Physiotherapy is not a life-long process. Discussing time lines with your physiothera pist is of utmost importance. Any diagnosis in physiotherapy has a fixed time line for recovery, it doesn’t depend on number of sessions. For example, a knee meniscus injury may take 8-10 weeks, whereas a lumbar canal stenosis may take 10-12 weeks of rehabilitation, to go from limping in pain to playing a sport. Nerve injuries or paralysis such as a foot drop can take 6-8 months depending on the degree of injury. Evidence suggests that return to peak performance in sports after a knee ACL ligament reconstruction may take 9 months of rehabilitation as there are changes even at a brain level after this injury.
In those many weeks, the number of sessions doesn’t matter. In 4 weeks, you can have 8 or 12 sessions as well. Hence, discuss number of weeks with your physiotherapist instead of number of sessions. This time- bound approach and planning discharge of the patient is of utmost importance.
Consider also the patient’s active role in making those weeks count. Rehabilitation is most effective when you partner with your physio therapist to set clear, measurable goals whether it’s squatting pain-free walking briskly, or regaining full range of motion. Tracking small milestones week by week not only keeps you motivated but also helps your therapist tailor each session to your evolving needs.
Moreover it’s important to build in ‘off-loading’ periods where rest and recovery are emphasized; pushing too hard, too fast can stall progress or even cause setbacks. Communication remains key throughout: if an exercise feels too easy, too hard, or creates unusual discomfort, let your therapist know. This feedback loop ensures your programme remains optimally challenging and safe.
Finally, remember that life events – like holidays, work travel, or minor illnesses – may require short breaks in your plan. By discussing these in advance, you and your therapist can adjust your timeline without derailing long-term success. In the end, a well-defined schedule, flexible enough to adapt, is your roadmap back to full function.
Just as medication has a recommended dosage and an expiry date, even exercises follow an exercise prescription. Doing the same set of exercises for months together doesn’t give any results or improve parameters of strength/ endurance/ mobility/ flexibility. At maximum, it can just maintain you as you are. Exercises should always be progressed by either increasing the dosage, adding weights, or replacing the exercise altogether- as the body adapts to the exercise and it ceases to have an effect.
This process requires a regular upgrade by your physiotherapist. (Dr Dhairav Shah is a Certified Orthopaedic Manual Therapist (C.O.M.T) from Curtin University, Perth, Australia. He completed his Masters of Arts (M.A) in Philosophy from Mumbai University with distinguised grades. He is a PhD Scholar. He is founder and Head Physiotherapist of Asiya Physiotherapy and Rehabilitation Clinic with Clinics at Mumbai, Palanpur & Surat. He is a Consulting Musculoskeletal Specialist since the past 13 years)
