"I’m already exercising, why is my physiotherapist giving me more exercises to do?" Guest Post by Brad Lafortune, PT

Even though you may have heard the term “physio-terrorist” used before, I promise you, we physiotherapists do not derive any joy from giving you work. We do, however, prescribe just what we believe it’ll take to get you feeling better and moving more, free from pain and hesitation. 

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Right exercises = right healing so you can move more and do more. 

​But why do we have to prescribe specific exercises if you’re already moving and keeping active? In a nutshell, we’re trying to get to the source of the issue to avoid the formation of compensations. 

A physiotherapist is trained to find and treat problems in muscles, joints, and the nervous system throughout the body. During an assessment, your therapist is looking for areas of weakness, points of tension, joints with decreased range of motion, and asymmetries in the way your body moves. The results from these evaluations guide your therapist as they prescribe the right treatment for you. This treatment plan should almost always include personalized exercises, tailored to your condition and your goals. 

With these exercises, you and your therapist are working to resolve elements that were found to be lacking during the assessment. These exercises are specifically chosen in order to target the proper element in question, whether it’s strength, flexibility, range of motion, or balance. What’s more, specific parameters will be specified for your exercises, including intensity, frequency, and number of repetitions. These parameters play a vital role in getting the desired results from the exercises your given. 

The law of parsimony states that things are usually connected or behave in the simplest or most efficient way. This law applies to our bodies and to the way we move. Muscles work in groups and chains, each with their own role, movements, and proper time to work. With that and the law of parsimony in mind, a weak or damaged muscle in a chain or group will continue to be weak, while the stronger muscles will be recruited to perform the majority of the work. This leads to muscles imbalances as well as strains of overstressed muscles if not addressed. 

By creating and following a tailored exercise plan with specifically chosen exercises, these compensations can be fixed or avoided entirely. 

I assure you, your “physio-terrorist” is not trying to overwhelm you with exercises. Rather, your therapist is trying to help your muscles work in harmony, sharing the workload correctly to avoid compensations and further harm. 
If ever it’s too much to do or too hard to perform, just let your physiotherapist know! Your home exercise plan is meant for YOU! It can be adjusted, modified, or tweaked to suit not only your problem, but also your way of life and abilities. 

Right exercises = right healing so you can move more and do more. 

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About the author: Brad Lafortune is a registered physiotherapist with the College of Physiotherapists of Ontario and the founder of Function Physiotherapy. Brad is committed to providing quality care through an active, hands-on approach to better health.
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