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Physiotherapist guiding an adult patient through a movement assessment in a rehabilitation clinic

PHYSIOTHERAPY GUIDE

Looking for physiotherapy? Understand what to expect and find the right care.

Learn what physiotherapists do, what may happen at your first visit, how referrals and extended-health benefits can vary, and how to find registered physiotherapy care near you.

Not Sure Who to See?

What are you looking for help with?

Physiotherapy can support many movement, recovery and rehabilitation goals. Start with the concern that most closely matches what you need.

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Pain and movement concerns

Physiotherapy may help you understand what is limiting your movement and build a plan for back, neck, hip or joint symptoms that affect daily activity.

Sports or exercise injuries

Care may focus on load management, return-to-activity planning and the strength or mobility work behind a running, lifting or team-sport injury.

Recovery after surgery

Post-surgical rehabilitation usually follows your surgeon's protocol and progresses as healing, range of motion and tolerance allow.

Balance or dizziness concerns

Vestibular and balance rehabilitation may be appropriate for unsteadiness or dizziness, often alongside a medical assessment of the cause.

Pelvic health

Pelvic health care can address bladder, bowel, pregnancy-related or pelvic-pain concerns with a provider who has additional training in this area.

Strength, mobility and daily function

Some people come in without an injury and want help moving more comfortably, regaining strength or staying independent in everyday tasks.

What does a physiotherapist do?

A physiotherapist works with you on movement, function and recovery. What a specific appointment includes depends on your assessment, your goals and your preferences.

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Care may include

  • Ask about your symptoms, health history, activity level and what you want to get back to
  • Assess movement, strength, flexibility, balance or function, depending on your concern
  • Explain the findings in plain language and discuss what they may mean
  • Develop a care plan with you, including realistic goals and timelines
  • Prescribe and progress guided exercise
  • Provide education and self-management strategies you can use between visits
  • Use hands-on techniques when appropriate for your assessment and preferences
  • Monitor progress and adjust the plan as your response becomes clearer
  • Refer or coordinate with another provider when a different type of assessment is needed

Not every appointment includes hands-on treatment, and not every plan looks the same. Ask your provider to explain why a particular approach is being suggested and what alternatives exist.

Check the physiotherapist’s registration

Physiotherapists are registered provincially. Ask the clinic for the physiotherapist's full name and registration number, then confirm it on the public register of your provincial physiotherapy regulator.

What happens at your first physiotherapy visit?

A first appointment is mostly assessment and conversation. The measures used depend on your needs and may cover movement, strength, flexibility, balance, function or activity tolerance.

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Step 1 — Discuss your history and goals

The physiotherapist should ask what brought you in, when symptoms started, what makes them better or worse, relevant health conditions and medications, and what you want to be able to do again.

Step 2 — Assess movement and function

The assessment depends on your needs and may include relevant measures of movement, strength, flexibility, balance, coordination, function or activity tolerance. Not every measure applies to every person.

Step 3 — Review findings and options

You should hear what the assessment suggests, which options may be reasonable, what the evidence generally supports and what the alternatives are — including doing nothing for now or seeking further medical assessment.

Step 4 — Agree on next steps

You and the provider decide together what happens next. That may be starting a home program, scheduling follow-up, coordinating with another provider, or waiting for further information. Treatment does not have to begin at the first appointment.

What to bring

  • Your insurance or benefits information if you plan to use it
  • A referral or prescription if your plan or clinic requires one
  • Relevant medical reports or imaging results if you already have them
  • Comfortable clothing that lets you move
  • A list of medications or health conditions when relevant
  • Your questions about cost, coverage, timelines and treatment options

Imaging is not required for most movement-related concerns, and a provider should explain their reasoning if they suggest it.

Which type of physiotherapy fits your needs?

Clinics often describe areas of focus rather than separate professions. Use these descriptions to shortlist a provider, then confirm their experience with your specific concern.

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Orthopedic and musculoskeletal care

Who may look for this

People with joint, muscle, tendon or back and neck symptoms affecting daily activity.

What it may focus on

Often focuses on movement quality, strength, load tolerance and returning to normal tasks.

Sports rehabilitation

Who may look for this

Recreational and competitive athletes recovering from an injury or managing a recurring one.

What it may focus on

Often focuses on graded loading, sport-specific movement and return-to-play decisions.

Post-surgical rehabilitation

Who may look for this

People recovering after orthopedic or other surgery, often following a surgeon's protocol.

What it may focus on

Often focuses on protected range of motion, gradual strengthening and restoring function.

Pelvic health

Who may look for this

People with pelvic pain, bladder or bowel concerns, or pregnancy and postpartum needs.

What it may focus on

Often focuses on pelvic-floor function, breathing and load management, with additional provider training.

Vestibular and balance rehabilitation

Who may look for this

People with dizziness, vertigo or unsteadiness, usually alongside a medical assessment.

What it may focus on

Often focuses on gaze stability, balance retraining and confidence with daily movement.

Neurological rehabilitation

Who may look for this

People living with conditions affecting the nervous system, such as stroke or Parkinson's disease.

What it may focus on

Often focuses on mobility, safety, function and coordination with the wider care team.

Physiotherapy, chiropractic or massage therapy?

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Physiotherapy

  • Movement and functional assessment
  • Exercise and rehabilitation planning
  • Recovery, mobility, balance or strength goals
  • May include hands-on techniques and education

Chiropractic

  • Musculoskeletal and joint-focused assessment
  • Manual techniques may be part of care
  • Exercise and movement advice may also be included

Massage Therapy

  • Soft-tissue-focused care
  • Muscle tension, comfort and recovery goals
  • Pressure and approach should be based on consent and preference

There is overlap between these services. The right starting point depends on your symptoms, goals, health history, provider availability and whether medical assessment is needed.

Do you need a referral for physiotherapy?

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Booking directly is common, but check your plan

Many physiotherapy clinics accept direct bookings without a physician referral. A referral may still be required by your extended-health plan before it reimburses, and requirements vary by plan, province, clinic and service.

  • Ask the clinic whether they accept direct bookings for your concern
  • Ask your plan whether a referral is needed for reimbursement
  • Check whether funded or workplace-injury programs have their own rules
  • Confirm both answers before your first appointment

How do extended-health benefits work for physiotherapy?

Coverage depends on your plan. Annual maximums, per-visit limits and referral requirements all affect what is reimbursed.

  • Is physiotherapy included in my plan this benefit year?
  • What is my annual maximum, and how much remains?
  • Is there a per-visit limit on what is reimbursed?
  • Does my plan require a physician referral?
  • Does the clinic offer direct billing to my plan?
  • What details must appear on the receipt?

Direct billing does not guarantee coverage. Confirm eligibility and remaining benefits with your plan before the appointment.

When should you check with a medical provider first?

Most movement-related concerns can start with a physiotherapist. Some situations are better assessed medically first, and a good clinic will tell you when that applies.

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Tell the clinic before booking

  • Recent surgery or a recent significant injury
  • Pregnancy or a recent birth
  • Ongoing medical conditions or medications that may affect exercise
  • Symptoms that are new, unexplained or changing quickly

Consider medical assessment first

  • Pain that is severe, worsening or unexplained
  • Fever, significant swelling or signs of infection
  • New weakness, numbness or loss of function
  • Symptoms that may need diagnosis, imaging or medication

Seek urgent care when appropriate

Sudden severe symptoms, chest pain, difficulty breathing, a serious injury, sudden significant weakness, or loss of bladder or bowel control need prompt medical assessment rather than a rehabilitation appointment.

PainHero provides general information and provider discovery. It does not diagnose medical conditions or replace individualized medical advice.

Questions about physiotherapy

What is physiotherapy?

Physiotherapy is care provided by a registered physiotherapist focused on movement, function and rehabilitation. It commonly includes assessment, education, guided exercise and, when appropriate, hands-on techniques.

Is physiotherapy the same as physical therapy?

The terms describe closely related care. “Physiotherapy” is the term used in Canada, while “physical therapy” is more common in the United States. Titles, regulation and training requirements differ by jurisdiction.

What happens at the first physiotherapy appointment?

The first visit usually covers your history and goals, an assessment of movement and function relevant to your concern, a discussion of the findings and an agreement on next steps. Treatment may begin that day, but it does not have to.

Do I need a referral for physiotherapy?

Many clinics accept direct bookings, but a referral may still be required by your extended-health plan before it will reimburse. Requirements vary by plan, province, clinic and service, so confirm before booking.

Is physiotherapy covered by extended-health benefits?

Coverage depends on your plan. Annual maximums, per-visit limits, referral requirements and provider eligibility all affect reimbursement. Direct billing, where offered, does not guarantee that a visit is covered.

How do I check whether a physiotherapist is registered?

Ask the clinic for the physiotherapist's full name and registration details, then check the public register maintained by the physiotherapy regulator in your province.

What should I wear to an appointment?

Comfortable clothing you can move in is usually best. If your concern involves a knee, shoulder or the low back, clothing that allows access to that area makes assessment easier. You can ask the clinic in advance what they recommend.

How many appointments will I need?

There is no standard number. It depends on your concern, your goals, how you respond and what you can do between visits. A provider should be able to explain their reasoning and reassess rather than commit you to a long prepaid plan before you know how you respond.

Should I choose physiotherapy, chiropractic or massage therapy?

It depends on your symptoms, goals, health history and whether medical assessment is needed. Physiotherapy often focuses on movement, strength and rehabilitation planning, chiropractic often focuses on musculoskeletal and joint assessment with manual techniques, and massage therapy focuses on soft tissue. There is meaningful overlap between them.

Ready to find the right physiotherapy care?

Search physiotherapy clinics and registered physiotherapists by location, care needs and benefits information.