What to Expect at Your First Physiotherapy Visit

Complete step-by-step guide to your first physiotherapy appointment in India

Your first physiotherapy visit is an important step toward recovery and pain management. Whether you're dealing with an injury, chronic pain, post-surgery rehabilitation, or any musculoskeletal issue, knowing what to expect can help you feel prepared and get the most from your appointment.

This comprehensive guide walks you through every stage of your first visit - from preparation and what to bring, to the assessment process, treatment options, costs, and follow-up planning. By the end, you'll feel confident and ready for your appointment.

Before Your Appointment: Preparation Checklist

What to Bring:

Medical Records and Test Results

X-rays, MRI scans, CT scans, ultrasound reports, blood test results - bring everything relevant to your condition, preferably in digital format (CD or on your phone)

Doctor's Referral or Prescription

If your doctor has referred you, bring the referral letter. Some insurance companies require this for claims

List of Current Medications

Write down all medications, supplements, and vitamins you're currently taking, including dosages

Insurance Card and ID Proof

Health insurance card, Aadhar card, driver's license, or any government-issued photo ID

Comfortable Clothing

Wear or bring loose-fitting, comfortable clothes that allow easy movement. Shorts and t-shirt are ideal. Avoid jeans or tight clothing

Notepad and Pen

To take notes on exercises, instructions, and important information. Or use your phone to take photos/videos of exercises

Assistive Devices You Use

If you use a cane, walker, brace, or any other assistive device, bring it so the physiotherapist can assess how you use it

Payment Method

Cash, card, or UPI - check what payment methods the clinic accepts. Some may require advance payment for packages

Important Tips:

  • • Arrive 10-15 minutes early to complete paperwork without rushing
  • • Avoid applying lotions or oils before your appointment as they interfere with treatment
  • • Have a light meal 1-2 hours before - don't come on an empty stomach or overly full
  • • If you have mobility issues, inform the clinic beforehand so they can assist
  • • Turn off or silence your phone during the session

Step-by-Step: What Happens During Your Visit

1

Arrival and Registration (10-15 minutes)

When you arrive, you'll check in at the reception. You'll be asked to fill out forms covering:

  • • Personal information and contact details
  • • Medical history questionnaire
  • • Current symptoms and condition
  • • Previous surgeries or major illnesses
  • • Consent forms for treatment
  • • Insurance information (if applicable)

Pro tip: Some clinics allow you to download and fill forms in advance. Ask when booking your appointment.

2

Initial Consultation & History Taking (15-20 minutes)

The physiotherapist will have a detailed conversation with you to understand your condition. This is crucial for accurate diagnosis. They'll ask about:

Your Chief Complaint:

  • • What is bothering you most?
  • • When did it start?
  • • How did it happen (injury, gradual onset)?
  • • Has it happened before?

Pain Details (if applicable):

  • • Where exactly is the pain?
  • • What does it feel like (sharp, dull, burning, aching)?
  • • Rate your pain on a scale of 0-10
  • • When is it worse (morning, night, after activity)?
  • • What makes it better or worse?
  • • Does it radiate or spread anywhere?

Functional Limitations:

  • • What activities are difficult now?
  • • What can't you do that you could before?
  • • How does it affect your daily life/work?
  • • What are your goals for treatment?

Medical History:

  • • Previous injuries or surgeries
  • • Chronic conditions (diabetes, hypertension, arthritis)
  • • Family medical history
  • • Current and past treatments tried
  • • Medications and allergies

Lifestyle Factors:

  • • Occupation and work demands
  • • Physical activity level and sports
  • • Sleep patterns
  • • Stress levels
  • • Smoking or alcohol consumption

Be honest and thorough: Don't minimize symptoms or leave things out. The more information you provide, the better the physiotherapist can help you. There's no judgment here - they need complete information for accurate assessment.

3

Physical Examination (15-25 minutes)

This is the most important part of the assessment. The physiotherapist will perform various tests to identify the problem. The examination typically includes:

Observation and Postural Assessment:

Looking at your posture while standing, sitting, and moving. They'll observe body alignment, muscle bulk, asymmetries, and how you move.

Range of Motion (ROM) Testing:

You'll be asked to move the affected joint or body part in different directions. This tests how far you can move (flexibility) and whether movement causes pain. Done both actively (you move) and passively (therapist moves for you).

Muscle Strength Testing:

Testing the strength of specific muscles by asking you to push, pull, or resist against the therapist's hand. Rated on a scale from 0 (no movement) to 5 (full strength).

Palpation:

The physiotherapist will feel (palpate) the affected area to check for tenderness, swelling, muscle tension, temperature changes, or structural abnormalities.

Special Tests:

Specific tests designed for particular conditions. For example: Orthopedic tests for joint problems, neurological tests for nerve issues, balance tests for vestibular problems. Each test helps confirm or rule out specific diagnoses.

Functional Movement Assessment:

You may be asked to perform activities relevant to your problem - walking, climbing stairs, reaching overhead, squatting, etc. This shows how your condition affects real-life tasks.

Gait Analysis (if relevant):

Observing how you walk to identify abnormal patterns that may contribute to your problem or result from it.

What to expect: You may need to change into the comfortable clothes you brought. The examination involves movement and some discomfort as problematic areas are tested. Tell the physiotherapist immediately if anything causes sharp pain. All examinations are done with appropriate draping and privacy maintained.

4

Diagnosis and Treatment Plan Discussion (10-15 minutes)

After the assessment, the physiotherapist will explain their findings. This discussion should cover:

Diagnosis:

What's causing your problem in simple, understandable terms. They may use anatomical models or diagrams to explain.

Contributing Factors:

What led to this condition - biomechanical issues, lifestyle factors, muscle imbalances, etc.

Prognosis:

What outcome to expect with treatment. Be realistic about timeline - healing takes time.

Treatment Plan:

Specific techniques and modalities recommended: manual therapy, therapeutic exercises, electrotherapy, taping, etc.

Treatment Frequency:

How many sessions per week and total estimated number of sessions.

Expected Timeline:

When you should start seeing improvement and estimated time to full recovery.

Home Management:

What you need to do between sessions to support recovery.

Cost Estimate:

Total projected cost, package options, and insurance coverage if applicable.

Ask questions: Don't leave confused. If anything is unclear, ask for clarification. A good physiotherapist will take time to ensure you understand your condition and treatment plan completely.

5

Initial Treatment (15-30 minutes)

Most physiotherapists provide initial treatment during the first visit. While the first session focuses more on assessment, you'll typically receive:

Pain Relief Techniques:

  • • Ice or heat application
  • • TENS (electrical stimulation)
  • • Ultrasound therapy
  • • Gentle manual therapy
  • • Soft tissue mobilization

Basic Exercises:

  • • Simple stretches
  • • Gentle range of motion exercises
  • • Basic strengthening exercises
  • • Breathing exercises (if relevant)
  • • Postural corrections

The intensity of treatment in the first session is usually conservative. The physiotherapist wants to see how your body responds before advancing to more intensive techniques.

6

Home Exercise Program & Instructions (5-10 minutes)

Before you leave, you'll receive a home exercise program. This is crucial - success in physiotherapy depends heavily on what you do between sessions.

What You'll Get:

  • • 3-5 exercises to do at home
  • • Clear instructions on how to perform each exercise
  • • Frequency (how many times per day)
  • • Repetitions and holds for each exercise
  • • Precautions and what to avoid
  • • When to stop and contact the physiotherapist

Documentation:

Ask for written instructions or a printout with images. Many physiotherapists now send exercise videos via WhatsApp or email. Take photos or videos on your phone during demonstration.

Activity Modifications:

Clear guidance on activities to avoid, modifications to daily tasks, and any lifestyle changes needed during recovery.

7

Scheduling Follow-up & Payment (5 minutes)

Book Next Appointment:

Schedule your next session before leaving. Follow-ups are typically within 2-3 days for acute conditions, once a week for chronic issues.

Payment:

Pay for the session (or package if you're purchasing one). Get a detailed receipt for insurance claims if needed.

Contact Information:

Get the physiotherapist's contact number or clinic helpline in case you have questions or problems before the next session.

Duration and Timing

First Visit Duration:

Typical: 45-60 minutes

Complex cases: 60-90 minutes

Brief initial assessment: 30-45 minutes (some clinics)

First visits are longer because they include comprehensive history taking, detailed examination, and treatment planning in addition to initial treatment.

Follow-up Sessions:

Standard: 30-45 minutes

Intensive treatment: 45-60 minutes

Quick sessions: 20-30 minutes (simple treatments)

Follow-up sessions are shorter as they focus on treatment and exercise progression rather than extensive assessment.

Best Time to Schedule:

  • Morning appointments: Clinics are less crowded, you're fresh, and you can follow exercise instructions throughout the day
  • Avoid rush hours: If possible, schedule between 10 AM - 4 PM to avoid traffic and waiting
  • After work: Evening slots (6-8 PM) are popular but often fully booked - book in advance
  • Buffer time: Don't schedule back-to-back commitments. You may run late, and you'll want time to relax after treatment

Cost Expectations

First Visit Costs in India (2024)

Metro Cities (Mumbai, Delhi, Bangalore)₹800 - ₹2,000

Hospital-based clinics and specialized centers at the higher end

Tier-2 Cities (Pune, Jaipur, Chandigarh)₹500 - ₹1,200

Good quality care at more affordable rates

Smaller Cities and Towns₹300 - ₹800

More economical options with qualified physiotherapists

Government Hospitals₹50 - ₹300

Subsidized rates but longer waiting times

Home Visits (First Assessment)₹1,200 - ₹3,000

Includes travel charges, typically 1.5-2x clinic rates

Payment Considerations:

  • • Some clinics charge more for initial assessment than follow-ups (₹200-500 extra)
  • • Others have flat per-session pricing regardless of being first or follow-up visit
  • • Package deals (5, 10, or 15 sessions) typically offer 10-20% discount
  • • Specialized treatments (dry needling, cupping, advanced manual therapy) may cost extra
  • • Insurance may cover costs - bring your insurance card and check coverage
  • • Ask about cancellation policy before booking to avoid charges for missed appointments

Important Questions to Ask

Don't hesitate to ask questions. A good physiotherapist welcomes them. Here are essential questions:

About Your Condition:

  • • "What exactly is causing my problem?"
  • • "What led to this condition?"
  • • "Is this condition likely to worsen without treatment?"
  • • "Are there any warning signs I should watch for?"

About Treatment:

  • • "What treatment approach will you use and why?"
  • • "Are there alternative treatment options?"
  • • "How many sessions will I likely need?"
  • • "When should I expect to see improvement?"
  • • "What is the expected end result?"

About Home Care:

  • • "What should I do at home to help recovery?"
  • • "What activities should I avoid?"
  • • "Can I continue working/exercising?"
  • • "What modifications do I need to make?"
  • • "How often should I do the exercises?"

About Follow-up:

  • • "How often do I need to come for treatment?"
  • • "What happens at follow-up sessions?"
  • • "Can I contact you if I have questions between sessions?"
  • • "How will we measure progress?"

About Costs:

  • • "What is the total estimated cost of treatment?"
  • • "Do you offer package deals?"
  • • "Does my insurance cover this treatment?"
  • • "What happens if I need to cancel or reschedule?"

After Your First Visit

What to Do Next:

Immediately After:

  • • Follow any immediate instructions (ice, rest, etc.)
  • • Start your home exercise program the same day
  • • Note any changes in symptoms
  • • Stay well-hydrated
  • • Get adequate rest

Before Next Session:

  • • Do exercises as prescribed - consistency is key
  • • Track your symptoms and progress
  • • Note questions that come up
  • • Follow activity modifications
  • • Contact physiotherapist if problems arise

When to Contact Your Physiotherapist:

  • • Significant increase in pain or swelling
  • • New symptoms develop
  • • You can't perform the prescribed exercises
  • • Uncertainty about instructions
  • • Need to reschedule your appointment
  • • Any concerns about your recovery

Ready to Book Your First Visit?

Find qualified physiotherapists near you and start your journey to recovery

Frequently Asked Questions

What should I bring to my first physiotherapy appointment?

Bring: all relevant medical records and test results (X-rays, MRIs, blood tests), doctor's referral or prescription if you have one, list of current medications and supplements, insurance card and ID proof, comfortable loose-fitting clothing, notepad for instructions, and any assistive devices you use (cane, walker, brace).

How long does a first physiotherapy session take?

The initial physiotherapy assessment typically takes 45-60 minutes, sometimes up to 90 minutes for complex cases. This is longer than follow-up sessions (30-45 minutes) because it includes comprehensive history taking, detailed physical examination, and treatment planning.

What happens during the physical examination in physiotherapy?

The physical examination includes: postural assessment, range of motion testing, strength testing, palpation of affected areas, special tests specific to your condition, movement pattern analysis, gait assessment if relevant, and functional testing. The physiotherapist will explain each test and may ask you to perform various movements.

Will I receive treatment during my first visit?

Yes, most physiotherapists provide initial treatment during the first visit after the assessment. This may include pain relief techniques, basic exercises, manual therapy, or modalities like ice/heat. However, the first session focuses more on evaluation than intensive treatment.

How much does a first physiotherapy visit cost in India?

First visit costs in India typically range from Rs. 500-2000 depending on location and clinic type. Metro cities: Rs. 800-2000, Tier-2 cities: Rs. 500-1200. Hospital-based clinics are usually at the higher end. Some clinics charge the same for initial and follow-up sessions, while others charge more for the detailed first assessment.

What questions should I ask during my first physiotherapy visit?

Ask about: your diagnosis and what's causing your problem, the proposed treatment plan and techniques, expected timeline and number of sessions needed, what you can do at home to help recovery, activities to avoid, when you can expect to see improvement, total estimated cost, and whether insurance covers the treatment.

Should I arrive early for my first appointment?

Yes, arrive 10-15 minutes early for your first appointment. This gives you time to complete registration forms, provide medical history, settle insurance paperwork, use the restroom if needed, and relax before your assessment. Being rushed can affect your assessment experience.

Can I eat before my physiotherapy appointment?

Yes, you can eat normally before physiotherapy. In fact, it's recommended to have a light meal 1-2 hours before your appointment to maintain energy levels, especially for the first session which can be lengthy. Avoid heavy meals immediately before as some exercises may be uncomfortable on a full stomach.

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