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Are Physio Exercises Supposed to Hurt? Understanding Pain vs. Progress

Writer: Cameron SimmissCameron Simmiss

Updated: Nov 29, 2024

When it comes to physical therapy, or physiotherapy, pain can be a common point of confusion. Patients often wonder if discomfort is a sign of progress or an indication to stop.


In this article, we’ll explore the difference between beneficial and harmful pain, discuss how to manage discomfort, and provide tips to optimize your physiotherapy experience safely.


Understanding this distinction helps ensure that your exercises lead to recovery, not setbacks!


If you need help determining what pain is beneficial vs harmful, please contact our team below.



Hands massaging leg physiotherapy

1. The Role of Pain in Physiotherapy

Pain during physiotherapy is not uncommon, but not all pain is created equal. The goal of physio exercises is to help you regain strength, flexibility, and mobility—often in areas that may have been injured or weakened. While mild discomfort may be expected as you challenge your body, sharp or intense pain could signal potential harm.

There are two main types of pain in physio exercises:

  • Productive Pain (Discomfort): This is a dull, aching sensation that may occur as you work on strengthening muscles or increasing mobility. It’s common in rehabilitation exercises where you’re pushing your body gently beyond its current limitations.

  • Injurious Pain (Sharp Pain): Sharp, stabbing, or sudden pain usually means something is wrong. This type of pain can indicate strain, joint misalignment, or injury and should be avoided.


2. How to Recognize Productive Discomfort vs. Harmful Pain

It’s essential to listen to your body and recognize the difference between discomfort that promotes healing and pain that could hinder it. Here are some guidelines to help differentiate the two:

  • Intensity and Location: Productive discomfort is generally mild to moderate and may be felt in the muscle area you're working on, such as soreness after strengthening exercises. Harmful pain, however, is usually more intense, localized, and may feel sharp or burning.

  • Duration: Productive discomfort typically fades quickly after exercise or with a short rest period. Injurious pain may persist longer and worsen with continued movement.

  • Symmetry: Productive discomfort often affects both sides if you're working muscles on each side, whereas injurious pain may be unilateral and more specific to one area.


3. Managing Discomfort in Physiotherapy Exercises

Experiencing discomfort doesn’t mean you should stop. Here are some techniques to manage and reduce pain effectively during your exercises:

  • Warm-Up Properly: Warming up before exercises can help prepare muscles and reduce the risk of injury. Gentle stretching or light aerobic activity for 5–10 minutes increases circulation and muscle temperature.

  • Pace Yourself: Start with low-intensity exercises and gradually increase as your strength and mobility improve. Avoid overexerting yourself, especially if you're new to physiotherapy or recovering from an injury.

  • Use Proper Technique: Improper form can cause strain or injury. Work closely with your physiotherapist to ensure correct technique and avoid putting undue stress on joints and muscles.


4. When to Consult Your Physiotherapist

If you experience any of the following symptoms, consult your physiotherapist immediately:

  • Sharp or Radiating Pain: Sudden, sharp pain that radiates could indicate nerve involvement or joint issues.

  • Swelling or Inflammation: Swelling or noticeable warmth around the joint may be a sign of inflammation and should not be ignored.

  • Reduced Range of Motion: If you lose movement in an area after exercising, this might indicate strain or injury that needs professional attention. To contact an expert physio from Meadowbank Physio contact us by clicking HERE


5. Maximizing Benefits from Physiotherapy

To get the most from your physiotherapy program and avoid harmful pain:

  • Follow Your Therapist's Guidance: Adhere to the exercise routine and instructions provided by your therapist. They tailor your program based on your specific needs and physical condition.

  • Stay Consistent, but Take Breaks: Consistency is essential, but overdoing it can lead to injury. Take breaks between exercises or as instructed by your physiotherapist.

  • Practice Self-Care Outside of Physio: Maintaining a healthy diet, proper hydration, and sufficient rest supports your body’s recovery and overall resilience.


Final Thoughts: Achieving Progress Without Pain

Physio exercises are designed to help you recover strength and mobility safely. By understanding the distinction between productive discomfort and harmful pain, you can better gauge your progress and avoid setbacks. Always communicate with your physiotherapist and adjust as needed, ensuring a safe and effective recovery.


Physiotherapy exercises may sometimes be uncomfortable, but they shouldn't cause you intense pain. Listening to your body, practicing proper technique, and following your therapist’s guidance will help you maximize the benefits of physio exercises without risking injury. Remember, rehabilitation is a gradual process, and patience is key to achieving long-term success in your recovery journey.


Physio assessing patient's shoulder


Your Frequently Asked Questions Answered by Cam Simmiss:


Is it normal to feel sore after physio exercises?

Yes, it is normal to experience some soreness after physiotherapy, especially if you're working to rebuild strength or mobility in an area that was injured. This discomfort typically fades after a few hours or a day. However, if the soreness persists or feels intense, contact us to discuss how we can help.

How can I tell if the pain I'm feeling is normal or if I’m pushing too hard

What should I do if I feel pain during an exercise?

Are there any exercises I should avoid if I feel pain in my joints?

Can I continue my physiotherapy routine if the pain is mild but consistent?


If you have any further questions relating to pain and discomfort during physiotherapy please contact us and our friendly team will be able to assist.



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