Should I take pain medications before my physical therapy session?
Hi there! Dr. Shi Feng here from Empowerment Physical Therapy Today. Let’s talk about a common question I get from patients: Should you take pain medications before your physical therapy session?
Many of my patients have been advised—by their doctors or even friends—to take pain medications before therapy. When I meet them, the first thing I usually ask is, “How are you doing?” Often, they tell me they feel better, but then they add, “I took a pain medication before coming in.”
This raises an important point: is physical therapy helping them feel better, or is it the pain medication masking the discomfort?
Why I Don’t Recommend Pain Medications Before Physical Therapy
Taking pain medications before therapy can cloud the judgment of how effective the treatment is. Here’s why:
- Masking Pain May Lead to Overexertion:
Pain is your body’s way of signaling its limits. When pain is masked by medication, you may feel capable of doing more than your body is truly ready for. While increased activity is great, pushing beyond your physical limits too soon can worsen your condition or slow your progress. - Assessing True Progress:
Without pain medications, we can better understand what’s helping you heal, what’s not, and whether your pain level improves, worsens, or stays the same. This clarity is essential for tailoring your therapy to your specific needs.
What to Do Instead
To uncover the root cause of your pain and monitor your progress effectively, I recommend avoiding pain medications before therapy. This approach allows us to assess your true condition and plan the best course of action for your recovery.
When Are Pain Medications Helpful?
Of course, there are instances where pain relief is necessary. If your pain is severe and limits your mobility or willingness to engage in therapy, discuss this with your physical therapist and doctor. Together, we can create a plan that balances pain management with effective treatment.
Remember, the goal of physical therapy is not just to reduce pain temporarily but to address the underlying issue for long-term improvement.





