Physiotherapy
The Definitive Guide to Living & Working in Cayman the Cayman Islands

Conveniently located in the Grand Pavilion Commercial Center along the Seven Mile Beach corridor, Total Health is a comprehensive healthcare facility designed to deliver healthcare in a personalised and accessible environment to residents and tourists.
Total Health offers a suite of outpatient services, encompassing Medical Consultation & Treatment, Dermatology, Diabetology, Aesthetics, Ophthalmology, Otorhinolaryngology (ENT), Orthopaedics, Dental, Physiotherapy, Nutrition, Sleep Study, IV Infusions, Bio-Identical Hormone Replacement Therapy, Gynaecology, On-site Laboratory, Imaging (Ultrasound & X-ray), Health Checks, Vaccinations, Work Permit Medicals and Pharmacy, creating a seamlessly interlinked, one-stop destination for addressing preventive health issues.
Dermatology
Dr Kashish Tyagi specialises in diagnosing and managing a wide range of skin, hair, and nail disorders, integrating both medical and cosmetic dermatology. He offers advanced facial skin rejuvenation and anti-ageing treatments including Botox, dermal fillers, non-surgical thread lifts, minimally invasive procedures, and dermatologic surgeries such as cyst excisions, mole and skin tag removal, electrocauterisation, and radiofrequency ablation.
Dr Tyagi also provides advanced Mole Mapping with FotoFinder — a state-of-the-art digital skin imaging system that uses high-resolution photography, dermoscopy, and AI-assisted technology to monitor moles and detect subtle skin changes over time. This cutting-edge technology supports the early detection of melanoma and other skin cancers, offering patients a highly accurate, proactive approach to long-term skin health and peace of mind.
Diabetology
Dr. Rajnish Kumar is an expert in dealing with complicated diabetes cases, with more than 17 years of clinician experience. Being a tech-savvy guy, he took maximum advantage of upcoming technology by integrating them into the field of diabetology & preventive medicine.
Dr. Kumar is trained in the fields of Internal Medicine, Diabetology & Critical Care.
He is always warm and empathetic to all his patients as he fully understands the overwhelming emotions that a clinical visit may sometimes bring. He strongly believes that “prevention is better than cure”. His focus has always been on quality care, and he pursues hours of continuing medical education to achieve the highest standards of care that he further provides to his patients.
Ophthalmology
Dr. Priyanka is a qualified eye surgeon with over 13 years of experience in the field of Ophthalmology. She completed her graduation and post-graduation from the prestigious Prince of Wales Medical College after which she spent five years providing specialised treatment for Corneal conditions, Cataract, and Glaucoma in various reputed eye hospitals.
She further complimented her Ophthalmic education by completing the Fellowship of the Royal College of Surgeons (part 2), Glasgow and the Fellowship of the International Council of Ophthalmology (part 2).
Dr. Priyanka has also worked alongside Retina specialists and is well-versed in diagnosing and providing treatment for retinal disorders while also gaining valuable experience in performing eye surgeries – especially anterior segment surgeries.
Otorhinolaryngology (ENT)
Dr. Gyanendra Jha, Otorhinolaryngologist (ENT), is a Senior Specialist with Total Health. He has excellent medical knowledge, sharp clinical skills, and vast experience treating patients with Ear, Nose, and Throat conditions. Dr. Jha has earned numerous awards and recognitions from his medical peers as well as the Cayman Islands community.
Dr. Jha has served for over 35 plus years, through the Health Service Authority of the Cayman Islands (HSA), to the public providing not only expertise in his field but also, an invaluable contribution to the Health Care sector.
Gynaecology
Dr. Pooja Monteiro is a Consultant Obstetrician and Gynecologist with more than eleven years of experience. Dr. Monteiro completed her MBBS from the Maharashtra University of Health Sciences, India. She received her DNB (Obstetrics & Gynecology) awarded by the National Board of Examinations in New Delhi India. She was awarded a Diploma in Family Planning awarded by the College of Physicians & Surgeons in Mumbai, India. She was awarded the MRCOG-I by the Royal College of Obstetricians & Gynecologists in the United Kingdom.
Orthopaedics
Dr. Alwin Almeida renowned in Arthroscopy, Sports Surgery, and Joint Replacement, boasts an impressive 20-year history in orthopaedics. With over 5,000 surgeries, spanning from Joint Replacements to intricate Arthroscopic Interventions, such as Shoulder Arthroscopic Latarjet and Minimally Invasive Joint Replacement, he's a beacon of expertise. Notably, he's guided numerous professional athletes to recovery, aiding their return to active sporting careers. Dr. Almeida aspires to shape a Center of Excellence for Orthopaedics in the Caribbean through Total Health's Orthopaedic Department, prioritising patient healing and root cause analysis. In his role as an Orthopaedic Surgeon at Total Health, he'll continue leveraging his expertise and compassion to positively impact those experiencing pain and discomfort.
Aesthetics
Dr. Shalini Sharma is a highly accomplished doctor with over 19 years of experience in facial aesthetics and dental surgery. She holds a master’s degree in dental surgery from the College of Dental Sciences, Davangere, Karnataka, and a bachelor’s degree in dental surgery from BVP Dental College and Hospital, Pune, Maharashtra. Dr. Sharma has received numerous accolades, including being named the Best Outgoing Student in her MDS program and earning a gold medal in her post-graduation.
Committed to bringing the most advanced non-surgical technologies to the Cayman Islands, Dr. Sharma has expanded her expertise to include Fotona laser technology—one of the world’s leading multi-platform aesthetic laser systems. Fotona combines Nd:YAG and Er:YAG laser wavelengths to treat a wide range of concerns including skin tightening, collagen stimulation, scar remodeling, pigmentation, resurfacing, and overall skin rejuvenation, with minimal downtime and highly customisable treatment options.
Dr. Sharma has also completed extensive training in advanced facial aesthetics through Empire Medical in the United States. Her certifications include sclerotherapy, complete facial aesthetics, botulinum toxin, dermal fillers, mesotherapy & Kybella training, PRP for facial aesthetics, and PRP & PDO threads for hair restoration. She has undertaken observerships at prestigious institutions such as NYU and Loma Linda University. With a steadfast commitment to excellence, innovation, and continuous learning, Dr. Sharma ensures the highest standards of patient care at Total Health.
Dentistry
Dr. Sudeep Iyer is a distinguished dental practitioner with an impressive journey in the field. He earned his Bachelors and Masters in Dentistry from Rajiv Gandhi University of Health Sciences, Bangalore, India in 2000 and 2005, respectively. With over 18 years of experience, he's become a well-regarded figure in oral health
Pharmacy
Total Health Pharmacy located in the Grand Pavilion, West Bay Road has a full spectrum of prescription drugs and over-the-counter (OTC) items. Hours of operation: 8 AM- 8 PM | Monday - Saturday