Physical therapy vs occupational therapy: which one do you need?
Topic: Home Safety & Falls
Reading time: 4 min
PT and OT are both “therapy,” but they focus on different goals. Knowing the difference helps you ask for the right referral.
Physical therapy (PT): movement and strength
- Walking endurance
- Strength and balance training
- Joint pain and mobility
- Recovery after injury or surgery
Occupational therapy (OT): daily life and safety
- Making bathing, dressing, cooking, and household tasks easier
- Home safety recommendations (grab bars, layout changes)
- Energy conservation strategies (fatigue conditions)
- Adaptive equipment and hand function
Real-life example: If you’re unsteady, PT may build balance and leg strength, while OT may make the bathroom safer so you don’t fall during nighttime trips.
When to ask for PT
- Falls or fear of falling
- Trouble with stairs, getting out of a chair, carrying groceries
- Joint pain that limits movement
When to ask for OT
- Difficulty bathing/dressing safely
- Home layout hazards
- Hand pain/weakness affecting daily tasks
Try: Balance training and Fall-proof your home.
Ask your clinician (starter questions)
- “What’s the most likely explanation in my case?”
- “What serious causes are we ruling out?”
- “Could any medications or supplements contribute?”
- “What’s the simplest next step?”
- “What should make me call you sooner or seek urgent care?”
If you want to prepare for a visit, try the Doctor Visit Checklist. For general support, browse Topics or Common Issues.