When is physiotherapy recommended for osteoarthritis?

A physiotherapist assesses the painful joint, nearby muscles, balance, walking pattern, and the movements that are hardest. Treatment can be useful at different stages, including when symptoms first interfere with activity, during a flare after a change in routine, or when you want to remain active while protecting the joint. The plan may include mobility exercises, strengthening, pacing, advice about joint loading, and practical changes for work or home.

Arrange an assessment if osteoarthritis is making stairs, standing, gripping, walking, or sleep more difficult. Keep a short record of which activities bring on symptoms and whether stiffness improves with gentle movement. Follow the prescribed exercises gradually; a temporary increase in effort can occur, but sharp or escalating pain should be discussed. A physiotherapist can adjust repetitions, resistance, footwear advice, or activity choices to match your joint and goals.

Seek prompt medical assessment for a hot, markedly swollen joint, a sudden inability to bear weight, a new deformity, fever with joint symptoms, or pain after a significant injury. These features may need assessment beyond a routine physiotherapy appointment.

Ask which activities are safe for now, whether imaging or another assessment is needed, how to recognise a flare, and how physiotherapy should fit with any medication or other treatment.