strengthening exercises
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28. September 2021

physiotherapist advice on strengthening exercises

Modern physiotherapy unlocks the true meaning of strength, moving beyond the idea of lifting heavy weights in a gym to something far more profound and relevant to everyday lives. True strength is the ability to lift your grandchild without a twinge in your back, to carry the weekly shopping from the car with ease, or to enjoy a long country walk with friends, free from the worry of knee pain. It is the physical foundation upon which a vibrant, independent, and fulfilling life is built. This guide explores the transformative power of strengthening exercises, not as an athletic pursuit, but as a fundamental pillar of health and well-being.  

In its most holistic sense, strength encompasses much more than just the power of your muscles. It includes the density and resilience of your bones, the stability of your joints, and the endurance to perform daily tasks without fatigue or discomfort.2 When we talk about "strengthening," we are referring to a process of building this all-encompassing physical capacity. Research and clinical experience consistently show that a structured, professionally guided approach to building this strength is one of the most powerful tools available for managing chronic pain, recovering from injury, preventing future problems, and dramatically enhancing your overall quality of life.4

grandfather happily carrying his grandsonHowever, the path to becoming stronger can feel daunting, especially if you are living with pain or have a long-term condition. The fear that exercise might worsen your symptoms is a natural and common concern.6 This is precisely where professional guidance becomes indispensable. Modern physiotherapy provides the gold standard for creating a safe, personalised, and effective strengthening programme. A qualified physiotherapist acts as your expert guide, understanding your unique challenges and goals, and empowering you to build strength in a way that heals, rather than harms. They help you move beyond the fear of movement and unlock your body's incredible potential for recovery and resilience.1

Why Choose Physiotherapy? Your Partner in Health and Movement

When you are dealing with pain or a physical limitation, choosing the right healthcare professional is the most critical first step. In the UK, physiotherapy has evolved into a highly advanced and central part of the healthcare system, offering much more than just exercise prescription. A modern physiotherapist is a diagnostic expert, a case manager, and a trusted partner in your health journey.

The Chartered Physiotherapist: A Regulated Expert

The term "physiotherapist" is a legally protected title in the UK, ensuring that anyone using it meets stringent professional standards. Practitioners are regulated by two key bodies that guarantee you receive care that is safe, ethical, and of the highest quality.9

  • The Health and Care Professions Council (HCPC): This is the statutory regulator for a range of health professions, including physiotherapy. To practise legally in the UK, a physiotherapist must be registered with the HCPC. This registration confirms they have met national standards for their training, professional skills, and conduct, and they are committed to continuous professional development to keep their knowledge up to date.9
  • The Chartered Society of Physiotherapy (CSP): The CSP is the professional, educational, and trade union body for the UK's 65,000 physiotherapists.12 A physiotherapist with "MCSP" after their name is a Chartered Physiotherapist, signifying membership of this body and a commitment to its rigorous code of professional values and quality assurance standards.14

This dual system of regulation and professional oversight means you can have complete confidence that a Chartered Physiotherapist is a highly trained, accountable, and autonomous healthcare professional dedicated to providing evidence-based care.12

Beyond Exercise Prescription: Diagnosis and Advanced Practice

The role of the physiotherapist has expanded significantly in recent years, reflecting their deep expertise in the musculoskeletal (MSK) system. They are not simply therapists who follow a doctor's instructions; they are increasingly the first point of contact for patients with muscle, joint, and nerve problems, acting as skilled diagnosticians and clinical leaders.10

This evolution is most evident in the development of advanced roles within the NHS and private practice:

  • First Contact Practitioners (FCPs): Many GP practices now have FCPs, who are advanced physiotherapists acting as the first point of contact for patients with MSK issues. Instead of waiting for a GP appointment and then a referral, patients can see an FCP directly. These practitioners can assess, diagnose, and develop a management plan, which might include exercises, lifestyle advice, or referral for further investigation or to other specialists. This model has been shown to be safe, effective, and capable of managing up to half of all GP appointments for MSK conditions, significantly easing pressure on primary care.12
  • Advanced Clinical Practitioners (ACPs): These are highly experienced physiotherapists who have undertaken further master's-level training. They possess advanced skills in diagnosis, treatment, and care management, often working in complex cases and leading service improvements.10

This shift has profound implications for you as a patient. Seeing a physiotherapist is no longer just a treatment option; it is often the most efficient and effective first step. They have the expertise to provide a comprehensive assessment and diagnosis, review the entire patient pathway, and coordinate your care, referring you to the right specialists when necessary and reducing inappropriate interventions.10 This makes the physiotherapist a crucial "system navigator," guiding you through the healthcare landscape to ensure you get the right care at the right time.

A Holistic, Evidence-Based Approach

Modern physiotherapy treatment is built on a "bio-psycho-social" model of care.10 This means your physiotherapist looks beyond the purely physical symptoms. They understand that your recovery can be influenced by psychological factors (like fear, anxiety, or motivation) and your social environment (such as your work demands or home life). This holistic perspective ensures your treatment plan addresses you as a whole person, not just an injured joint or a painful back.18

Furthermore, the profession is grounded in evidence-based practice.14 This means the techniques and advice you receive are supported by the latest scientific research, ensuring your treatment is not only safe but also effective. This commitment to evidence extends to the expanding scope of practice, including the ability for suitably qualified physiotherapists to independently prescribe medication. Since legislative changes in 2013, physiotherapist independent prescribers can manage your condition more completely, providing prescriptions for pain relief or other relevant medications when needed, streamlining your care and avoiding unnecessary delays or referrals back to a GP.16 This capability further solidifies the physiotherapist's role as a comprehensive and autonomous healthcare provider.

Is Physiotherapy Right for You? Key Signs It’s Time to See an Expert

It can be difficult to know whether an ache is just a temporary niggle or a sign of an underlying issue that needs professional attention. While some minor soreness after a new activity is normal, certain patterns of pain and dysfunction are clear indicators that a physiotherapy assessment could be beneficial. Seeking help early is not a sign of weakness; it is a proactive step towards a faster, more complete recovery. Early intervention can prevent an acute problem from developing into a chronic, more stubborn condition that is harder to treat.19

If you recognise any of the following signs, it is time to consider booking an appointment with an expert physiotherapist:

  1. Persistent or Recurring Pain: If you have pain that lingers for more than a week or two, or that seems to get better only to return again, it suggests an underlying cause that isn't resolving on its own. This could be anything from a nagging backache to regular neck pain or a joint that frequently "flares up".20 A physiotherapist can diagnose the root of the problem rather than just treating the symptoms.21
  2. Stiffness and Reduced Mobility: Do you find it difficult to perform everyday movements that used to be easy? A sudden or gradual loss of flexibility, such as being unable to touch your toes, turn your head fully, or reach overhead, can significantly impact your quality of life. Physiotherapy can help restore your range of motion through targeted exercises and hands-on manual therapy techniques.21
  3. Difficulty Recovering from an Injury or Surgery: Whether it's a sprained ankle from sport, a muscle strain from gardening, or rehabilitation after a joint replacement, physiotherapy is essential for a full and robust recovery. A structured rehabilitation programme speeds up healing, rebuilds strength correctly, and reduces the risk of future complications or re-injury.19 If your recovery feels delayed or incomplete, an expert assessment is crucial.23
  4. Balance Problems, Dizziness, or Instability: Feeling unsteady on your feet, experiencing a loss of coordination, or having a history of falls are significant issues that should not be ignored. Poor balance can stem from muscle weakness or problems with your inner ear (vestibular system). A physiotherapist can assess the cause and provide specific exercises to improve your stability and confidence, reducing your risk of injury.20
  5. Pain That Interferes with Your Life: One of the clearest signs you need help is when pain starts to dictate your life. If discomfort is preventing you from getting a good night's sleep, concentrating at work, or enjoying your hobbies and family time, it is time to seek a solution. Physiotherapy can alleviate the discomfort and restore your function, allowing you to get back to the activities you love.19
  6. Postural and Work-Related Strain: Many modern ailments are linked to our work habits. Persistent pain at your desk, frequent tension headaches, or repetitive strain injuries (RSIs) from computer use are common problems that a physiotherapist is an expert in treating. They can help relieve the immediate strain and provide ergonomic advice and exercises to prevent it from returning.19
  7. Radiating Symptoms (Pins and Needles, Numbness, or Tingling): If you experience pain that travels, or sensations like "pins and needles," tingling, or numbness radiating down your arm or leg, it could indicate pressure on a nerve. Conditions like sciatica or a "trapped nerve" in the neck require an accurate diagnosis from a professional trained to assess the neurological system.22

Waiting and hoping for these issues to disappear is a risky strategy. The longer a problem is left, the more the body can develop compensatory movement patterns, muscle weakness, and increased pain sensitivity, making recovery a longer and more complex process. By seeking expert physiotherapy treatment early, you are making a sound investment in your long-term health, function, and well-being.19

Your First Appointment at CK Physio: A Clear Path to Recovery

Your first physiotherapy appointment is the most important session. It is where your journey to recovery begins, and it is designed to be a comprehensive, collaborative, and empowering experience. Understanding what to expect can help reduce any anxiety and ensure you get the most out of your time with your physiotherapist. The entire process is a partnership; your active participation is key to a successful outcome.18

Preparing for Your Visit

A little preparation can help your physiotherapist gain a thorough understanding of your condition right from the start. Before your appointment, it is helpful to:

  • Think About Your Symptoms: Consider when your problem started, what activities make it better or worse, and how it affects your daily life. Being specific can help your physiotherapist pinpoint the issue more quickly.24
  • Gather Information: Bring a list of any medications you are taking, and if you have them, any relevant letters from your GP or results from previous scans (like X-rays or MRIs).25
  • Dress Comfortably: Wear loose, comfortable clothing that allows for easy movement and enables the physiotherapist to see and assess the affected area. For example, if you have a knee or hip problem, a pair of shorts is ideal. For a shoulder or neck issue, a vest top is helpful.24

Step 1: The Subjective Assessment (The Conversation)

Your initial consultation, which typically lasts between 25 and 45 minutes, will begin with a detailed conversation.29 This is known as the subjective assessment, and it is arguably the most crucial part of the session. Your physiotherapist will listen carefully as you describe your problem in your own words.31 They will ask questions about:

  • Your symptoms and how they began.
  • Your past medical history, including any previous injuries or surgeries.
  • Your lifestyle, work, and hobbies.
  • Most importantly, your personal goals and what you hope to achieve with physiotherapy.31

This conversation is the foundation of your treatment. It establishes a "therapeutic alliance," a partnership where you are an active participant in your own recovery. Be open and honest about your pain levels, any fears you may have, and your expectations. This allows your physiotherapist to build a plan that is truly tailored to you.24

Step 2: The Physical Assessment (The Examination)

Following the discussion, your physiotherapist will conduct a physical examination to confirm a diagnosis.31 This hands-on assessment will vary depending on your specific problem but will typically involve:

  • Observing Your Posture and Movement: Looking at how you stand, walk, and perform certain movements to identify any imbalances or dysfunctional patterns.32
  • Testing Range of Motion: Gently moving the affected joint and surrounding areas to assess flexibility and stiffness.26
  • Assessing Muscle Strength and Length: Testing the strength of specific muscles to identify any weakness or imbalances that could be contributing to your problem.26
  • Palpation: Using their hands to feel the muscles, joints, and soft tissues to locate areas of tenderness, swelling, or tension.32
  • Special Clinical Tests: Performing specific tests designed to diagnose particular conditions, such as ligament instability or nerve irritation.31

It is important to know that some of these tests may temporarily reproduce your symptoms. This is a normal and necessary part of the diagnostic process, as it helps the physiotherapist to accurately identify the source of your pain.26

Step 3: Diagnosis and Education

Once the assessment is complete, your physiotherapist will provide you with a clear, easy-to-understand diagnosis. They will explain what they believe is causing your symptoms, often using anatomical models to help you visualise the issue.31 This educational component is vital. A sound understanding of your condition empowers you to take control of your recovery and helps you appreciate the purpose of each part of your treatment plan.18 This is your opportunity to ask as many questions as you need to feel confident and informed.

Step 4: Your Personalised Treatment Plan

The final step of your first appointment is to create your personalised treatment plan. This is a collaborative process; your physiotherapist will discuss the recommended treatment options with you, ensuring the plan aligns with your goals and lifestyle.29 Your plan will outline:

  • The recommended types of physiotherapy treatment (e.g., manual therapy, exercises, etc.).
  • The proposed frequency and number of follow-up sessions.
  • A tailored home exercise programme with clear instructions.
  • Advice on how to manage your condition and prevent recurrence.

In most cases, your treatment will begin in this very first session.31 You will leave your appointment with a clear diagnosis, a plan of action, and the first set of tools to begin your journey back to a stronger, pain-free life.

Building Your Foundation: Essential Strengthening Exercises

woman and her groceriesWhile your physiotherapist will design a programme tailored specifically to you, understanding the principles and types of foundational exercises can be incredibly empowering. The cornerstone of any effective strengthening programme is progressive overload—the idea that for a muscle to get stronger, it must be challenged to work harder than it is used to.2 This doesn't mean you need to lift heavy weights from day one. It means starting with a manageable level of resistance (which can simply be your own body weight) and gradually increasing the difficulty as you get stronger.35

The Principles of Effective Strengthening

To ensure your efforts are both safe and effective, physiotherapists build programmes around several key principles 34:

  • Specificity: The exercises must be specific to your goals. If your goal is to climb stairs without pain, your programme will target the muscles involved in that specific movement.
  • Progression and Overload: As exercises become easier, they must be made more challenging to continue stimulating muscle growth. This can be done by increasing the weight, adding more repetitions, or reducing rest time.
  • Individuality: Your programme must be tailored to you, considering your pain levels, current fitness, and personal goals.
  • Recovery: Rest is just as important as exercise. Muscles need time to recover and adapt, which is why strengthening sessions are typically recommended on 2-3 days per week, with a rest day in between.34

It is important to be patient. While you may feel better quickly, it typically takes 6-8 weeks of consistent exercise to notice a measurable improvement in muscle strength.34

Starting Safely

When beginning any new exercise programme, safety is paramount. Always:

  • Use a solid, stable chair without wheels for seated or supported exercises.36
  • Wear comfortable clothing that doesn't restrict movement.
  • Start slowly and build up gradually. It is better to do too little at first than too much.37
  • Listen to your body. It is normal to feel some muscle ache after exercise, especially when starting out. This is different from sharp, stabbing, or worsening pain. If an exercise causes harmful pain, stop and consult your physiotherapist.37

Foundational Strengthening Exercise Programme

The following table outlines five foundational exercises recommended by trusted sources like the NHS and the Chartered Society of Physiotherapy. They target major muscle groups and are an excellent starting point for building whole-body strength. Always remember this is a general guide; your physiotherapist will provide a programme specific to your needs.

Exercise Name

Primary Target Area

Beginner's Technique (Key Cues)

How to Progress

Recommended Reps/Sets (NHS/CSP)

Sit-to-Stand

Legs, Glutes, Core

Sit on the edge of a stable chair, feet flat and hip-width apart. Lean slightly forward from your hips. Push through your legs to stand up slowly, using your hands on the chair arms or thighs only for guidance. Sit back down with control. 36

Perform the movement without using your hands at all. Slow down the speed of both standing up and sitting down. Progress to a mini-squat while holding the back of the chair for support. 36

Start with 5 repetitions. Build gradually to 2-3 sets of 8-12 repetitions. 2

Glute Bridge

Glutes, Hamstrings, Core

Lie on your back with your knees bent and feet flat on the floor, hip-width apart. Place your arms by your sides. Gently squeeze your buttock muscles and lift your hips off the floor until your body forms a straight line from your shoulders to your knees. Lower slowly with control. 40

Hold the top position for 3-5 seconds before lowering. For a greater challenge, perform the exercise with one leg extended straight out, keeping your hips level. 40

Start with 5 repetitions. Build gradually to 2-3 sets of 8-15 repetitions. 40

Wall Press-up

Chest, Shoulders, Arms

Stand facing a wall at arm's length. Place your hands flat on the wall at chest level, slightly wider than your shoulders. Keeping your back straight, slowly bend your elbows and lower your chest towards the wall. Push back to the starting position. 36

Step your feet further back from the wall to increase the resistance. Progress to an incline press-up using a sturdy kitchen counter or table, which places more body weight on your arms. 39

Start with 5-10 repetitions. Build gradually to 3 sets. 36

Band Pull-Apart

Upper Back, Shoulders

Sit or stand tall with good posture. Hold a light resistance band with both hands at shoulder height, palms facing down. Your hands should be shoulder-width apart. Keeping your arms straight, pull the band apart by moving your hands out to the sides, focusing on squeezing your shoulder blades together. Return to the start slowly. 42

Use a band with higher resistance. Start the exercise with your hands closer together on the band to increase the tension. 42

Aim for 2-3 sets of 8-12 repetitions. 34

Cat-Camel

Spinal Mobility

Start on your hands and knees, with your hands directly under your shoulders and knees under your hips. Gently arch your back upwards towards the ceiling, tucking your chin towards your chest (like an angry cat). Hold for a moment. Then, slowly lower your back and lift your chest and tailbone towards the ceiling, looking slightly forward (camel). 38

Focus on slow, controlled movement through your full, comfortable range of motion. Coordinate the movement with your breathing: exhale as you arch up (cat), and inhale as you lower down (camel).

Aim for 2 sets of 8 repetitions, performed 2-3 times per day. 38

This foundational programme demonstrates how simple, accessible movements can form the building blocks of a powerful rehabilitation plan. By starting with bodyweight exercises and then learning how to incorporate tools like resistance bands, you can safely and effectively apply the principle of progressive overload to build lasting strength and resilience.2

Advanced and Adjunctive Therapies: Enhancing Your Recovery

While a personalised exercise programme is the cornerstone of most successful rehabilitation plans, modern physiotherapy utilises a range of advanced and adjunctive therapies to enhance recovery. These treatments are not a replacement for strengthening but are powerful tools that can be used alongside it to manage pain, accelerate the body's natural healing processes, and improve muscle function, especially in complex or persistent cases.4 At CK Physio, we are committed to providing a comprehensive, evidence-based approach, which includes offering advanced modalities like electro therapy and shockwave therapy when clinically appropriate.

A Focus on Electrotherapy

Electro therapy is a broad term for treatments that use a targeted electrical current to achieve a therapeutic effect.43 By varying the type and frequency of the current, we can achieve different outcomes, from pain relief to muscle activation.

  • TENS (Transcutaneous Electrical Nerve Stimulation): TENS is a well-established modality used primarily for pain relief. It involves a small, portable machine that delivers a mild electrical current to the skin via sticky electrode pads.44 The therapy is thought to work in two ways: by stimulating nerve fibres that "block" pain signals from reaching the brain, and by encouraging the body to release its own natural pain-relieving chemicals, called endorphins.6 TENS is often used to help manage pain from long-term conditions like arthritis or chronic back pain, allowing individuals to engage more comfortably in their strengthening exercises. While generally very safe, there are important contraindications; for instance, it should not be used by individuals with a pacemaker or epilepsy.44
  • EMS (Electrical Muscle Stimulation): While TENS targets nerves for pain relief, EMS targets muscles directly to cause a contraction. This is particularly useful for muscle re-education and strengthening, especially in situations where a person struggles to produce a voluntary muscle contraction, such as after surgery or in some neurological conditions.43 The electrical impulse mimics the body's own signals from the nervous system, helping to maintain muscle tone, prevent atrophy (muscle wasting), and rebuild strength as part of a comprehensive rehabilitation programme.43

A Focus on Shockwave Therapy (ESWT)

Shockwave therapy, known clinically as Extracorporeal Shockwave Therapy (ESWT), is a non-invasive procedure that uses high-energy acoustic waves to treat chronic tendon and soft tissue conditions.45 It is typically considered for problems that have persisted for several months and have not responded to more conservative treatments like rest, ice, and standard physiotherapy.45

  • Conditions Treated: ESWT has been found to be effective for a range of stubborn tendinopathies, including plantar fasciitis (the most common cause of heel pain), Achilles tendinopathy, and lateral epicondylitis (tennis elbow).45
  • The Procedure: During a session, which lasts around 5-10 minutes, a handheld probe is placed on the skin over the injured area. This probe delivers the acoustic shockwaves, which can feel like an intense, tapping sensation.45 A typical course of treatment involves three sessions, spaced one to two weeks apart.45
  • How it Works: The exact mechanism is still being researched, but it is believed that the shockwaves create a micro-trauma in the tissue, which stimulates a new healing response. This increases blood circulation and metabolic activity in the area, accelerating the body's own repair processes and helping to break down scar tissue or calcification.45
  • Adherence to NICE Guidelines: The National Institute for Health and Care Excellence (NICE) provides guidance on medical procedures in the UK. NICE has deemed ESWT to be safe but notes that the current evidence on its effectiveness is "inconsistent".48 This means that while many patients experience significant benefits, it does not work for everyone, and there can be a notable placebo response.48

At CK Physio, we believe that transparency and commitment to evidence-based practice are paramount to building trust. Therefore, we adhere strictly to the NICE recommendations for shockwave therapy. This means we only offer the procedure after a thorough assessment and discussion of all other treatment options. We ensure that every patient understands the current evidence, including its uncertainties, so they can make a fully informed decision about their care. This commitment to informed consent and clinical governance ensures you receive treatment that is not only safe but also right for you.49

Why CK Physio? Choosing the Right Clinic for Your Needs

Choosing a physiotherapy clinic is a significant decision that can shape your entire recovery experience. With many options available, it is important to know what to look for to ensure you receive the highest standard of care. The hallmarks of a top-tier clinic are not just about fancy equipment; they are about qualifications, a patient-centred philosophy, and a commitment to evidence-based practice.

The Hallmarks of a Quality Physiotherapy Clinic

Based on guidance from professional bodies and healthcare experts, here are the key criteria you should consider when making your choice 11:

  • Qualifications and Professional Registration: First and foremost, ensure all physiotherapists are registered with the Health and Care Professions Council (HCPC). This is a legal requirement in the UK. Membership with the Chartered Society of Physiotherapy (CSP) is another key indicator of a commitment to the highest professional standards.9
  • Experience and Specialisation: Look for a clinic with practitioners who have proven experience and, where relevant, specialisation in treating conditions similar to yours. Whether you are recovering from a sports injury, managing a chronic pain condition, or rehabilitating after surgery, targeted expertise leads to better outcomes.11
  • Personalised, Patient-Centred Care: Avoid clinics that offer a "one-size-fits-all" approach. A quality clinic will take the time to listen to your unique story, understand your personal goals, and create a treatment plan that is tailored specifically to you. The relationship should feel like a partnership.11
  • Modern Facilities and Evidence-Based Treatments: The clinic should be clean, professional, and equipped with the tools needed for modern, effective treatment. This includes not only space for hands-on manual therapy and exercise rehabilitation but also access to advanced technologies like electro therapy and shockwave therapy, with their use grounded in the latest clinical evidence.11
  • Clear Communication and a Strong Reputation: Effective treatment relies on clear, honest communication between you and your therapist. Look for a clinic with a culture of open dialogue. Furthermore, check for positive patient reviews and testimonials on platforms like Google. The experiences of other patients can provide invaluable insight into a clinic's professionalism and the effectiveness of their care.11

How CK Physio Embodies These Principles

This entire guide has been designed not just to inform you, but to demonstrate our core philosophy at CK Physio. We believe the most effective way to earn your trust is not to simply claim excellence, but to demonstrate it in everything we do.

  • Our Team: Our team consists entirely of highly qualified, HCPC-registered, and Chartered Physiotherapists. We are dedicated to continuous professional development, ensuring we are always at the forefront of our field.
  • Our Approach: We are built on the principle of personalised, patient-centred care. Your first physiotherapy treatment plan is not something we give to you; it is something we create with you. Your goals are our goals, and your journey is a collaborative one.
  • Our Services: We invest in a comprehensive suite of modern, evidence-based therapies. From the fundamental importance of hands-on manual therapy and bespoke exercise prescription to the targeted application of advanced electro therapy and NICE-compliant shockwave therapy, we have the tools and expertise to build the right plan for you.
  • Our Commitment: We are committed to transparency and education. We want you to understand your condition and feel empowered in your recovery. We take the time to explain our diagnoses and treatment rationale, and we are always here to answer your questions.

By aligning our practice with the objective criteria of excellence, we strive to be the clinic of choice for those seeking not just treatment, but a true partner in their journey to better health.

Conclusion: Take the First Step to a Stronger, Pain-Free Life

You have now explored the profound benefits of building strength, the expert role of the modern physiotherapist, and the clear, evidence-based path to recovery. Strength is the key to unlocking a more mobile, resilient, and pain-free life, and physiotherapy is the safest and most effective way to find that key.

Your journey to a stronger, more capable you starts with a single, decisive step. Do not let pain, uncertainty, or the fear of movement hold you back any longer. Taking control of your physical health is possible, and our team of expert Chartered Physiotherapists is here to guide you every step of the way.

Book your comprehensive initial assessment with CK Physio today and start your journey to recovery.

Frequently Asked Questions About Strengthening Exercises

Is physiotherapy covered by health insurance?

Most private health insurance plans cover physiotherapy, though coverage limits vary between providers. The NHS also provides physiotherapy services through GP referrals or self-referral in many areas.

How long does a typical physiotherapy session last?

Initial consultations typically last 45 minutes, while follow-up sessions are usually 30 minutes. Your physiotherapist will recommend an appropriate session length based on your specific condition and treatment needs.

Can I receive physiotherapy treatment virtually?

Many clinics now offer telehealth physiotherapy consultations for assessments, exercise prescription, and monitoring progress. Virtual sessions are particularly useful for exercise progression, management of chronic conditions, and patients with mobility or transportation challenges.

How is physiotherapy different from chiropractic or osteopathy treatment?

Physiotherapy focuses on restoring movement and function through exercise, manual therapy and education, while chiropractic primarily focuses on spinal manipulation. Osteopathy emphasizes the relationship between the body's structure and function using manual techniques, though there is significant overlap between all three professions.

Is it normal to feel pain during or after a physiotherapy session?

Some temporary discomfort during treatment is normal, particularly with manual therapy techniques or when exercising weak muscles. Post-treatment soreness typically resolves within 24-48 hours and is different from the sharp pain of injury.

How many physiotherapy sessions will I need?

The number of sessions varies greatly depending on your condition, with acute injuries often requiring 3-6 sessions and chronic conditions potentially needing longer-term management. Your physiotherapist will provide a personalized treatment plan with estimated timeframes during your initial assessment.

Is physiotherapy suitable for children?

Pediatric physiotherapy is specially designed for children's developing bodies and can effectively treat conditions like developmental delays, sports injuries, and postural problems. Physiotherapists with pediatric specialization use age-appropriate, playful approaches to engage children in their treatment.

Can pregnant women safely receive physiotherapy?

Prenatal physiotherapy is not only safe but highly beneficial for managing pregnancy-related discomfort, preparing for childbirth, and postnatal recovery. Your physiotherapist will use pregnancy-safe techniques and positions while avoiding contraindicated treatments.

Is there an age limit for physiotherapy treatment?

There is no upper age limit for physiotherapy, and treatment plans are tailored to each individual's health status, mobility level, and goals. Physiotherapy is particularly valuable for older adults to maintain independence, prevent falls, and manage age-related conditions.

Do I need a doctor's referral to see a physiotherapist?

You can self-refer directly to private physiotherapy clinics without a GP referral. Some NHS services also offer self-referral, though this varies by region.

What should I wear to my physiotherapy appointment?

Wear comfortable, loose-fitting clothes that allow easy access to the area being treated and permit movement during exercises. For lower limb issues, shorts are ideal; for upper body concerns, consider a vest or t-shirt.

How can I maximize my recovery between physiotherapy sessions?

Consistently perform your prescribed home exercise program, follow any activity modifications advised by your physiotherapist, and maintain proper posture during daily activities. Apply ice or heat as recommended, and be sure to communicate any changes in symptoms at your next appointment.

Works cited
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  13. Strengthening exercises | The Chartered Society of Physiotherapy, accessed on July 30, 2025, https://www.csp.org.uk/campaigns-influencing/campaigns/stronger-my-way/i-want-feel-stronger/strengthening-exercises
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