When to see a physio (and when to see your GP first)
Some symptoms warrant medical review before physiotherapy — others don't. A practical guide to figuring out the right starting point.
Physiotherapists are first-contact practitioners, which means you don't need a referral to book — you can come straight to physio for most musculoskeletal problems. But that doesn't mean physio is always the right *first* stop. Knowing the difference saves you time and gets you to the right help faster.
When physio is a great first stop
For most common aches, injuries, and movement problems, a physiotherapist is an ideal starting point:
- Muscle, joint, or tendon pain that's been building gradually
- A strain or sprain from sport or daily activity
- Stiffness, reduced movement, or weakness affecting daily function
- Recovery and rehabilitation after a known injury or surgery
- Balance problems, dizziness, or unsteadiness
- Managing a long-term condition like osteoarthritis
When to see your GP first
Some symptoms suggest something that needs medical assessment before — or alongside — physiotherapy:
- Pain following a significant trauma where a fracture is possible
- Unexplained weight loss, fevers, or night sweats alongside your symptoms
- Pain that's severe, constant, and unrelieved by changing position
- New neurological symptoms — significant numbness, weakness, or loss of bladder/bowel control
- Symptoms that seem connected to a medical condition rather than a movement problem
A good physiotherapist will always refer you on if something needs medical attention. Part of a thorough first assessment is screening for exactly these signs — so if you're unsure, booking a physio assessment is rarely the wrong move.
The emergency exceptions
Some symptoms need urgent care, not an appointment: chest pain, sudden severe headache, signs of stroke, or a serious acute injury. In those situations, call 000 or go to your nearest emergency department.
The bottom line
For the everyday aches, injuries, and movement problems that bring most people to physiotherapy, you can book directly — no referral, no GP visit required. When something feels different from a typical musculoskeletal issue, start with your GP. And when in doubt, a physio assessment includes screening to point you in the right direction.
This article provides general educational information and does not constitute individual medical advice. It is not a substitute for assessment by a qualified health professional. Always seek advice tailored to your specific circumstances from your treating practitioner.
Emil Terbio
Physiotherapist · APA Member · GLA:D® Certified Clinician · AHPRA registered
Emil is a Canberra-based physiotherapist with a special interest in osteoarthritis, inflammatory arthritis, and balance & vestibular conditions. He runs Filophys as a mobile, in-clinic, and telehealth practice — built around honest care, evidence-based treatment, and patient education.
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Have questions about your situation?
Articles give you context — but for your specific condition, nothing beats a proper conversation. Send Emil a message and he'll let you know honestly whether physio is the right next step.