You know what one of the most common questions in physiotherapy sounds like?
âMy shoulder hurts. What exercise should I do?â
Or:
âMy back feels tight. Do you have one exercise for that?â
My answer is almost always the same:
âWhatâs your goal?â
And surprisingly often, people canât answer that question.
Some get frustrated.
Some stare at me like I just asked them to solve a math equation.
Some say: âI donât know. You tell me.â
Thatâs usually the moment I ask the second question:
âWhat are you willing to invest?â
And honestly? A lot of conversations quietly die there.
Because people want a magical fix:
One exercise.
No context.
No testing.
No effort.
No long-term plan.
Thatâs not how physical therapy works.
A few years ago, I walked into a travel agency because I wanted to book a vacation.
The problem?
I had absolutely no clue where I wanted to go.
I didnât know my budget.
I didnât know how long I wanted to stay.
All I knew was: âI want to learn how to surf.â
That was basically the same amount of information many patients give me when they ask for exercises on the fly.
The travel agent tried to help. She suggested a few places, gave me catalogs, asked me questions.
I never booked the vacation.
And no, I wasnât mad at her.
Because the problem wasnât the travel agent.
The problem was that I had no destination.
How could she guide me somewhere if I didnât even know where I wanted to go?
Thatâs exactly what happens in rehab.
People search for exercises before they even know what they actually want:
- less pain?
- more strength?
- returning to sport?
- surviving work without exhaustion?
- confidence in movement again?
Those are completely different goals.
Which means they require completely different approaches.
And thatâs why physiotherapy should never be reduced to:
âHere, do these 3 exercises.â
Because exercises without context are just random movements.
đ§Ș Letâs Experiment
You canât outsource clarity.
Your physio, trainer or doctor can guide you. But they canât choose your goals for you.
And honestly, thatâs where many people get stuck. They search for answers before theyâve even figured out the question.
đŻ Try This:
Before asking:
âWhat exercise should I do?â
Ask yourself:
- What do I actually want back?
- What am I currently unable to do?
- What would âsuccessful recoveryâ even look like for me?
- What am I realistically willing to invest?
Because âless painâ is not a plan.
Itâs a wish.
đ§ Final Thought:
A good exercise program is not built around random symptoms. Itâs built around a destination.
Keep it simple, stay curious, and keep learningâyouâve got this.
Take care,
Carina đŠ
