When to See a Physio vs. a GP

In Australia, physiotherapists are first-contact practitioners - you don't need a GP referral to see one. For the majority of muscle, joint, and tendon problems, a physiotherapist is the most appropriate and cost-effective first step. But there are situations where a GP should be seen first or alongside.

See a physio first for

• Muscle strains and ligament sprains
• Back, neck, or joint pain without red flags
• Sports injuries (excluding fractures or dislocations)
• Tendon problems - Achilles, patella, shoulder
• Postural and repetitive strain issues
• Post-operative rehabilitation
• Balance and falls prevention

See a GP first (or as well) for

• Any of the red flag symptoms listed in our red flags article
• Suspected fracture following trauma
• Signs of infection: fever, warmth, skin changes over a joint
• Significant unexplained swelling of a joint
• Pain in someone with a known cancer history
• You need imaging or a referral to a specialist
• You want a prescription for pain management

When you need both

For complex or persistent presentations, the best outcomes often come from a GP and physio working together. Your GP can arrange imaging, prescribe medication for pain or inflammation, and refer to a specialist. Your physio provides hands-on treatment and the rehabilitation program. These roles are complementary, not competing.

If you're unsure, calling a physiotherapy practice and describing your symptoms is always a reasonable first step. Most will be honest about whether they're the right first contact.