Pleased to meet you!

Introducing your team...

Client Testimonial

I feel very blessed to have found Christine at A Step Ahead Physiotherapy - not only does she have the extensive knowledge and ability to get you on the road to full recovery; she really cares about her patients. This is not a job for Christine, this is a calling. I thoroughly recommend you make an appointment and start your recovery now.
Sarah Pyke

The ASAP Team

Meet your A Step Ahead Physiotherapy team.
A wealth of expertise brought together to look after you.



Christine Gibbs PT, BS, MPT

Christine graduated with a Bachelor of Science degree in Exercise Physiology from California State University, Fresno. She continued her education at CSUF and graduated Magna Cum Laude with great distinction, earning a Master of Physical Therapy degree in 2001. Throughout her career, she has worked in a variety of settings and has treated all body parts from head to toe. She enjoys fixing people from all levels of fitness and has ultimately found her niche in sports rehabilitation and gait biomechanics. She is trained in a wide variety of manual therapy techniques, custom orthotic fitting, and specializes in biomechanics of the lower extremity and foot function. Becoming a Cayman Islands Physiotherapist has enabled her to continue with her passion for fixing people in an ideal environment and A Step Ahead Physiotherapy, Cayman is the perfect place!

Christine is an avid golfer, runner, and triathlon enthusiast. Due to this passion for athletics, she is keen to help others restore their health and fitness to enable them to return to their passions. Christine moved to the Cayman Islands in 2002 and has embraced the island lifestyle with her husband, Gary, and 2 cats, Cleo and Harley. She is proud to have been selected to serve on the National Council for Persons with Disabilities. She is looking forward to making improvements in Grand Cayman for those living with disabilities. 

Education and Training

  • BS, Exercise Physiology - California State University, Fresno, USA
  • Master of Physical Therapy - Magna Cum Laude with great distinction, California State University, Fresno, USA

Continuing Education

Areas of Focus

  • Lower extremity biomechanics
  • Running injuries and dysfunction - keeping the runner running!
  • Foot dysfunction and how it affects everything above it
  • Video gait analysis
  • Video golf swing analysis

Professional Memberships

  • American Physical Therapy Association California Chapter Physical Therapy Association

Community Involvement

Personal Interests

Triathlons, Half Marathons, Golf, Scuba diving, Water Skiing, Travelling and Cooking.

Elzke Hoehler PT, BSc.

Elzke graduated from the University of the Witwatersrand (WITS), Johannesburg, South Africa with a Bachelor of Science degree in Physiotherapy in 2011 and has 8 years of experience as a Physiotherapist both in South Africa and in the Cayman Islands.

During her time in South Africa Elzke worked in a specialized sports and orthopedics outpatient environment which equipped her with a large knowledge base and experience in this field. She completed her Orthopedic Manipulative Therapy (OMT) qualification in 2013, making her part of a group of manipulative physical therapist around the world who have completed this stringent post- graduation specialization.

Elzke loves treating sports injuries and orthopedic conditions, she specializes in the lumbo-pelvic complex, which includes lower back, hip and pelvic pain.

Her qualifications in manipulative therapy, dry needling, sports taping and clinical Pilates enhances her skillset to provide a holistic approach to managing her patients.

Elzke is a keen triathlete and has completed the Durban and Miami 70.3 Half Ironman’s, along with several individual cycling races and half marathons. She also enjoys the watersports Cayman has to offer such as Scuba diving and Wakeboarding.

Qualifications, Courses and Seminars
  • Bachelor of Science degree in Physiotherapy
  • Orthopedic Manipulative Therapy (OMT)
  • Dry Needling (Level 3)
  • Kinesiology Taping (Level 2)
  • BASI Pilates Mat Instructor
  • Spinal Assessment and Treatment
  • Soft Tissue Injury Treatment and Management
  • Mobilization of the Nervous System (Neurodynamics)
  • Certified pelvic health physiotherapist