When to Try Physical Therapy Before Surgery

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Published:  May 8, 2025
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Reviewed and contributions made by VP of Clinical Development Thomas Denninger

Surgery can be an essential medical intervention, but it isn’t always the first step in addressing injuries or chronic conditions. In many cases, physical therapy before surgery can help reduce pain, improve mobility, and even eliminate the need for an operation. Working with a skilled physical therapist can strengthen muscles, increase flexibility, and enhance overall function, making surgery—if ultimately needed—more successful.


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Conditions That Benefit from Physical Therapy Before Surgery

Physical therapy can effectively treat a wide range of musculoskeletal and neurological conditions. Here are some common issues where physical therapy​ can serve as a first-line treatment:

  • Joint and Muscle Pain: Whether due to osteoarthritis, tendinitis, or other degenerative conditions, physical therapy can help reduce pain and improve movement before considering surgery.
  • Back and Neck Pain: Back or neck pain cases involving chronic spinal discomfort often improve with strengthening exercises, stretching, and hands-on therapy, reducing the need for surgery.
  • Sports Injuries: Sports injuries are common, and athletes with ligament tears, muscle strains, or overuse injuries often benefit from physical therapy to aid recovery and prevent complications that may require surgery.
  • Pre- and Post-Surgical Rehabilitation: Even when surgery is unavoidable, pre-surgical therapy (“prehab”) can optimize strength and mobility, leading to better post-surgical outcomes and faster recovery.

When to Try Physical Therapy Before Surgery

In certain cases, delaying or avoiding surgery by trying physical therapy first can be beneficial. Here’s when it might be the right choice:

  • Non-Emergency Situations: If your condition is not life-threatening and does not require immediate surgical intervention, physical therapy can be a safe, effective option to explore first.
  • Mild to Moderate Conditions: Minor joint problems, muscle imbalances, and mobility restrictions often respond well to structured physical therapy programs.
  • Desire for a Non-Invasive Option: Surgery comes with inherent risks, including infection, anesthesia complications, and lengthy recovery times. For those seeking a more conservative treatment, physical therapy provides a non-invasive alternative.
  • Strengthening Before Surgery: If surgery is ultimately necessary, undergoing a structured physical therapy program beforehand can enhance physical preparedness, leading to smoother rehabilitation afterward.

The Benefits of Physical Therapy Before Surgery

Trying physical therapy before surgery comes with many advantages, including:

  • Non-Invasive Treatment: Physical therapy uses manual techniques, therapeutic exercises, and movement-based interventions to improve function without the need for surgical procedures.
  • Pain Management: A structured therapy plan can reduce pain and inflammation, often eliminating the need for pain medications or injections.
  • Improved Strength and Mobility: Strengthening exercises, balance training, and flexibility routines can enhance mobility, making daily tasks easier and improving overall function.
  • Cost-Effective Care: Physical therapy is often more affordable than surgery, especially when considering costs related to hospitalization, anesthesia, and post-operative care.
  • Shorter Recovery Time: If surgery becomes necessary, patients who undergo prehab often experience faster recovery times, as they enter surgery in better physical condition.

Choosing Between Physical Therapy and Surgery

Deciding whether to pursue physical therapy​ or opt for surgery requires careful consideration of several factors:

  • Severity of the Condition: Severe cases involving structural damage, such as complete ligament tears or advanced arthritis, may require surgical intervention. However, many mild to moderate cases respond well to physical therapy.
  • Overall Health: Age, medical history, and overall health impact surgical risks and recovery. Individuals with conditions like diabetes or heart disease may benefit from non-surgical treatment options first.
  • Lifestyle and Activity Goals: If maintaining an active lifestyle is a priority, physical therapy can help build strength and prevent downtime associated with surgery.
  • Medical Advice: Consulting with a healthcare provider and a physical therapist can provide valuable insights into the best course of action for your specific needs.

Explore Physical Therapy Before Surgery at ATI

If you’re considering physical therapy before surgery, working with the right physical therapist can make all the difference. A skilled PT can create a personalized treatment plan to help reduce pain, enhance mobility, and improve function—potentially eliminating the need for surgery.

Find an ATI Physical Therapy clinic near you to explore your options. Our experienced specialists will work with you to determine the best approach for your condition. Contact us today to take the first step toward recovery!