If your doctor has recommended physical therapy after surgery, for chronic back pain or following a work-related injury, you may be wondering what to expect and how PT fits into your overall treatment plan.
For those new to physical therapy, the process can feel unfamiliar at first. To help you feel more comfortable and informed, we’ve answered some of the most common patient questions below.
What Is Physical Therapy?
Physical therapy is a preventative and rehabilitative form of care designed to improve mobility, strength and overall physical function. Doctors and other healthcare providers commonly recommend physical therapy to:
- Address balance, walking and mobility challenges
- Manage neurological conditions that affect movement
- Support recovery from musculoskeletal injuries
- Improve strength, endurance and flexibility
- Help patients adapt to age-related changes affecting grip, balance and activities of daily living (ADLs)
Based on these goals, physical therapy typically focuses on one or more outcomes: managing pain to help avoid surgery, restoring quality of life after a major event such as surgery, a stroke, a fall or helping patients adapt to physical changes caused by aging or chronic conditions.
During the evaluation process, a physical therapist assesses your strength, balance and movement patterns to identify limitations – such as difficulty gripping objects or changes in gait. These findings are then used to develop a personalized treatment plan tailored to your needs.
Most treatment plans combine in-clinic sessions with guided exercises to perform at home and may include:
- Hands-on techniques to improve joint mobility, stretch tight muscles and enhance circulation.
- Targeted exercises to strengthen specific muscle groups and improve movement.
- Passive treatments for pain and muscle tension, such as dry needling, traction, electrical stimulation, ultrasound, heat, ice and trigger point therapy.
Which Conditions Does Physical Therapy Treat?
Physical therapy helps patients recover from injuries affecting many parts of the body, including the:
- Ankles and feet
- Legs and knees
- Hips
- Back and neck
- Shoulder and elbows
Some injuries occur suddenly, while others develop gradually over time – often due to repetitive strain or overuse, especially on the job.
In addition, physical therapy may be recommended for:
- Pre and post-surgical care
- Managing dizziness and neurological conditions
- Reducing fall risk in older adults
- Balance and gait training for children and seniors
- Treating swelling or lymphedema
- Strengthening muscles that support posture
What Types of Treatments Do Physical Therapists Provide?
Physical therapists use a combination of techniques to support recovery and improve function. These may include:
- Manual therapy and soft tissue techniques
- Strengthening exercises for muscles and joints
- Stretching and joint mobilization
- Balance and mobility training
- Pain and inflammation management
Some physical therapists specialize in specific areas, such as orthopedic, neurological, pediatric or sports physical therapy.
What Should I Expect During My First Visit?
Whether you were referred by a doctor or chose to seek care on your own, your first physical therapy appointment typically serves as a comprehensive evaluation. Your therapist will review your medical history, discuss your concerns and assess how you move.
Initial visits usually last 45 to 90 minutes and often conclude with exercises you can begin at home.
How Often Will I Go to Physical Therapy?
The frequency of your sessions depends on your injury and treatment goals. In many cases:
- Patients attend multiple sessions per week for one to three months
- Sessions may last about an hour and occur up to three times a week
- As progress is made, visits often become less frequent, with more emphasis on at-home care
How Important Are At-Home Exercises?
Very important. In-office sessions are only part of your recovery. Performing your prescribed exercises at home helps reinforce progress, build strength and improve mobility more efficiently.
As you stay consistent with your routine, your physical therapist will likely notice improvements and may gradually reduce the frequency of in-office visits.
How Does PT Track My Progress?
Your therapist establishes baseline measurements during your first visit. Over time, they’ll monitor changes in strength, mobility and function – adjusting exercises as needed by increasing repetitions, resistance or difficulty.
You’ll also be asked about pain levels and daily activities. Progress updates are shared with your referring physician throughout your care.
Who Will I Work With During Physical Therapy?
Most physical therapy practices include:
- Physical Therapists (PTs): Licensed professionals with a Doctor of Physical Therapy (DPT) degree and extensive training in anatomy, biomechanics and rehabilitation science.
- Physical Therapy Assistants (PTAs): Clinicians who support treatment delivery and help monitor patient progress under the supervision of a PT.
Is Physical Therapy the Same as Chiropractic Care?
While both may involve hands-on techniques, physical therapy and chiropractic care are different:
- Physical therapy is rooted in traditional medicine and focuses on restoring strength, movement and function through exercise and targeted treatment.
- Chiropractic care emphasizes spinal alignment as a primary method of improving mobility and reducing pain.
For this reason, doctors refer patients to a PT over a chiropractor for pain management and injury recovery.
Should Physical Therapy Hurt?
No. Physical therapy is designed to challenge your body gradually, not cause pain. Some soreness can be normal, especially early on, but sharp or lasting pain should be reported to your therapist so your treatment can be adjusted.
Will Physical Therapy Help After Surgery?
For many patients, post-surgical recovery is one of the main reasons to start physical therapy. It can help:
- Reduce swelling and inflammation
- Restore range of motion and strength
- Improve circulation and healing
- Support a safe return to daily activities and work
Does Insurance Cover Physical Therapy?
In most cases, yes. Coverage varies by plan, so it’s best to confirm benefits with your insurance provider and check with Integrated Rehab about accepted carriers.
What Happens After I Complete PT?
At your last session, your PT will provide a customized exercise plan to help you maintain progress on your own. These routines are designed for home or gym use and focus on long-term strength, flexibility and mobility.
Looking for a physical therapist? Plan your care with Integrated Rehab! Contact us today to learn more about our services or schedule your first appointment.
