Is closed reduction needed before physiotherapy?

Physiotherapy uses planned movement, strengthening and functional practice. If a bone or joint is not safely aligned, loading or moving it may worsen the injury. A clinician may therefore perform a closed reduction, immobilise the area and confirm the position before selecting rehabilitation exercises.

Reduction is not required for every person referred to physiotherapy. Sprains, stiffness, muscle problems and many post-operative plans may begin with assessment and gentle treatment without any reduction. Even after a reduction, therapy usually starts only when the treating clinician confirms that movement is safe for the specific injury.

Bring imaging reports, discharge instructions and the name of any splint or cast to your physiotherapy appointment. Do not ask a therapist to force a joint into position or begin weight-bearing before clearance. Your therapist can work within the medical restrictions, monitor swelling and gradually progress movement once stability and healing allow.

Learn more about [Closed Reduction](/treatments/trauma-and-fracture-care/closed-reduction/) and [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) as separate parts of care.

Contact the treating team promptly if pain suddenly increases, the limb changes colour or temperature, numbness develops, swelling becomes rapidly tighter, or a splint or cast feels too restrictive. Seek urgent assessment after a new fall, visible deformity or inability to move the affected fingers or toes.

Is my injury aligned well enough for therapy now? What movements and loads are restricted? Do I need repeat imaging before progressing? Which symptoms mean therapy should stop and the injury should be reviewed?