How often do I really need Myotherapy?
When should I come back in for another Myotherapy treatment?
This something that I get asked all the time. In my previous article ‘How many Myotherapy sessions do you really need?’ I tackled this question by discussing treatment plans and how we can use these to predict how many appointments you might need. BUT I’ve still had a lot of questions recently about how often you should come in for a treatment, so today I wanted to explore this topic from a different angle.
So the question is': “How often do I need Myotherapy? When do you need to see me next? When should I book back in?”
The honest answer is: It depends. (I’m sorry). But it really does, it depends on what’s going on for you in your body, in your personal life, in your working life and sometimes even what’s going on in the world in general. Our bodies and our brains are always adapting and responding to what’s going on around us and within us. So it is incredibly hard to give you an exact answer.
BUT - there are some useful guidelines.
1. When you’re in acute pain (a new or recent issue)
Think: a sudden back tweak, a new shoulder strain, waking up with a locked neck
For most people, a good starting point is:
3–4 sessions over a few weeks
Session 1: Settle the pain, calm nervous system activity, and figure out what’s driving your symptoms
Session 2–3: Build on that progress, improve movement, add or adjust exercises, and build a plan for the next steps
Session 4 (if needed): Make sure things are stable and you’re confident self-managing
The goal here is to get you out of crisis and back in control. From there we can think about prevention and avoiding future flare ups.
2. When it’s a long-term or recurring issue
Think: years of neck tension, re-occurring hamstring tightness, ongoing shoulder or back problems, or stiffness that flares up now and then.
These issues often develop over time, and they usually need:
A short, focused block of sessions to change your immediate symptoms and identify the things that are setting up the problem.
Plus a clear plan for your strength, posture, movement or load management outside the clinic in your day-to-day life.
You will almost always get better results with: A structured treatment plan over a few weeks, rather than one great treatment and then hoping for the best.
3. When you’re mostly okay (but you still live in the modern chaotic world)
This is where myotherapy isn’t just about pain – it’s about staying out of pain and performing well.
You might benefit from maintenance sessions every 4–8 weeks if:
You have a physical job or sit for long hours
You train regularly (gym, running, sport)
You’ve had previous injuries in the same area
You know you tend to ignore niggles until they’re big problems
Maintenance care is like training a habit for your body. Regular check-ins help your body and nervous system reinforce the changes we’ve made, so you don’t slip back into old patterns when you ramp things up again.
Follow ups aren’t about ‘locking you in’ to treatment. They’re about:
Reinforcing and supporting the changes that we’ve made
Checking how your body responded (everyone is different)
Progressing your exercise or movement - not just repeating the same thing
My job is to help you get to the point where you need me less often, but you feel better and move better. And you know where I am if anything changes.
When should I book in again?
Ultimately, when answering this question I’ll always give you my honest answer. It will be based on my best clinical ‘guess’ from my years of experience, your goals for treatment, my understanding of your body and all your unique individual factors.
Remember that you and your pain are unique and ultimately you need to follow a treatment plan that suits you and your lifestyle - so always follow what you think is best. But I'll always give you my best advice.