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Physiotherapy: Causes, Symptoms, Treatment and Cost

Last Updated: Jun 24, 2023

What is Physiotherapy?

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Physiotherapy is a type of health care profession that focuses on the physical rehabilitation and treatment of individuals who have suffered from an injury or illness.

Physiotherapists use a number of approaches to assist patients in recovering from disease, injury, or disability.

These techniques include exercise, manual therapy, hydrotherapy, and electrical stimulation. Physiotherapists also provide patient education and advice to help patients maintain their health and prevent future injuries or illnesses.

Types of Physiotherapy:

  • Manual Therapy: This form of physiotherapy employs manual manipulation and mobilisation of joints and soft tissues to relieve pain and increase range of motion. Additionally, it may incorporate massage, joint mobilisation, stretching, and other therapeutic activities.
  • Exercise Therapy: This type of physiotherapy focuses on prescribing specific exercises to help strengthen muscles and improve overall physical fitness. Exercises may include stretching, strengthening, balance training, aerobic conditioning, and core stability work.
  • Postural Re-education: This type of physiotherapy involves teaching patients how to properly position their body in order to reduce pain or improve posture. It may involve instruction in proper ergonomics or postural correction exercises such as Pilates or yoga.
  • Electrotherapy: Electrical stimulation is used in this sort of physiotherapy to alleviate pain and improve muscular strength and coordination. Ultrasound therapy, transcutaneous electrical nerve stimulation (TENS), electrical muscle stimulation (EMS), and interferential current (IFC) are typical forms of electrotherapy.
  • Aquatic Therapy: This type of physiotherapy is used in a pool setting for patients who need assistance with mobility due to arthritis or other medical conditions that limit movement on land. Aquatic therapy can involve low-impact cardiovascular exercise as well as strength training exercises using buoyancy aids such as noodles or water weights.

Benefits of Physiotherapy:

  • Improved Mobility: Physiotherapy helps to improve mobility by strengthening muscles and increasing flexibility. This can help individuals move more easily and safely, reducing the risk of falls or injuries.
  • Reduced Pain: Physiotherapy techniques such as massage, stretching, and exercise can help to reduce pain associated with various conditions such as arthritis or back pain.
  • Improved Posture: Poor posture can cause pain and discomfort in the neck, shoulders, back, and other areas of the body. Physiotherapists use exercises and stretches to help correct posture problems and reduce strain on joints and muscles.
  • Improved Balance & Coordination: Poor balance or coordination due to age or an injury can lead to falls or other accidents in people who are not used to being active. Through exercises designed specifically for balance improvement, physiotherapists can help individuals regain their sense of balance so they are able to move more confidently throughout their day-to-day activities without fear of falling or injuring themselves further.
  • Injury Prevention & Rehabilitation: Physiotherapy is often used as part of an injury prevention program for athletes or those who participate in strenuous activities regularly; it helps strengthen muscles which reduces the risk for future injuries from happening again by providing support during activity that may be too strenuous for one’s own body strength alone.

Why is Physiotherapy done?

  • Physiotherapy helps to restore movement and function to areas of the body affected by injury, illness or disability.
  • It is used to improve range of motion, reduce pain, improve strength, and help people regain their independence.
  • Physiotherapy can also be used for prevention and rehabilitation purposes.
  • It helps people with chronic conditions manage their symptoms more effectively and can help prevent further injury or disability.


What are the risks of Physiotherapy?

The following are some risks involved with physiotherapy:

  • Muscle soreness: Physiotherapy can involve the use of hands-on techniques, such as massage, that may lead to muscle soreness.
  • Joint pain: Certain exercises or stretches may cause joint pain or discomfort.
  • Nerve damage: Improper technique or too much pressure can cause nerve damage, resulting in numbness or tingling in the affected area.
  • Infection: If equipment is not properly sterilized between uses, there is a risk of infection from bacteria and viruses.
  • Injury: Exercises done incorrectly can lead to injury and further complications if not treated properly by a physiotherapist.

How do I prepare for Physiotherapy?

Preparing for physiotherapy may enhance the effectiveness of treatment. Here are some helpful preparation tips:

  • Ensure that you are wearing loose-fitting, comfortable clothes that enable you to move freely.
  • Bring a list of any drugs and supplements you are taking, along with any medical issues and allergies you have.
  • Bring a list of inquiries and/or issues you want answered during your session.
  • Ensure that you have enough rest before your appointment, so that your body is sufficiently rested and prepared for the treatment session.
  • Stay hydrated by drinking plenty of water before and after your appointment, as this will help with muscle recovery and soreness after the session is over.
  • Avoid eating a large meal before the appointment, as this may make it difficult to focus on the exercises or treatments during the session.

How Physiotherapy is done?

Physiotherapists use a range of techniques to assess the patient’s needs and develop an individualized treatment plan. This may include exercises to improve strength and flexibility; hands-on treatments such as massage or joint mobilization; electrical stimulation; heat and cold therapies; hydrotherapy (water-based exercises); lifestyle advice; or referral for further investigations.

Steps to perform Before the procedure

  • Assess the patient’s medical history and current physical condition to determine if they are suitable for the procedure.
  • Prepare all necessary equipment, such as cushions, straps, and weights, to be used during the procedure.
  • Ensure that the area where the procedure will take place is clean and free of any debris or objects that may interfere with it.
  • Explain to the patient what will happen during each step of the procedure and how long it will take to complete it.
  • Ask for consent from the patient before beginning any treatment or exercise program during a session of physiotherapy.
  • Provide verbal instructions throughout each step of a physiotherapy session so that patients understand what is expected from them in order to achieve maximum benefit from their treatments or exercises programs.
  • Encourage patients to ask questions throughout their sessions so that they can gain more insight into how best to use their treatments or exercise programs in order to get optimal results from them.

Steps to perform During the procedure

  • Monitor patients’ progress throughout their physiotherapy sessions, making adjustments as needed based on feedback provided by patients about how they are feeling at any given moment during a session of physiotherapy treatment or exercise program .
  • Provide appropriate stretches and exercises tailored specifically for each patient’s needs in order to help them achieve maximum benefit from their treatments or exercise programs .
  • Adjust treatment plans as needed based on feedback received from patients about how they are feeling during a session of physiotherapy treatment or exercise program .
  • Provide positive reinforcement and encouragement throughout each step of a physiotherapy session in order for patients to feel comfortable continuing on with their treatments or exercise programs, even when progress is slow going at times .

Steps of perform After the procedure

Monitor the patient's response to treatment, including pain level, range of motion, and overall progress.

Reassess the patient's condition and adjust treatment plan as needed.

How much does Physiotherapy cost in India?

The cost of physiotherapy in India depends on the type of treatment and the city you are located in. Generally, a single session of physiotherapy can range from Rs. 500 - Rs. 1500 depending on the type of treatment and the location. The cost may also vary depending on the experience and qualifications of the physiotherapist.

What to do after Physiotherapy?

Provide detailed instructions on stretching techniques, breathing exercises, lifestyle modifications, etc., which can be used both at home as well as within future physio sessions in order for patients maintain an active lifestyle even after completing courses of therapy sessions

Instruct patients on proper posture techniques which can help reduce pain levels over time while also helping prevent further injury due to incorrect posture habits developed over time by many individuals who do not practice proper posture techniques regularly

What to eat after Physiotherapy?

  • Lean protein: Lean proteins such as fish, chicken, turkey, and eggs are good sources of energy and help repair muscles that have been strained during physiotherapy.
  • Complex carbohydrates: Whole grains such as oats, quinoa, brown rice, and whole wheat bread are excellent sources of complex carbohydrates that provide long-lasting energy.
  • Fruits and vegetables: Vegetables and fruits are loaded with crucial vitamins and minerals that may aid in muscle healing after physiotherapy.
  • Healthy fats: Healthy fats from sources such as avocados, nuts, seeds, olive oil, and fatty fish are important for cell membrane health and can aid in muscle recovery after physiotherapy.
  • Water: Staying hydrated is key for muscle recovery after physiotherapy; aim to drink 8-10 glasses of water per day to stay hydrated throughout the day.

Is Physiotherapy safe?

Yes, physiotherapy is generally considered safe. It is important to note that some treatments may cause mild discomfort or soreness, but this should not be severe or long-lasting. It is also important to speak with your doctor or physiotherapist about any concerns you may have before beginning treatment.

Is Physiotherapy painful?

No, physiotherapy is not painful. While some treatments may cause temporary discomfort, physiotherapists are trained to use techniques that are designed to reduce pain and improve your overall health. Your physical therapist will do their best to make your sessions as as comfortable as possible.

How long does it take to recover after Physiotherapy?

The amount of time it takes to recover after physiotherapy depends on a variety of factors, including the severity of the injury or condition being treated, the type of treatment used, and the patient's general health and lifestyle. In most cases, patients who begin physiotherapy demonstrate considerable improvement within a matter of weeks to months. However, for more severe injuries or conditions, recovery may take several months or even years.

What are the side effects of Physiotherapy?

The most frequent negative effects of physiotherapy include:

  • Soreness and/or stiffness in the treated region.
  • Bruising or swelling in the area that was treated.
  • Muscle spasms or cramps due to increased activity and stretching of muscles.
  • Nerve irritation due to pressure applied during treatment.
  • Headache due to increased blood flow to the head from treatments such as massage or ultrasound therapy.
  • Dizziness from certain exercises, such as those involving balance or spinning around quickly (vertigo).

Physiotherapy Aftercare:

  • After a physiotherapy session, it is important to follow the instructions of your physiotherapist and take care of yourself. This includes:
  • Stretching and strengthening exercises as prescribed by your physiotherapist.
  • Resting as needed and avoiding overexertion.
  • Wearing appropriate clothing or support devices such as braces or supports as recommended by your physiotherapist.
  • ln accordance with your physiotherapist's recommendations, using hot or cold compresses to the damaged region.
  • Keeping the affected area elevated when possible to reduce swelling and pain.
  • Drinking plenty of water to help flush toxins from the body that can cause soreness and fatigue after exercise or therapy sessions.
  • Avoiding activities that could aggravate your condition until you are fully healed, such as running, jumping, or lifting heavy objects with the affected area until cleared by your physiotherapist for safe participation in these activities again.
  • Maintaining a healthy diet with plenty of fruits, vegetables, whole grains, lean proteins and healthy fats to promote healing and reduce inflammation in the body due to injury or strain from physical activity.


Various ailments, such as chronic pain, neurological issues, and musculoskeletal issues, may be successfully treated with physical therapy. It is important to note that physical therapy is not a one-size-fits-all solution and should be tailored to the individual patient's needs. With the right combination of exercises, stretches, and other treatments, physical therapists can help patients improve their mobility, reduce pain, increase strength, and restore function.


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Written ByDr. E. Logesh MSPT (Master of Physical Therapy),BPTh/BPTPhysiotherapy
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