Flexibility exercises are often recommended to improve movement, reduce tightness, and support recovery. However, many people are unsure whether they actually help prevent muscle injuries – especially after hearing mixed messages over the years.
So what does the evidence really say?
And when are these exercises genuinely useful?
At Malvern Physiotherapy Clinic in Malvern East, this is a common question from patients of all ages, from junior athletes to active adults. The answer isn’t a simple yes or no.
In physiotherapy, flexibility exercises are used to address specific movement restrictions, not as a blanket solution.
When prescribed appropriately, they may help to:
The most important factor is targeting a clear limitation identified during assessment.
This is where much of the confusion comes from.
Early research suggested that flexibility routines did not prevent all injuries. These findings are often misunderstood or taken out of context.
Importantly, this research also showed that these routines did not increase injury risk.
More recent studies provide clearer guidance.
Large reviews published in 2023–2024 found that:
This distinction matters clinically. Muscle injuries respond differently to treatment compared to bone, ligament, or impact injuries.
For example:
In these situations, targeted flexibility work may help reduce unnecessary load.
During growth spurts, bones can grow faster than muscles and tendons.
This often leads to:
In these situations, physiotherapist-guided programs may:
Programs for growing bodies should always be tailored, not copied from adult routines.
Flexibility work is commonly included in rehabilitation when:
This approach is rarely used alone. It is usually combined with:
This forms the basis of physiotherapist-led care:
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Different sports place different demands on the body.
Some require:
What is appropriate varies between individuals. Assessment determines what is needed.
This is particularly relevant in sports physiotherapy programs:
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No – and this is a common misconception.
Both approaches have a role. Timing matters.
Yes. Research shows it does not increase injury risk when used appropriately.
No. It is most effective when addressing a specific restriction.
Sometimes. Pain should always be assessed before this approach is prescribed.
Often not. Strength, control, and load management are usually required as well.
There is no one-size-fits-all approach.
Some people need improved mobility. Others require strength, control, or technique changes.
A physiotherapy assessment helps determine:
Clinical Pilates is often used alongside mobility work to improve movement control:
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If flexibility issues, muscle tightness, or recurring injuries are limiting your activity, an assessment can help clarify the best next step.
Our team at Malvern Physio provides evidence-based care tailored to how your body moves.
Book an appointment:
👉 https://malvernphysio.janeapp.com/
Mark Fotheringham is the Principal Physiotherapist and Director of Malvern Physiotherapy Clinic. With over 20 years of clinical experience, Mark has a special interest in musculoskeletal and sports physiotherapy, complex injury rehabilitation, and post-operative recovery.
He holds a Bachelor of Physiotherapy and has undergone extensive postgraduate training in strength testing, load management, and advanced biomechanical assessment. Mark has worked with recreational athletes through to elite performers, using objective tools such as hand-held dynamometry and force plates to inform evidence-based, tailored rehabilitation programs.
As a clinician, educator, and practice owner, Mark is committed to combining hands-on expertise with the latest technologies to ensure accurate diagnosis, precise treatment, and measurable recovery outcomes. He is passionate about empowering patients through data-driven care that is both personalised and proven.
Published December 23, 2025