firm rough.

Besides, we can install hand holders on the walls and even a chair to facilitate cleaning inside the shower. The different accessories have to be in easily accessible places.

The bedroom

It is very important that it is on the ground floor or the first floor. The nightstand has to be very close to the bed and to the same level. Electric or articulated beds have proven to be very interesting to promote rest, hygienic work and activities such as reading, eating, or watching television.

The kitchen

Apart from facilitating the preparation of the menus, it is key to avoid injuries for burns. For this reason, we recommend induction cookers. There must be detectors for both the high temperatures of surfaces as for gas leaks.

Comfort has to be made effective by sliding doors (also in cabinets and storage devices).

The living room

Comfort must be the distinguishing mark of the sofa and the cordless phone must always be close.

Pieces of furniture that do not have a defined use should be avoided and it is good to provide a good natural incoming light and illumination, which ensures a warm but well lit environment.

Ultimately, elderly people will enjoy a comfortable and safe old age if we adapt the home to their mobility conditions and their age related characteristics.



The quality of life of the elderly is one of the most important factors to take into account to ensure their well-being. As we will comment in the following sections, physiotherapy is one of the disciplines recommended to implement the measures of a more effective prevention to maintain an optimal health.

Secrets to a healthy aging

Studies carried out by the Tomás Pascual Institute in 2008 confirm that not being and eating an unhealthy diet can lead to subtract up to a decade of life. Apart from poor diet, it is essential to take into account other factors such as:

Poor postural education.
Sedentary lifestyle.
Bad habits (smoking or habitual consumption of alcoholic drinks).

The direct consequence of all this, is to increase the possibilities of suffering from diabetes, changes in cardiovascular health; it can magnify the pain if you suffer from osteoarthritis or arthritis and as well as a loss of independence and autonomy that could alter the mental health of the person.

We consider that physical exercise also helps to socialize with people of the same age group. And it is without a doubt, highly recommended to keep in touch with other people with whom you share hobbies and activities. Keeping your mind busy pushes depression and anxiety away.

How does the body change over the years?

From the age of 65, it is common to experience the following changes, due to time:

  • The alteration of body structure, cell functions and the connective tissues.
  • A reduction in active metabolic mass.
  • The drop in the level of oxygen in the blood.
  • Increased chances of suffering from osteoporosis and fractures.
  • Alterations in the functioning of the digestive and urinary system.
  • Changes in bone marrow and red blood cell levels.
  • An increase in the fat mass that surrounds the more important viscera
  • Impaired sensory capacity.
  • Reduced muscle flexibility and balance.
  • The lack of adaptability of the immune system.

Biologically natural situations that are good to know, to be able to prevent its harmful effects, acquiring good habits and carrying out moderate and constant physical exercise.

What is the most recommended physical exercise?

If we ask anyone if they exercise, 70% of people will say yes, but we must bear in mind that walking a few 15 minutes a day is not enough.
It is necessary to dedicate to the sport about 30 minutes for at least three days a week and with appropriate resistance. Studies conducted by Ashford in 1993 confirm that those who do so find greater motivation and well-being. Four types of exercises can be performed:

  • Resistance. They help improve cardiovascular health and circulation in a general way.
  • Strengthening. They effectively fight the loss of muscle tissue.
  • Flexibility. Stretching is part of this group, essential for keeping muscles in perfect condition and to adapt your body to the daily effort.
  • Coordination and balance. They are recommended to prevent fallsand to make moving easier..

And how can physiotherapy contribute?

From physiotherapy we can perform a highly effective action and proactively to counteract and to stop motor and functional problems derived from natural aging. We can analyze what happens and make a work proposal to improve your physical condition during our first meeting.

Our goal is to achieve balance and achieve regain harmony in the movements that are necessary to enjoy everyday life again. These are the steps we follow:

Data collect

The anamnesis that we propose consists of knowing what the patient thinks of their physical problems and which are the ones that most affect their loss of quality of life. No one better than the persons experiencing the symptoms to tell us what they want to correct.

Assessment and diagnosis

One of our physiotherapists is in charge of conducting this evaluation following the next steps in the analysis process:

• Observation. The professional will check certain points on the body of the anterior, posterior and lateral area to test its morphology and mobility.

  • Assessment of physical capacity. This test assesses flexibility, strength, aerobic function, reaction capacity and balance.
  • Analysis of the medical evidence that the patient can provide.
  • Nutrition status. It is verified which the anthropometric index is, which the physical and psychological state of the patient are and questions about the type of food are made. The opinion of the patient in this section is essential for us.

Intervention phase

Improving the joint ability in the patients, increasing their strength and flexibility, regaining balance and coordination are our main objectives in this phase, as well as how to make your well being help you have an active life with the people around yourself. We will reduce stress and pain levels through postural re-education.

We want the person who comes to our clinic to stop taking many of the pain killer medications.

We have sufficient training and experience to perform successful diagnoses that allow us to act from the root of the problem, using the most effective technologies and advanced manual physiotherapy techniques for successful recovery from pain, injury and diseases of the spine.

We treat all kinds of problems: sciatica, herniated discs, stiff spine, neck pain, nerve impingement, muscle contractures, osteoarthritis …

And once the pain is gone and movement and function are re-established , it will be time to increase the work with a training program. Because we believe that it is important for the patient to take an active role in your recovery. A good training program adapted to the patient’s personal conditions and capabilities will keep pain away, and so the patients will stay active and they will have a good performance in life.

During the whole process, the patients will never feel like being in a gym or that they must achieve a specific goal. The good physiotherapist always takes into account the initial evaluation to go on tailoring the corresponding workouts so that they can do them in a right way.

Thus, older people can find in physiotherapy a perfect alternative to reduce pain, regain your will to live, improve their state of health, and above all, to change their way of seeing life.

We consider that it is essential to take this option into consideration if you want to face such an important life stage with the necessary optimism.