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Published on: 2/24/2026

Still Hurting? Why Your Body Needs Physical Therapy & Medically Approved Next Steps

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.

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Explanation

Still Hurting? Why Your Body Needs Physical Therapy & Medically Approved Next Steps

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.


Why Am I Still in Pain?

Pain that doesn't go away can have several causes. According to trusted medical research and clinical guidelines, ongoing pain may result from:

  • Incomplete healing after an injury
  • Weak or imbalanced muscles
  • Joint stiffness or limited mobility
  • Nerve irritation
  • Poor posture or movement habits
  • Scar tissue restrictions
  • Chronic inflammation
  • Deconditioning from inactivity

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.


Why Physical Therapy Is Often the Missing Piece

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:

  • Low back pain
  • Neck pain
  • Shoulder injuries
  • Knee pain
  • Arthritis
  • Post-surgical recovery
  • Sports injuries
  • Chronic pain conditions

Instead of masking pain, physical therapy addresses the root cause.

How Physical Therapy Helps Your Body Heal

A physical therapist may use:

  • ✅ Targeted strengthening exercises
  • ✅ Stretching to improve flexibility
  • ✅ Joint mobilization or manual therapy
  • ✅ Posture correction
  • ✅ Gait and movement retraining
  • ✅ Balance training
  • ✅ Education on pain science
  • ✅ Home exercise programs

These interventions help:

  • Restore normal movement
  • Improve blood flow and healing
  • Reduce inflammation
  • Decrease nerve sensitivity
  • Build strength around injured areas
  • Prevent reinjury

In many cases, physical therapy can reduce or eliminate the need for pain medications and may help patients avoid surgery.


When Pain Becomes Chronic

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:

  • Gradually retrains the nervous system
  • Rebuilds physical resilience
  • Encourages safe movement
  • Reduces fear of activity
  • Improves overall function

It's important to know: avoiding movement often makes chronic pain worse over time.


What Happens If You Ignore Ongoing Pain?

While not every ache is dangerous, ignoring persistent pain can lead to:

  • Muscle weakness
  • Reduced joint mobility
  • Compensation injuries (hurting another area)
  • Increased stiffness
  • Long-term functional decline
  • Reduced quality of life

In some cases, untreated issues can become harder to fix later.

This doesn't mean panic—but it does mean action matters.


Medically Approved Next Steps If You're Still Hurting

If pain isn't improving, here's what healthcare professionals typically recommend:

1. Schedule a Medical Evaluation

Start with your primary care physician or a specialist if needed. They may:

  • Review your medical history
  • Perform a physical exam
  • Order imaging (if appropriate)
  • Rule out serious causes

Seek urgent medical care immediately if you experience:

  • Sudden severe pain
  • Chest pain or pressure
  • Shortness of breath
  • Loss of bladder or bowel control
  • Numbness in the groin area
  • Weakness on one side of the body
  • Fever with severe back pain

These could signal life-threatening or serious conditions and require immediate attention.


2. Ask About Physical Therapy

Even if imaging looks "normal," pain can still be very real and very treatable.

Ask your doctor:

  • Would physical therapy help my condition?
  • What specific goals should we target?
  • How long should I try therapy before reassessing?

Many clinical guidelines recommend physical therapy before considering more invasive treatments like injections or surgery for musculoskeletal pain.


3. Stay Active (Safely)

Complete rest is rarely the answer for most muscle and joint pain.

Under medical guidance, safe movement:

  • Reduces stiffness
  • Maintains circulation
  • Prevents muscle loss
  • Supports mental health

Your physical therapist can tailor exercises to your exact limitations.


4. Address Lifestyle Factors

Pain is influenced by more than just muscles and joints.

Research shows improvement when patients also address:

  • Sleep quality
  • Stress levels
  • Nutrition
  • Hydration
  • Weight management (if applicable)

Physical therapy often includes education on these factors because recovery is whole-body.


5. Consider a Multidisciplinary Approach

For chronic pain, combining treatments may be most effective:

  • Physical therapy
  • Behavioral health support
  • Pain management consultation
  • Occupational therapy
  • Lifestyle modification

Chronic pain is rarely solved by one single intervention—but physical therapy is often a central component.


What Physical Therapy Is NOT

There are common myths worth clearing up.

Physical therapy is not:

  • ❌ Just massage
  • ❌ Only for athletes
  • ❌ Something you do only after surgery
  • ❌ A "last resort"
  • ❌ Supposed to make you suffer

Some discomfort can occur as your body rebuilds strength—but therapy should feel progressive, not punishing.


How Long Does Physical Therapy Take?

This depends on:

  • The type of injury
  • How long you've had pain
  • Your overall health
  • Your consistency with exercises

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.


When Surgery or Advanced Care May Be Needed

In some cases, physical therapy alone is not enough.

Examples may include:

  • Severe structural damage
  • Advanced joint degeneration
  • Significant nerve compression
  • Certain fractures
  • Progressive neurological symptoms

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.


The Bottom Line

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.

Your Next Steps:

  • ✅ Schedule a medical evaluation
  • ✅ Ask about physical therapy
  • ✅ Stay active within safe limits
  • ✅ Address lifestyle factors
  • ✅ Try a free AI-powered Chronic Pain symptom checker to better understand your condition
  • ✅ Speak to a doctor immediately if symptoms are severe or concerning

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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