Pleased to meet you!

Introducing your team...

Client Testimonial

I recently decided to start running again and completely overdid the distance. Undeterred and determined to continue, I kept running until I was limping due to my calf being so tight. Since I had carried on too long, the pain had spread into my glute as well. I went to see Christine who suggested dry needling to release the tight muscles. The almost immediate release is more than worth the temporary pain. After two sessions I was back running 13 miles virtually pain free. I would highly recommend acupuncture and would definitely do it again. These pins are nothing short of a miracle!
Lis Lees

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

Sarah Dinyer DPT

Sarah graduated with a Bachelor of Science in Exercise Physiology from the University of Kansas and then went on to graduate from the University of Kansas Medical Center with a Doctorate of Physical Therapy. During her studies she assisted in multiple research studies, the most notable of which looked at the effect of yoga for those suffering low back pain, which was recently published. Sarah comes to Grand Cayman with 4.5 years of experience treating a wide variety of conditions.

Initially out of school she worked within a large hospital in the Kansas City area treating a wide range of traumatic, orthopedic and neurological injuries as well as cardiopulmonary and degenerative conditions. After gaining expertise treating a wide variety of conditions and injuries, she became the lead physical therapist within the burn unit at the hospital. As the region’s only certified burn unit, she treated all individuals admitted to the hospital with burns, from infants to the elderly, at all stages of healing, and of all different severities. Treating patients in all stages of healing advanced her skills in contracture and splint management, exercise programming, scar massage, and swelling management.

Sarah grew up active in multiple sports including soccer, cross county, and the equestrian sport of hunter/jumper. As an adult she has completed multiple half marathons and one full marathon and considers herself a running enthusiast. Within the past two years she has started developing a passion for rowing and high-intensity interval training. All of these athletic areas have led to a passion for treating sports related and orthopedic injuries.

Sarah recently moved to Grand Cayman with her husband, Ryan, and their rescued cat, Lily. They are loving island life and thoroughly enjoying the change in weather and the wide variety of outdoor activities available.

Education and Training
  • Analyzing Movement Strategies for Functional Mobility course
  • Traumatic Brain Injury Rehabilitation course
  • The Athlete’s Hip: treatment of hip pathology
  • The Athlete’s Hip: screening and evaluation of posterolateral hip pain
  • The Athlete Movement System: upper quarter
  • Kinesio Taping Method: upper and lower extremities
  • The “How-To” of Teaching Patients about pain – pain neuroscience education course by Ardiaan Louw
  • Evidence-Based Examination of the Lumbar Spine
  • American Burn Association Annual Conference courses:
    • Upper extremity burns: seen through the lens of a burn therapist with focus on hand, forearm, and elbow
    • Upper extremity burns: seen through the lens of a burn therapist with focus on shoulder
    • Therapist presence in the operating room
    • Comprehensive care of face and neck burns
    • Reaching for the sky: early end of range splinting to prevent axilla contracture in pediatrics