Is Physiotherapy Painful?

”No pain, no gain!”

If you want to recover from your painful condition, you may need to experience pain before you reach a pain-free life.

A research revealed that aggressive physiotherapy program often leads to far better results than a more cautious pain-free approach.

The research team from Department of Rehabilitation Medicine at Bethesda Hospital in The Netherlands has found that nearly half those who were given the painful treatment recovered normal physical function, whereas those who avoided painful physiotherapy usually had further loss of physical function.

In most cases, physiotherapy does not cause more pain. However, there are some conditions  that causes pain during physiotherapy:

1) During the initial assessment, the physiotherapist may perform certain tests that reproduce your pain in order to make an accurate diagnosis of your condition.

2) During the physiotherapy treatment, some techniques can be painful, especially after operation or after removal of cast.

For example, after total knee replacement,  physiotherapist may need to perform certain exercises to achieve knee range of motion. After removal of cast, joint stiffness developed and muscles may be shortened. Physiotherapist may need to mobilise or manipulate the joints and soft tissues to get back to normal function. Initial stages of stretching and exercises, may cause slight discomfort as the body is not used to such movement for a period of time. Treatment is slowly progress to minimise the level of discomfort during treatment

3) After physiotherapy, it is normal to suffer treatment soreness up to 24 hrs after, although not everyone will. Physiotherapy is similar to exercising which may cause feeling of muscle soreness or aching.

Our physiotherapists will take great care not to cause more pain and will explain to you clearly the purpose of each treatment. In addition, our physiotherapist may do some pain relief treatments such as heat therapy, ice therapy and to put you at ease.