Clinic notes · Virtual care
Does virtual physiotherapy actually work?
For many joint and muscle problems, yes. A systematic review of 13 studies with 1,520 people found that live video physiotherapy delivered on its own was equivalent to face-to-face care for improving physical function, and pain improvement was comparable.[1]
How can a physio help without touching me?
Most of what helps joint pain long-term is active: the right exercises at the right dose, progressed over time, plus understanding what's going on so you stop fearing movement. On video, a physiotherapist can watch you move, test your range and strength with simple tasks, correct your form in real time and adjust your plan week by week. Guidelines for conditions like knee osteoarthritis put exercise and education at the core of care.[3]
What does the research say?
A 2017 systematic review and meta-analysis looked at real-time telerehabilitation for musculoskeletal conditions.[1]
- Telerehabilitation improved physical function.
- When delivered on its own, it was equivalent to face-to-face care for improving function.
- Adding telerehab to usual care worked better than usual care alone.
- Pain improvement was comparable between groups.
Where is the evidence mixed?
Not every remote format is equal. A randomised trial of physiotherapist-led telephone coaching for knee osteoarthritis (175 people) found modest gains in physical function at 6 months, but not in overall knee pain, and most differences had faded by 12 months.[2] That's one reason we use video, where the physio can see you move, and why we keep adjusting your program rather than handing you a sheet once.
Who is virtual physio a good fit for?
- Knee, hip, back, neck and shoulder pain that's built up over time
- Osteoarthritis and stiffness
- Rehab after an injury or surgery, once your surgeon clears you for exercise
- Anyone who lives far from a clinic, has a busy schedule or finds travel painful
When is in-person care better?
If you've had a significant injury, can't bear weight, or have new numbness, weakness or loss of bladder or bowel control, get seen in person or seek urgent care. A good virtual physio will tell you honestly when you need hands-on assessment and help you find it.
Want a plan built for your joints?
Book a virtual visit with a registered Calm Joints physiotherapist. We'll assess how you move, find what's driving the pain, and give you a program you can do at home.
Book a visitFrequently asked questions
Is virtual physiotherapy as good as in-person?
For many musculoskeletal conditions, research suggests real-time video physiotherapy is comparable to face-to-face care for improving function and pain. It isn't right for every situation, such as a new serious injury.
What happens in a virtual physio appointment?
Your physio asks about your history and goals, watches you move through simple tests on camera, explains what's likely going on and teaches you exercises, correcting your form live.
What do I need for a virtual physio visit?
A phone, tablet or laptop with a camera, a stable internet connection, a bit of floor space, a sturdy chair and comfortable clothing.
Is virtual physiotherapy covered by insurance in Canada?
Many extended health plans cover physiotherapy, and some include virtual visits. Coverage varies, so check your plan or ask your provider before booking.
Can I do virtual physio for arthritis?
Yes. Exercise and education are first-line treatments for osteoarthritis, and both can be delivered effectively by video.
Sources
- Cottrell MA et al. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin Rehabil, 2017.
- Hinman RS et al. Does telephone-delivered exercise advice and support by physiotherapists improve pain and/or function in people with knee osteoarthritis? Telecare RCT. Br J Sports Med, 2020.
- Bannuru RR et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis Cartilage, 2019.
- Canadian Physiotherapy Association.
Keep reading
This article is for general education and isn't personal medical advice. If you have pain that worries you, talk to a registered physiotherapist or your doctor. In an emergency, call 911.