Can Physiotherapy Make Pain Worse? Here’s What You Need to Know

Physiotherapy is generally aimed at relieving pain, improving mobility, and enhancing your overall quality of life. However, it’s possible for physiotherapy to make pain feel worse initially, particularly at the start of treatment or after certain exercises. Here’s why this can happen:

1. Initial Muscle Soreness

• Why It Happens: When you begin a new exercise routine, especially if you’ve been inactive or have a chronic joint condition, it’s common for your muscles and joints to feel sore. This is similar to the aches you might experience after a gym workout.

• What to Expect: This soreness is usually temporary and should improve as your body becomes accustomed to the exercises. It often indicates that your muscles are being strengthened and conditioned.

2. Inflammation Flare-Ups

• Why It Happens: If you have osteoarthritis or another inflammatory condition, certain exercises may temporarily increase inflammation, causing a short-term rise in pain or swelling.

• What to Expect: Your physiotherapist can adapt your programme to avoid aggravating inflammation, using gentle and controlled movements to minimise discomfort.

3. Incorrect Technique

• Why It Happens: Performing exercises incorrectly or pushing your body too hard can exacerbate pain. Overexertion or poor form may place extra stress on your joints or muscles.

• What to Expect: It’s essential to follow your physiotherapist’s guidance and ensure you are doing the exercises correctly. They will supervise your movements to make sure you’re working out safely.

4. Underlying Conditions

• Why It Happens: Sometimes, other underlying conditions may react poorly to certain physiotherapy techniques. For instance, nerve compression or structural joint damage might require more cautious handling.

• What to Expect: If physiotherapy consistently makes your pain worse rather than better, it’s important to let your physiotherapist know. They can reassess your condition and adjust your treatment plan accordingly.

What to Do If Pain Worsens

1. Communicate with Your Physiotherapist: Always inform your physiotherapist if you experience increased pain or discomfort. They can make necessary adjustments to your therapy to better suit your needs.

2. Modify or Rest When Needed: Sometimes, reducing the intensity of your exercises or taking short breaks can help alleviate discomfort.

3. Track Your Pain: Keeping a record of your pain levels and activities can assist your physiotherapist in identifying patterns and fine-tuning your treatment plan.

   
   

When to Seek Further Help

If the pain becomes severe, persists, or worsens over time despite changes to your physiotherapy programme, it’s important to consult your GP or a specialist. This may indicate that your condition requires a different treatment approach.

The Bottom Line

Although physiotherapy can occasionally cause temporary discomfort, it is generally a safe and effective way to manage pain and improve mobility. The key lies in having a well-structured and personalised programme, overseen by a knowledgeable physiotherapist who understands your unique needs and limitations.