Physical therapy
for leg pain

Does physical therapy help leg pain?

Yes. Physical therapy can help many types of leg pain, especially when the pain comes from muscles, nerves, joints, or bone stress. Physical therapy supports recovery by improving strength, flexibility, movement control, and the way your body handles load. These changes help calm pain and restore confidence in walking and daily movement. 4 11 19

Physical therapy is especially helpful for leg pain that comes from sciatica, nerve irritation, overuse injuries, chronic exertional compartment syndrome, and bone stress injuries. These conditions often improve with movement, exercise, and guidance on how to pace activity. 4 11 14 19

It is also important to know that not all leg pain improves with physical therapy alone. Some conditions, like deep vein thrombosis or acute limb ischaemia, need urgent medical care. 1 2 5 8 Physical therapists help identify when symptoms do not fit a musculoskeletal pattern and make sure people get the right type of care.

When the cause is appropriate for rehabilitation, physical therapy stands apart from passive treatments because it teaches you how to move, load, and care for your leg so long-term recovery becomes more likely.

Goals of physical therapy for leg pain

Your physical therapy plan is personal to the cause of your symptoms. Most programs focus on helping you move with less pain and return to the things that matter in your daily life.

Short term goals

  1. Reduce pain, stiffness, and swelling so standing, walking, and stairs feel easier.
  2. Improve flexibility and joint motion that may limit normal daily activities.
  3. Teach strategies to adjust your activity level so symptoms settle instead of flaring.
  4. Build confidence with gentle movement that supports healing. 4 11 19

Long term goals

  1. Strengthen your hips, calves, and core to improve the way your leg absorbs load.
  2. Improve walking tolerance, balance, and coordination so you can move more freely.
  3. Help you return safely to work, exercise, or sport with a plan that matches your goals.
  4. Address factors that led to the problem, such as training spikes, prolonged sitting, or footwear choices.
  5. Support long term management for conditions like nerve irritation or bone stress injuries. 4 11 19 20

Programs vary because leg pain has many causes. Someone with nerve related pain will have different goals than someone with a bone stress injury or chronic exertional compartment syndrome.

What results can I expect with physical therapy?

Your progress depends on what is causing the leg pain, how long it has been present, and how steadily you can follow your program.

  • Sciatica and nerve-related leg pain. Many people improve over several weeks to months with exercise based care, staying active, and learning symptom management strategies. Routine imaging or strong nerve medicines are not usually needed at the start. 4
  • Bone stress injuries and shin pain. Lower grade injuries often settle within weeks once load is reduced, and strength and impact training are added gradually. Higher grade injuries or high-risk bone locations may take months and sometimes need medical protection. 11 12 19 20
  • Peripheral artery disease with claudication. Supervised walking programs can meaningfully increase walking distance and reduce symptoms over about twelve weeks. Many people improve enough that surgery is not needed.2 15 16
  • Some people with exercise-related lower leg pain improve by changing how they move and adjusting their activity levels. When symptoms are severe and clearly documented, surgery may be considered. 14 21

Recovery timelines vary widely because leg pain can come from many sources, but physical therapy often helps reduce pain, improve movement, and support a safe return to activity.

Sword's approach

Sword Health helps people manage pain and movement issues with expert-guided AI care you can use from home. Our model combines clinical support with modern technology, designed to work around your life.

Sword makes recovery easier and more accessible. You get high-quality care at home, guided by clinicians and supported by smart technology.

  • Care that adapts to your progress in real time
  • Licensed experts guiding every step
  • Simple, non-invasive, evidence-based programs
  • Proven results for pain relief, movement, and satisfaction
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Footnotes

1

National Institute for Health and Care Excellence (NICE). Venous thromboembolic diseases: diagnosis, management and thrombophilia testing (NG158). 2020, updates 2023.

2

American College of Cardiology / American Heart Association (ACC/AHA) Multisociety. 2024 guideline for the management of lower extremity peripheral artery disease. 2024.

3

European Society of Cardiology. 2024 ESC guidelines for the management of peripheral arterial and aortic diseases. 2024.

4

NICE. Low back pain and sciatica in over 16s: assessment and management (NG59). 2016, updates 2020–2022.

5

BMJ Best Practice. Peripheral arterial disease and acute limb ischaemia topics. 2024–2025.

6

British Journal of Cardiology. Peripheral artery disease: current diagnosis and management. 2020.

7

NICE Clinical Knowledge Summary. Peripheral arterial disease, prevalence and assessment. 2020–2024.

8

Centers for Disease Control and Prevention (CDC). Data and statistics on venous thromboembolism. 2024.

9

Machin J, et al. Trends in lower limb deep vein thrombosis and post thrombotic syndrome. J Vasc Soc GB&I. 2023.

10

BMJ Open. Temporal trends in venous thromboembolism hospitalisations in England 1998–2022. 2025.

11

Brukner P, Matson J. Stress fractures: diagnosis and management in primary care. Br J Gen Pract. 2019.

12

American College of Radiology. ACR Appropriateness Criteria: Stress fracture.

13

Radiopaedia. Stress fracture, MRI features. 2025 update.

14

Roberts A, Franklyn-Miller A. Chronic exertional compartment syndrome and return to sport. Br J Sports Med.

15

Bonaca M. Exercise therapy in symptomatic peripheral artery disease. ACC Expert Analysis. 2025.

16

Aboyans V, et al. Exercise therapy for peripheral artery disease. Eur Heart J. 2024.

17

Orthopedic Reviews. Peroneal nerve entrapment and neuropathy. 2021.

18

BJA Education. Meralgia paresthetica. 2025.

19

Current Sports Medicine Reports. Lower extremity bone stress injury update. 2021–2024.

20

Warden SJ, et al. Return to running criteria following tibial bone stress injury. Sports Med. 2024.

21

BJSM blog. The MSK playbook: chronic exertional compartment syndrome. 2025.

22

Waterworth G, et al. Surgical outcomes for chronic exertional compartment syndrome. BMJ Military Health. 2020.

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