Physical therapy (PT) is a healthcare specialty focused on restoring movement and function, reducing pain, and preventing future injury. New patients often ask how much time they need to dedicate to each session. Appointment lengths follow general standards influenced by clinical necessity and administrative guidelines. Understanding the typical timeframe helps patients prepare their schedules and expectations.
The Standard Range for Physical Therapy Sessions
Most patients can expect a typical follow-up physical therapy session to last between 45 and 60 minutes. This duration allows the physical therapist to effectively administer therapeutic activities and ensure proper form and technique. While one hour is frequently scheduled, some visits may be closer to 30 minutes, especially as a patient nears the end of their treatment plan. Session lengths are also shaped by healthcare billing, which often divides therapy time into 15-minute units.
Key Factors That Influence Session Duration
The initial evaluation is the longest appointment, often lasting between 60 and 90 minutes. This extended time allows the physical therapist to take a detailed medical history, perform a comprehensive physical assessment, and establish the patient’s goals and formal plan of care.
Billing and Insurance Requirements
Session length is heavily influenced by insurance and billing requirements, specifically the Medicare “8-minute rule” for time-based services. Physical therapists bill for treatments like therapeutic exercise and manual therapy in 15-minute increments. To bill for one unit of service, at least 8 minutes of direct, one-on-one time must be provided.
Condition Complexity and Recovery Stage
The complexity of the patient’s condition and the stage of recovery determine the time needed. A patient recovering from a multi-site injury or a post-surgical case requiring extensive work will need a session closer to the 60-minute mark. Conversely, a routine follow-up for a less complex issue may be shorter.
The Structure of a Typical Treatment Session
A standard follow-up physical therapy session is structured to maximize recovery within the allotted time.
Check-in and Re-assessment (5–10 minutes)
The appointment usually begins with a brief check-in and re-assessment, taking approximately 5 to 10 minutes. The therapist reviews the patient’s progress, discusses current pain levels, and addresses any new concerns.
Therapeutic Exercise (20–30 minutes)
The majority of the session, often 20 to 30 minutes, is dedicated to therapeutic exercise and movement training. This involves guided exercises designed to improve strength, flexibility, and functional mobility. The therapist monitors form and progresses the difficulty as appropriate.
Manual Therapy (10–15 minutes)
Following the active exercise portion, the session typically includes 10 to 15 minutes of manual therapy or specialized treatment. Manual therapy involves hands-on techniques such as soft tissue mobilization or joint mobilization. This direct contact time complements the exercise component of the visit.
Home Exercise Program Review (5–10 minutes)
The final 5 to 10 minutes are spent on patient education and a review of the home exercise program (HEP). The therapist ensures the patient understands the assigned exercises and provides instruction on proper technique.