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.
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.
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.
B. Klusman, O.T.
If you have any questions or know any patients that would benefit, please
contact me at 337-264-6282.
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
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can easily access in an emergency.
What you eat is crucial for so many conditions, such as
diabetes, it would be great if the right food could also help ease
chronic pain. Unfortunately, the link between food and pain is not as
However, inflammation is a key cause of pain in many conditions,
including rheumatoid arthritis. And there is some evidence to suggest
that certain foods might help ease inflammation. Medication is proven to
help RA symptoms, but some people do feel that food affects how they
feel and function.
Here are some foods that could be potentially harmful or helpful when
it comes to pain; use trial and error to see if they work for you.
Salmon is rich in heart-healthy omega-3 fatty acids and these same
compounds may also help reduce pain-promoting inflammation. That makes
it a win-win for people with rheumatoid arthritis, who have greater risk
of heart trouble than people without RA.
Studies have suggested that the omega-3 fatty acids found in fish oil
may protect against developing rheumatoid arthritis and could mitigate
the severity of the disease. "If you have rheumatoid arthritis, it would
not hurt to consume these,” says Dr. Hyon Choi, professor of medicine
at Boston University School of Medicine. Tuna, mackerel and sardines are
also excellent sources of omega-3.
Best: Olive oil
Olive oil works much the same way as omega-3s do—by potentially reducing
painful joint inflammation, says Choi. It's also a staple of the famed
Mediterranean diet, which was shown in a 2003 study not only to reduce
inflammation in rheumatoid arthritis patients, but also to enhance
physical function and vitality. A compound called oleocanthal, which
gives olive oil its taste, may have the same effect in the body as
aspirin, ibuprofen, and other NSAIDs (nonsteroidal anti-inflammatory
Keep in mind, though, that olive oil has as many calories as other types of fat so don't overdo it.
This spice, used liberally in India and other parts of Asia to add taste
and also a creamy yellow color to foods, may also have some
anti-inflammatory properties, although those effects are likely to be
"very, very mild," says Dr. Eric L. Matteson, chair of rheumatology at
the Mayo Clinic in Rochester, Minn. The magic ingredient may be
curcumin, the active compound in turmeric.
Best (and worst): Milk
Some research suggests dairy products are good for rheumatoid arthritis
while others seem to indicate that they’re bad. People who are allergic
to the protein casein found in milk will develop joint swelling if they
drink milk, says Matteson. This is true even if they don’t have
On the other hand, a study of almost 30,000 women in Iowa found that
those who consumed high levels of vitamin D via various milk products
had a lower risk of rheumatoid arthritis. Vitamin D may have
anti-inflammatory effects in the body.
Onions contain tons of phytochemicals that may reduce inflammation. One
study identified quercetin, a compound found in this vegetable, as a
possible mediator for this effect. Onions have also shown some
anti-cancer effects. And let's not forget they add taste, with virtually
A clove of garlic may be able to fight off not only vampires, but
arthritis as well. Like onions, this flavorful little bulb may have
properties that may keep your joints from aching.
"Garlic has phytochemicals that have been shown in mouse and rat
studies as well as in test-tube studies to shut off the inflammatory
pathways, similar to ibuprofen," says Lona Sandon, a registered
dietitian, assistant professor of clinical nutrition at UT Southwestern
Medical Center in Dallas.
Best (and worst): Alcohol
Several studies have shown that people who drink in moderation have a
lower risk of being diagnosed with rheumatoid arthritis, and if they do
have RA, moderate drinkers seem to have less severe symptoms, including
pain, than non drinkers.
But beware of alcohol if you're taking medications for RA, cautions Sandon. "Drugs can interact with alcohol," she says.
Best: Raspberries, Strawberries and Blackberries
These berries contain phytochemicals known as anthocyanins, which may
offer a benefit. "Anthocyanins stop inflammatory compounds in their
tracks," says Sandon.
In one study, animals treated with red-raspberry extract were less
likely to develop arthritis and less likely to have severe arthritis if
they did develop the condition. There was also a protective effect on
cartilage. Anthocyanins are responsible for the vibrant blue, red and
purple colors seen in a variety of berries.
Worst: Bacon, butter and cream
The saturated fats in bacon and other animal products contain
arachidonic acid, which may worsen inflammation and related pain and
So skip the prime rib, a cut of meat that is particularly high in fat
and calories, and select lean proteins instead, says Sandon.
Best: Broccoli and other veggies
And it's not just broccoli—a vegetable-rich diet in general may be
helpful. One study found that people who regularly ate cooked vegetables
had a 61 percent decreased risk of developing rheumatoid arthritis
compared to those who didn't.
Other research has found that vegetarian diets may help with swollen
joints and joint pain. "Vegetables in general have been associated with a
protective effect on the development of rheumatoid arthritis," says
Best: Cherries But not just any cherry. "There's some evidence that tart
cherries can affect the sensation of pain," says Sandon. And studies
have shown decreases in blood levels of a number of different
inflammatory markers associated with consuming this tree fruit. Cherries
have a reputation for relieving gout, another form of arthritis that
involves repeat episodes of pain.
In fact, a study conducted by Choi found that people who ate cherries
over a period of two days had a 35 percent lower risk of gout attacks
than those who didn't.
Worst: Red meat
High in saturated fat, studies suggest people who eat a diet that
contains a lot of red meat are at greater risk of inflammatory
Why? It's not clear, but meat fats or corrosive free radicals from
iron may promote inflammation. Either way, limit your consumption of red
meat, not only for pain, but also for your heart.
Best (and worst): Eggplant
Eggplant is a "nightshade vegetable," in the same category as tomatoes
and potatoes. Evidence is mixed on the benefit—or harm—of these items.
"There are people who claim nightshades are helpful and others who
claim they're aggravating or not helpful," says Dr. Matteson. There's no
evidence that support claims one way or the other. And cutting out
nighshades may cut you off from other helpful compounds, such as
capsaicin in red peppers, which can dampen inflammation.
People with celiac disease, which is a severe gluten intolerance, can
develop arthritis, so some people with rheumatoid arthritis steer clear
of this ingredient.
Gluten is found in wheat, rye, and barley, and many grain products
including breads, pasta, and cereal. Some medicines, vitamins, and lip
balms may contain gluten too. You can choose legumes, nuts, quinoa, and
But keep in mind that eating a completely gluten-free diet can be a
challenge (and expensive), so no need to do so if gluten doesn't seem to
be a problem.
Worst: Sugary drinks
There's really no clear evidence that sugary drinks are good or bad for
chronic pain. However, they tend to be low in nutrients and relatively
high in calories, and may be a contributor to the obesity epidemic.
In general, being overweight or obese can increase your risk of
developing rheumatoid arthritis by 24%, according to a recent study
authored by Matteson. Carrying around extra weight also puts unnecessary
stress on already beleaguered joints. So it might be best to avoid them
as part of your healthy-eating plan.
Best: Yogurt Some types of yogurt contain probiotics—or beneficial
microorganisms—and some researchers now believe there may be a
connection between rheumatoid arthritis and the gut.
If that's the case, the more good bugs the better. "There's a theory
that a healthy gut may control some of the inflammation . . . if you
have good bacteria fighting for you," says Sandon.
Like other dairy products, yogurt may be fortified with beneficial
vitamin D (check the label), but best to avoid it if you have an
Medical Disclaimer: All information on this site is of a general nature and is furnished for your knowledge and understanding only. This information is not to be taken as medical or other health advice pertaining to your specific health and medical condition.