While sports physiotherapy is highly effective for many musculoskeletal injuries, there are times when physio is not the right first step. Recognising this can help you access the safest and most effective care.
Physiotherapists are trained to assess, diagnose, and manage a wide range of injuries, but we also work within a broader healthcare system. In some situations, further investigation or medical input is essential before treatment begins.
Red Flags: When to See a Doctor First
Certain symptoms should be assessed by a GP, sports physician, or, at times, the emergency department before starting sports physiotherapy. These include:
- High-trauma injuries, including motor vehicle accidents or injuries with significant bleeding
- Signs of infection, such as fever, redness, heat, or unexplained night pain
- Neurological symptoms, particularly bilateral numbness, tingling, or weakness, and/or loss of bladder or bowel control
- Non-mechanical pain presentations, including pain that is worse at night and not linked to movement or load
In these cases, imaging, blood tests, or medical clearance may be required before physio can safely begin.
When Rest or Time May Be More Appropriate
Not every ache or soreness requires immediate physiotherapy. Mild muscle soreness after exercise, general fatigue, or transient stiffness often settles with rest, hydration, and a gradual return to activity.
What Injuries Do Sports Physiotherapists Treat?
Sports physiotherapists commonly manage:
- Ligament sprains
- Muscle strains
- Tendon injuries
- Overuse conditions
They can also manage many acute traumatic injuries, including:
- Ankle sprains
- Muscle tears
- Knee ligament injuries
- Shoulder dislocations and instability
- Meniscus injuries
- Concussion
- Wrist and hand sprains
- Acute low back injuries
- Acute tendon injuries
Where appropriate, physiotherapists can organise imaging and refer for medical review to rule out fractures or significant tissue damage.
The Bottom Line
Physiotherapy is incredibly effective when used at the right time. If symptoms are severe, unexplained, or accompanied by red flags, obtaining appropriate medical assessment first is crucial.
A good sports physiotherapist will always tell you when physio isn’t the right starting point and help guide you toward the care you need.
If you’re unsure, an initial physio assessment can still be valuable not always to treat, but to point you in the right direction. The Complete Balance Physiotherapy team is ready to assist. Send us an enquiry through our contact page or book an appointment online.
