What Conditions Benefit Most?
- Low back pain and sciatica
- Neck pain and cervicogenic headache
- Knee pain (osteoarthritis, post-surgical)
- Shoulder pain (rotator cuff, frozen shoulder)
- BPPV (benign positional vertigo) — Epley manoeuvre
- Post-stroke rehabilitation
- Parkinson's disease — balance and gait
- COPD — pulmonary rehabilitation
- Pelvic floor dysfunction (incontinence, prolapse)
- Sports injuries and tendinopathy
What Happens at Your First Appointment?
- Detailed history: when the pain started, what makes it better/worse, impact on daily life
- Physical examination: range of motion, strength, nerve tests, posture
- Working diagnosis explained in plain language
- Treatment plan: exercises, hands-on treatment, education, goals
- Home exercise programme given from session 1
Do Your Home ExercisesThe exercises your physiotherapist gives you to do between sessions are the most important part of treatment. Compliance with home exercise is the strongest predictor of successful outcomes.
NHS vs Private Physiotherapy
NHS physiotherapy is free but may have waiting lists. Private physiotherapy costs £40–80 per session. Consider private if your wait is more than 6 weeks and the condition is significantly impacting daily life.
Do I need a GP referral for physiotherapy?
Not always. Many NHS trusts now offer self-referral to physiotherapy (MSK services). Check your local NHS trust website. Private physiotherapy never requires a referral.
How many sessions will I need?
This varies. An acute injury may resolve in 3–4 sessions. Chronic conditions or post-surgical rehab may need 8–12 sessions. Your physiotherapist will review progress regularly.
What is the difference between physiotherapy and osteopathy/chiropractic?
Physiotherapy has the broadest evidence base and includes exercise-based rehabilitation. Osteopathy and chiropractic focus more on manual techniques. For most musculoskeletal conditions, physiotherapy is the first-line recommendation.
Can physiotherapy help after a stroke?
Yes. Neurological physiotherapy is a core component of stroke rehabilitation, focusing on relearning movement, balance, and function. Early physiotherapy (within 24–48 hours of stroke) significantly improves outcomes.
Medical Disclaimer: This page is for general education only and does not replace professional medical advice. Always consult a qualified healthcare provider.