Physiotherapy Myths and Misconceptions: What the Public Should Know

Physiotherapy has advanced significantly over the years, yet outdated beliefs about what it is—and isn’t—continue to circulate. These myths can create unnecessary hesitation, lead to unrealistic expectations, or delay effective care. At Khan, Singh, Nsibande Physiotherapists, we believe that informed patients are empowered patients. Here's what the research says about some of the most common misconceptions.

Myth 1: Physiotherapy is only for sports injuries or post-surgical recovery

While physiotherapists frequently work with athletes and post-operative patients, the profession’s scope extends far beyond that. It is used to assess, treat, and manage a wide range of conditions, including chronic pain, neurological impairments, respiratory issues, and age-related mobility challenges. From managing back pain in office workers to supporting recovery in stroke survivors, the reach is broad and inclusive. Research has confirmed that early physiotherapy intervention can reduce complications, improve function, and lower long-term healthcare costs across many patient groups.

Myth 2: Physiotherapy just means massage or hot packs

Although some sessions may include hands-on techniques like manual therapy or soft tissue work, these are just components of a more comprehensive approach. Physiotherapy today is active and goal-driven, with exercise therapy often forming the foundation of treatment. A recent systematic review and meta-analysis published in the British Journal of Sports Medicine found that exercise significantly reduces musculoskeletal pain and disability, highlighting its effectiveness as a primary intervention.

Myth 3: You should only try physiotherapy after medication or surgery fails

Physiotherapy isn’t a last resort—it’s often most beneficial when introduced early. In many cases, early assessment and treatment can reduce pain duration, improve mobility, and prevent a problem from becoming chronic. For instance, individuals with acute lower back pain often benefit more from early physiotherapy than from prolonged use of pain medication. One systematic review found that early physiotherapy intervention reduces the need for imaging, injections, or surgical referrals.

Myth 4: Physiotherapy works immediately or not at all

While some patients feel relief after just a few sessions, lasting improvement usually takes time, consistency, and active participation. Physiotherapists help set realistic expectations and work collaboratively to build strength, mobility, and self-management strategies. The pace of progress depends on several factors, including the nature of the condition, your starting point, and how regularly you follow your treatment plan.

In Conclusion

Understanding what physiotherapy truly involves helps remove unnecessary barriers to care. It’s a versatile, evidence-based profession that supports people through pain relief, recovery, prevention, and improved physical function. At Khan, Singh, Nsibande Physiotherapists, we are committed to providing informed, patient-centred care—without shortcuts, and without the myths.

References Ojha, H. A., et al. (2014). Timing of physical therapy initiation for nonsurgical management of musculoskeletal disorders and effects on patient outcomes: a systematic review. Journal of Orthopaedic & Sports Physical Therapy, 44(2), 76–91.https://doi.org/10.2519/jospt.2014.4808

Gausel, A. M., et al. (2025). Effectiveness of exercise therapy on musculoskeletal pain and disability in the postpartum period: A systematic review and meta-analysis. British Journal of Sports Medicine. Advance online publication. https://bjsm.bmj.com/content/early/2025/02/08/bjsports-2024-108488

Cottrell, M. A., et al. (2020). Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: A systematic review and meta-analysis. Clinical Rehabilitation, 34(5), 595–607.https://doi.org/10.1177/0269215520906813