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I am a licensed Physical and Manual Therapist and a Board Certified Clinical Associate with the American Academy of Pain Management. I have a private practice in Lafayette, Louisiana. It was in August of 1988 that I moved from The Netherlands. I hope this site will prove to be a useful resource to both health-care professionals and the general public. Maybe you are looking for information about Pain Management, Physical and Manual Therapy, or perhaps searching for ways to deal with the pain you, or a loved one, experiences; whatever the reason for your visit, I hope you will find my site informative, interesting and thought provoking.

Saturday, August 29, 2015

New Transportation

Just got a new Triumph  Bonneville T100 Black... Hope to make the trip to and from the clinic therapeutic;)

Saturday, July 25, 2015

Lafayette Strong

Please continue to keep Lafayette in your prayers...
The grieving, sense of loss and disbelieve are not done yet!

Wednesday, February 25, 2015

Rotator Cuff

The rotator cuff is a group of four muscles that are positioned around the shoulder joint. The muscles are named:
  • Supraspinatus
  • Infraspinatus
  • Subscapularis
  • Teres minor
The rotator cuff muscles work as a unit. They help to stabilise the shoulder joint and also help with shoulder joint movement. The four tendons of the rotator cuff muscles join together to form one larger tendon, called the rotator cuff tendon. This tendon attaches to the head of the humerus (the bony surface at the top of the upper arm bone). There is a space underneath the acromion of the scapula, called the subacromial space. The rotator cuff tendon passes through here.
There are a number of different problems that can affect the rotator cuff and lead to rotator cuff injury or inflammation. The most common problems include:
  • Rotator cuff tendonitis
  • Rotator cuff impingement syndrome
  • Rotator cuff tear

Who gets rotator cuff tendonitis?

Rotator cuff tendonitis is the most common cause of shoulder pain.

What causes rotator cuff tendonitis?

Rotator cuff tendonitis is caused by irritation and inflammation of the tendons of the rotator cuff muscles. It tends to have an acute (sudden) onset. There is often a specific preceding injury. It can happen because of recent overuse of the shoulder. For example, it can occur in athletes, particularly those who participate in throwing sports. In non-athletes, there may be a history of recent heavy lifting or activities involving repetitive movements of the shoulder.

Sometimes the rotator cuff tendons can become calcified. This is when calcium is deposited in the tendons, due to long-standing inflammation. This is called calcific tendonitis.

What are the symptoms of rotator cuff tendonitis?

The main symptoms are an acute (sudden) onset of pain and painful movement of the shoulder. Pain is worst when you use your arm for activities above your shoulder level. This means that the pain can affect your ability to lift your arm up - for example, to comb your hair or dress yourself. Swimming, basketball and painting can be painful.Also "postural stress" such as driving with your hand on top of the steering wheel and working on a computer for extended periods of time can cause pain.

Wednesday, February 11, 2015

Mardi Gras

Our clinic will be open on Monday 02-16-2015
Closed on Tuesday 02-17-2015 for Mardi Gras.
Wishing everybody a safe and happy Mardi Gras!

Thursday, December 18, 2014


The clinic will be closed on Thursday 12-25-2014 and on Friday 12-26-2014
Also closed on Thursday 01-01-2014 and on Friday 01-02-2014.

Wishing everybody a Merry Christmas and a Happy New Year!!

Tuesday, November 4, 2014

Midterm Elections 2014

Please exercise your right and vote. Every vote counts...

Tuesday, September 30, 2014

Check out this story at KATC.

Check out this story at KATC.: Bicyclist struck by unmarked police car on Johnston Street.

Just a kind reminder to always ride with traffic when riding your bicycle...

Friday, August 29, 2014


The clinic will be closed for physical and manual therapy on Monday September 1st 
in observation of 
Labor Day. 
We wish everybody a safe and fun weekend!

Monday, June 30, 2014

4TH of July

Clinic will be closed on Friday in observation of Independence Day. 
We will be open again on Monday, July 7TH.
Wishing everybody a safe and happy 4TH of July!

Saturday, May 10, 2014

Happy Mother's Day

 Wishing all moms a Happy Mother's Day!

Thursday, April 17, 2014

Happy Easter

Wishing everybody a Happy Easter!

Friday, April 4, 2014

New Office Manager at Practice of Pain Management

I'm happy to introduce our new office manager, Chanel Gaude!!
Chanel is the new face\voice of the Practice of Pain Management. Besides her efficiency, her wonderful smile and spirit will add to the healing we attempt to provide!! 

Sunday, March 16, 2014

St. Patricks Day

Wishing everybody a Safe and Happy St. Patricks Day!!

Tuesday, March 11, 2014

Vestibular Rehabilitation Therapy in Lafayette, LA

Vestibular Rehabilitation Therapy, (VRT), 
is an exercise based program designed to promote central nervous system compensation for inner ear deficits.

Equilibrium consists of vestibular (internal) visual and somatosensory (external) input.
The central nervous system integrates sensory input and produces a motor control response.
Thus having symptoms of dizziness, vertigo and balance problems.

BPPV is one diagnosis that can be treated with repositioning technique and is resolved fairly quickly. Vestibularpathy and balance issues are treated through adaptation, substitution, visual motor and balance retraining techniques.

 Simonne B. Klusman, O.T.

If you have any questions or know any patients that would benefit, please contact me at 337-264-6282.

Tuesday, February 25, 2014

Happy Mardi Gras

Clinic will be closed on Mardi Gras, Tuesday March 4th 2014.
Wishing everybody a safe and Happy Mardi Gras!

Monday, January 27, 2014

Winter Snow Sleet

Clinic will be closed Tuesday 01-28-2014 due to inclement weather.
Hopefully we'll be open again on Wednesday 01-29-2014

Monday, December 30, 2013

Happy New Year!

Clinic will be closed on Wednesday January 01-2014
Wishing everybody a safe and joyful
Happy New Year!!

Thursday, December 12, 2013

Simonne Klusman, LOTR

 I am happy to announce the joining of Simonne Boullion Klusman, LOTR,
at Practice of Pain Management.
Simonne specializes in the administration of Vestibular and Neurological Rehabilitation.
In order to learn more about these forms of therapy,
please click the applicable tabs under this site's header.

Simonne will start seeing patients on Friday, December 20-2013

Simonne graduated in 1993 with a Bachelor of Science in Occupational Therapy
from Northeast Louisiana University. 
She has since worked in inpatient and outpatient settings specializing in the treatment of neurological patients. Her training includes advanced NDT courses, splinting, hand therapy and vestibular rehab. 
In July 2012, Simonne completed an additional cerification course at the 
American Institute of Balance in Tampa, FL.