Can I take painkillers and have physiotherapy?
Yes. Taking medicine and having physiotherapy are not in conflict. They do different jobs, and they work best when each person involved knows what you are doing.
Painkillers quieten the pain signal for a while. Physiotherapy works on why it hurts: weak muscles, a stiff joint, poor habits, or a nerve under pressure.
What does the evidence say about painkillers?
For low back pain, the World Health Organization (WHO) says painkillers should not be the first-line treatment, and that physical therapies, psychological and social support, and staying active can help [1]. For wear and tear in the joint (osteoarthritis), WHO lists exercise, weight management and education as management, and says opioids, glucosamine and viscosupplementation are not considered effective [2].
This does not mean you should never take medicine. It means medicine is not the whole answer for most movement problems, and a plan that includes movement is worth having.
How do painkillers help with exercise?
For some people, a short course at the right time lets them move more comfortably, which keeps joints and muscles working. A person who can walk to the park or climb the stairs is moving more than one who rests in pain.
The trade-off is that pain is also a signal. If a dose hides it, you may push too hard in a session and flare up later. That is why your physiotherapist needs to know what you have taken.
What should I tell my physiotherapist?
Bring a short list to your first session.
- Tablets and doses you take, and when you last took them.
- Patches, gels, creams and medicated oils you use.
- Any traditional remedies or supplements.
- Allergies and past reactions.
- Whether the medicine helps, and for how long.
Your physiotherapist does not prescribe medicine but can see how you respond to movement and tell your doctor if something is not working.
When should I go back to the doctor or pharmacist?
Speak to the person who prescribed or sold it if you notice:
- Stomach upset, black stools or heartburn.
- Drowsiness, dizziness or unsteadiness, especially in older adults.
- A rash, swelling or breathlessness after a new medicine.
- Pain that is getting worse, not better, despite taking it.
- A need to take more than advised.
Never double up, mix products without checking, or share your medicine with a family member. In Ipoh, the pharmacy counter is a useful first stop for non-urgent questions.
What does a physiotherapist add?
A physiotherapist looks at the reason for the pain and builds a plan that includes graded exercise, advice on activity and sleep, and hands-on treatment where it fits. As movement improves, you and your doctor may find you need less medicine.
Our home physiotherapy lets us see how pain affects your daily routine at home. Read about pain management and injection or physiotherapy, and the Canning Garden centre is opening soon.