Pain Management Physiotherapy

What the first appointment involves

Your first visit is an assessment rather than a rushed treatment. The physiotherapist asks how the problem started, what makes it worse and better, how it affects your sleep and your work, and what you have already tried. That history usually narrows the possibilities considerably before anyone touches you.

The physical examination then looks at how you actually move — how your spine bends, how your hip and shoulder rotate, which movements reproduce your symptoms and which do not, and whether the muscles that should be controlling the area are doing their job. Where it is relevant, strength and nerve tests are included.

At the end you should leave understanding three things: what is most likely causing your pain, what the treatment plan is, and roughly how long it is likely to take. If your presentation suggests something that needs medical investigation rather than physiotherapy, we will tell you that instead of starting treatment.

Treatment approaches we use

No single technique fixes every painful problem, and any clinic that offers only one is limited by that choice. Treatment is selected to match the assessment findings.

• Manual therapy — hands-on mobilisation of stiff joints and soft-tissue work for muscles that have become tight or guarded.
• Therapeutic exercise — graded strengthening and mobility work, progressed as you tolerate more. This is usually what produces lasting change.
• Electrotherapy and thermal modalities — used selectively for pain relief in an irritable stage, alongside active treatment rather than instead of it.
• Postural and ergonomic advice — practical adjustments to how you sit, drive, lift, sleep and use a phone or laptop.
• Education about pain — understanding why pain persists is genuinely treatment, not a consolation prize. It changes how people move and how much they fear movement.

Separate arrangements for male and female patients

Pain assessment often requires examining the lower back, hip, abdomen or shoulder directly, and for many patients in Dhaka that is the single biggest barrier to seeking help at all. Physio Motion maintains separate treatment arrangements for male and female patients, with physiotherapists matched accordingly.

This is not a premium add-on or something to negotiate at the door. It is how the centre is organised. When you book, tell us your preference and we will schedule you with a matched physiotherapist.

How long treatment usually takes

Honest answer: it depends on how long you have had the problem, what is causing it, and how consistently you do the home programme. A recently irritated joint may settle within a few sessions. Pain that has been present for a year, with deconditioning and disturbed sleep on top, takes longer and involves more rebuilding.

What you should expect is a reassessment as you go rather than an open-ended series of appointments. If a plan is working, we progress it. If it is not producing change within a reasonable window, we re-examine and change the approach — or refer you on where that is the right thing to do.

What you can do between sessions

Most of your recovery happens outside the clinic. Home exercises are prescribed in small, specific doses, because a programme of fifteen exercises is a programme nobody completes. Expect a handful of movements with clear instructions on how many, how often, and what a normal amount of discomfort feels like.

Complete rest is rarely the answer for persistent pain. Staying as active as your symptoms reasonably allow, while avoiding the specific movements that flare things up, generally produces better outcomes than stopping everything.