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Published on: 2/24/2026
Persistent pain weeks or months after an injury or surgery often points to incomplete healing, stiffness, imbalances, or a sensitized nervous system, and physical therapy is a proven first-line treatment that targets the root cause to restore movement and reduce pain.
Next steps typically include a medical evaluation, asking about physical therapy, safe activity, and addressing sleep, stress, and nutrition, with urgent care for red flags; some cases need multidisciplinary care or surgery, so the specifics matter. There are several factors to consider that could change your plan; see the complete guidance below.
If you're still hurting weeks—or even months—after an injury, surgery, or flare-up, you're not alone. Ongoing pain is common. But it's not something you should simply "push through." Persistent discomfort is often a sign that your body hasn't fully healed, or that it needs targeted support to recover properly.
One of the most evidence-based, medically recommended ways to address ongoing pain is physical therapy.
Below, we'll break down why pain lingers, how physical therapy helps, and what next steps you should consider.
Pain that doesn't go away can have several causes. According to trusted medical research and clinical guidelines, ongoing pain may result from:
Sometimes pain becomes chronic, meaning it lasts longer than three months. When this happens, the nervous system can become more sensitive, making pain feel stronger or last longer than expected.
That doesn't mean the damage is severe—but it does mean your body needs structured care.
Physical therapy is not just "exercise." It is a medical treatment guided by licensed professionals who are trained to assess how your muscles, joints, nerves, and movement patterns work together.
Clinical research consistently supports physical therapy as a first-line treatment for:
Instead of masking pain, physical therapy addresses the root cause.
A physical therapist may use:
These interventions help:
In many cases, physical therapy can reduce or eliminate the need for pain medications and may help patients avoid surgery.
Chronic pain is real—and complex. It affects millions of adults and can interfere with sleep, mood, work, and daily life.
If your pain has lasted more than three months, using a free AI-powered Chronic Pain symptom checker can help you identify potential causes and understand your symptoms before your next doctor's visit.
This kind of screening tool can help you organize your symptoms before speaking with a healthcare provider.
Physical therapy is one of the most recommended treatments for chronic pain because it:
It's important to know: avoiding movement often makes chronic pain worse over time.
While not every ache is dangerous, ignoring persistent pain can lead to:
In some cases, untreated issues can become harder to fix later.
This doesn't mean panic—but it does mean action matters.
If pain isn't improving, here's what healthcare professionals typically recommend:
Start with your primary care physician or a specialist if needed. They may:
Seek urgent medical care immediately if you experience:
These could signal life-threatening or serious conditions and require immediate attention.
Even if imaging looks "normal," pain can still be very real and very treatable.
Ask your doctor:
Many clinical guidelines recommend physical therapy before considering more invasive treatments like injections or surgery for musculoskeletal pain.
Complete rest is rarely the answer for most muscle and joint pain.
Under medical guidance, safe movement:
Your physical therapist can tailor exercises to your exact limitations.
Pain is influenced by more than just muscles and joints.
Research shows improvement when patients also address:
Physical therapy often includes education on these factors because recovery is whole-body.
For chronic pain, combining treatments may be most effective:
Chronic pain is rarely solved by one single intervention—but physical therapy is often a central component.
There are common myths worth clearing up.
Physical therapy is not:
Some discomfort can occur as your body rebuilds strength—but therapy should feel progressive, not punishing.
This depends on:
Some people improve in a few weeks. Chronic conditions may require longer-term care.
The key is measurable progress—less pain, better mobility, improved strength, and greater function.
In some cases, physical therapy alone is not enough.
Examples may include:
That's why medical evaluation is important. Physical therapy works best when it's part of a coordinated care plan.
Always speak to a doctor about any symptoms that could be serious or life threatening.
If you're still hurting, your body is asking for attention—not avoidance.
Physical therapy is one of the most researched, recommended, and effective treatments for both acute and chronic musculoskeletal pain. It works by restoring movement, strengthening support systems, and calming the nervous system.
You don't need to live in constant discomfort. But you also shouldn't ignore persistent pain.
Pain is common—but long-term suffering doesn't have to be.
With the right guidance, structured physical therapy, and medical support, your body can often recover more than you think.
(References)
* Zhang Y, Liu J, Ma Y, Wu H, Huang P, Xia X, Li J, Huang X, Xu C, Liu F. Effectiveness of physical therapy interventions on chronic low back pain: A systematic review and meta-analysis. J Back Musculoskelet Rehabil. 2023;36(3):475-484. doi: 10.3233/BMR-220023. PMID: 36691459.
* Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Exercise therapy for chronic musculoskeletal pain: A systematic review and meta-analysis of randomized controlled trials. Clin J Pain. 2021 Oct 1;37(10):807-817. doi: 10.1097/AJP.0000000000000958. PMID: 34685141.
* Alghadir AH, Iqbal ZA, Gabr SA. The Role of Physical Therapy in Management of Musculoskeletal Conditions - A Narrative Review. Int J Environ Res Public Health. 2021 May 14;18(10):5256. doi: 10.3390/ijerph18105256. PMID: 34007420; PMCID: PMC8154562.
* Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity for people with chronic pain: an overview of systematic reviews. Br J Sports Med. 2020 Dec;54(23):1414-1422. doi: 10.1136/bjsports-2019-100813. Epub 2019 Nov 1. PMID: 32959648.
* Denninger TR, Kemper AR, Hagins M, Miller R. Early physical therapy for musculoskeletal conditions: an updated systematic review and meta-analysis. Phys Ther. 2021 Nov 22;101(11):pzab225. doi: 10.1093/ptj/pzab225. PMID: 34293817.
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