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Physical Therapy for Pain

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Physical therapy aims to alleviate pain over time rather than just giving temporary relief. This article explains how physical therapy helps in relieving pain.

Medically reviewed by

Mohammed Wajid

Published At September 28, 2022
Reviewed AtMarch 15, 2023

What Is the Purpose of Physical Therapy?

Physical therapy helps in long-term pain management. Physiotherapy focuses on manual therapy to treat movement-related diseases and injuries. Physical therapy is a rehabilitative health treatment that relieves pain through a number of approaches rather than medicines.

The purpose of physical therapy is to:

  • Reduce feelings of pain.

  • Strengthen muscles, tendons, and ligaments.

  • Restore balance when imbalances are present.

  • Improve the range of motion.

  • Address issues like scar tissue.

  • Improve general functioning.

The most common reason for pain is injury and sickness. To improve a patient's quality of life, a physical therapist employs specialized equipment, exercises, and techniques.

When You Will Be Referred for Physical Therapy?

When your doctor recommends physical therapy for pain-alleviation, the physical therapist has a wide choice of treatment alternatives. When chronic pain develops or when a loss of mobility and function occurs as a result of a stroke or an auto accident, physical therapy for pain reduction is frequently recommended. The physical therapist will guide the patient closely to provide passive and active treatments, as well as give instructions on how to exercise at home.

What Are the Common Pain Conditions Physical Therapy Helps With?

Physiotherapists are crucial in the treatment of both acute and chronic pain. Following a comprehensive evaluation, we will create a treatment plan with you to assist alleviate discomfort and treat the causes of the symptoms in order to prevent a recurrence. Soft tissue massage and stretching to release tension and spasm, joint mobilizations, acupuncture, electrotherapy, corrective exercise, posture awareness, and guidance on how to overcome pain in daily activities are all examples of physiotherapy treatments for pain relief.

The professional provides customized supplemental treatment for pain due to conditions like the following.

  • Lower back pain.

  • Shoulder pain.

  • Neck pain.

  • Bursitis or tendonitis.

  • Post-surgical rehabilitation.

  • Carpal Tunnel Syndrome.

  • Herniated discs.

  • Leg pain.

  • Rotator cuff injuries.

  • Sciatica pain.

  • Fractures.

  • Arthritis.

  • Overuse injuries.

  • Foot and ankle dysfunction.

  • Lumbar stabilization.

  • Muscle strains.

  • Tennis or golfer elbow.

  • Nerve injuries.

  • Sports injuries.

  • Fibromyalgia.

  • Diseases like parkinson’s disease and multiple sclerosis.

In fact, most conditions causing pain and limited movement can benefit from physical therapy.

How Does Physical Therapy Help in Understanding Pain?

A physiotherapist can help you figure out why your joints, muscles, and soft tissues hurt. It will be easier for you to handle and overcome pain if you have a better understanding of it.

When you are in a lot of pain, staying in bed with a hot bottle, taking paracetamol, and not moving is a good idea. Exercise and mobility have been found in studies to be one of the most effective treatments for chronic pain. So you can keep moving, your physiotherapist will give you guidance and suggest a safe exercise regimen based on your situation.

Acute pain lasts for a shorter period of time and serves as a warning sign that something is wrong. While the majority of minor aches and pains are readily addressed and forgotten, others are indicators of something more serious that we should not ignore.

Chronic pain is pain that lasts longer than the average period it takes for tissues to heal after an injury. Most soft tissue injuries heal in some weeks, while some may take months to fully recover. Pain that lasts more than three to six months is referred to as chronic or persistent pain by pain specialists. Chronic pain has a variety of causes, but in certain cases, the pain is thought to be caused by the nerve fibers' pain messages being jumbled. The brain is then unable to fully comprehend the impulses.

What Are the Physiotherapy Treatments Available for Pain?

Physical therapy (PT) includes a variety of methods, but the pain management approaches used in PT are generally divided into two categories: passive PT and active PT.

Passive physical therapy treatments require the patient to remain motionless while treatments are administered, and they are successful in providing pain relief quickly. Active physical treatment necessitates patient involvement and may benefit a patient for longer periods of time.

Both types of physical therapy treatments have been found to be helpful in studies, and combining them in a treatment plan can be very effective in addressing problems like arthritis, low back pain, and neck discomfort.

Passive Physical Therapy Treatments:

Some of the common passive physical therapy treatments include the following.

Application of Heat, Cold, or Both:

Inflammation and muscle spasms can be reduced by using heat or ice packs or by alternating between the two.

Transcutaneous Electrical Nerve Stimulator (TENS):

Electrical stimulation is used in the TENS unit to relieve pain by overriding pain signals supplied to the brain. The electrical pulses are transferred through the skin to the sensory nerves.

Iontophoresis:

An electrical current is used to apply the steroid to the skin. The current leads push the steroid deeper into the skin, where it can help with inflammation and pain.

Laser Therapy:

Laser photons penetrate beneath the skin, reducing unpleasant inflammation and speeding up tissue recovery.

Ultrasound:

On the skin, a cold gel is applied. Ultrasound equipment is then used to apply sound waves to the gel site. Soft tissues are penetrated by the waves.

Massage Therapy:

Massage therapy can aid in the relaxation of muscles and other soft tissues.

Active Physical Therapy Treatments:

The patient participates in active physical therapy treatments while the physical therapist gives instructions and help.

Range-Of-Motion Exercises:

Range-of-motion exercises can help people who have had a stroke, have had an injury, or have spent a long time in bed. During each session, the physical therapist assists with moving the limb through a broader range of motion and beyond the point of pain.

Dynamic Lumbar Stabilization:

This treatment focuses on stretching to reduce back and neck discomfort. Stretches help to relieve muscle tension and increase the range of motion. Exercises like the back flexion stretch and the knee to chest stretch are among them.

McKenzie Approach:

The physical therapist helps the patient execute activities that stretch the spine and relieve pain. It focuses on moving discomfort from the leg or arm to the back, where it can be tolerated better.

Aquatic Exercise:

A pool is used for aquatic exercise. The buoyancy of the water relieves and reduces pressure on the spine. Especially in cases of severe shoulder, neck, or back pain, the patient can work the muscles while feeling less discomfort than they would otherwise.

Targeted and General Conditioning:

Physical therapy exercises can target a specific body component, such as the lower back, neck, joints, or an inflammatory area. General conditioning physical therapy could help a patient with a total-body medical ailment like fibromyalgia. There are workouts for strengthening, stretching, aerobics, and endurance.

Physical therapists have a variety of therapy alternatives at their disposal, allowing them to tailor the treatment plan to the patient's individual needs.

Conclusion:

Physical therapy includes a wide range of treatments and therapies, so individuals who do not respond to one may benefit from another. Massage, joint manipulation, dry needling, and electrical stimulation are just a few of the treatments available. Just because something does not work the first time, or even if it makes the pain worse, does not indicate a person has failed physical therapy. There are countless ways to tweak a person's program to keep them comfortable and progressing.

Frequently Asked Questions

1.

Does Physical Therapy Eliminate the Pain?

No, Physical therapy, like other methods does not get rid of the pain. It takes its own time and slowly helps reduce the pain. It may take a long term to reduce pain. This method is usually preferred by individuals who are on opioid painkillers.

2.

How Does Physiotherapy Help in Treating Pain?

Physiotherapy involves massaging soft tissues, stretching to relieve pain due to tension and spasm, mobilization of joints, a procedure called acupuncture, electrotherapy, corrective exercises, giving knowledge about posture, and how to overcome pain due to activities of day-to-day life. These in turn help in treating pain.

3.

Mention the 4 Main Types of Physical Therapy.

Types of physical therapy include neurological, occupational, geriatric, pediatric, rehabilitative, orthopedic, cardiopulmonary, and hand physical therapy. These types of physical therapies work very efficiently.

4.

Which Therapy Is Best for Treating Pain?

Medicines for pain especially over-the-counter ( OTC) medicines are best to treat pain. These include acetaminophen and nonsteroidal anti-inflammatory drugs ( NSAIDs). Along with these medicines, physical therapies like heat or cold packs, massage, hydrotherapy, and exercise, psychological therapies like cognitive behavioral therapy, meditation, relaxation technique, acupuncture, and support from a community may be more effective in treating pain.

5.

Whether Physical Therapy Really Works?

Yes, according to the research done so far has identified that physical therapy helps to recover fast from injuries, improve chronic pains, manage age-related conditions, improve athletic performance, and recover from surgery. It helps in avoiding any surgery.

6.

Whether Physical Therapy Is Good or Bad?

Physical therapy is considered good as it helps in improving muscles by strengthening, reducing the strain on the joint, relieving pain in joints, and improving mobility or balance.


It is a combination of exercise and education and helps in reducing chronic pain and recovering from surgery. It also helps in avoiding surgery.

7.

What Should Be the Duration of Physical Therapy?

Physical therapy may last for 30-90 minutes. Again this depends on the condition and physiotherapist. The sessions may be scheduled 2-3 times a week. Treatment generally begins after the first evaluation by the physiotherapist. In addition, sessions may be continued as evaluation and follow-up for a better healing process.

8.

Which Are the Side Effects of Physiotherapy?

Physiotherapy like any other therapy, has side effects. Side effects of physiotherapy include fatigue, tenderness, and soreness of the muscles. Others include mild headaches, dizziness, short-term muscle spasms, and stiffness may also be seen. Sometimes, physiotherapy may aggravate pre-existing conditions or new injuries may be caused.

9.

Mention the Top 5 Pain Relief.

The top 5 pain relievers include opioids and NSAIDs like ibuprofen, aspirin, acetaminophen, and naproxen. Many are advised in the case of swelling and/ or inflammation. All medications have their side effects. Hence it is advisable to take medications only after they are prescribed by the healthcare provider.

10.

Does Physical Therapy Help With Nerve Damage?

Yes, physical therapy is helpful in nerve damage. It improves the strength and function of muscles. Particular exercises help in fighting symptoms due to nerve damage. Nerve damage causes numbness and tingling sensations. These can be decreased by physiotherapy.

11.

How Quickly Does Physical Therapy Work?

The duration of physiotherapy varies as many factors are involved. In the case of muscle, the duration may be 2-4 weeks, tendon may take 4-6 weeks, bone may take 6-8 weeks, and if tendons are involved, the duration of physiotherapy may take 10-12 weeks.

12.

Is It Fine to Do Physical Therapy Every Day?

Physical therapy depends on the condition, needs, and goals. The physiotherapist will be deciding how often the individual needs physical therapy and exercises to be practiced at home. The body needs rest to heal. Everyday exercises may not give rest to the body. Hence exercises may be divided and given on alternate days.

13.

How Much Does It Cost for Physical Therapy?

Physical therapy may cost between $30- $400. An initial consultation at a private office may cost around $150-$200, and a follow-up visit cost maybe $80-$500. At a hospital setup, initial visits may cost $400-$500, and follow-up visits may range from $300-$400.

14.

Whether Physiotherapy Is Good for Back Pain?

Yes, Physiotherapy is good for back pain. It helps in improving the movement and functions of joints and muscles. This helps in moving again by reducing pain. Physiotherapy also helps in reducing the risk of getting back pain again.

15.

Does the Pain Get Worse After Physio?

Yes, sometimes, the pain gets worse after physiotherapy. This type of pain is considered as normal and signs that can be considered as treatment are helping. This should be discussed with the physiotherapist and he is able to guide properly.

16.

How Much Physiotherapy Should Be Done in a Day?

Physiotherapy is generally prescribed for 2-3 visits per week for about 4-6 weeks. It may vary depending on various factors involved. Initially, for the first 2-3 weeks, 3 visits are recommended as this period is a very crucial period of the treatment.

17.

Whether Rest Is Needed After Physical Therapy?

Yes, An individual needs rest after physical therapy. Rest in between therapies helps restore strength and energy. Getting good sleep, relaxation, and enjoyment help achieve good recovery. The chances of getting recovered early will increase with rest and good sleep.

18.

What Is the Duration of Physical Therapy for Back Pain?

Physical therapy of 6-8 weeks is recommended for back pain. The strength and progress in the movement increase with every session. It depends on the condition and various other factors. If the back pain is severe, it may take longer duration.

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Mohammed Wajid
Mohammed Wajid

Physiotherapy

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