Physiotherapy has been adopted as a pillar in contemporary sports medicine and has been instrumental in the prevention and the rehabilitation of sports related injuries. This is a critical review of the various roles of physiotherapy in the optimization of athletic performance, strategies of injury prevention, and evidence-based recovery. Physiotherapy in sports involves the use of pre-participation screening, biomechanics testing, neuromuscular training, manual therapies, prescription of therapeutic exercises and progressive-return-tosport regimens. The current evidence also proves that well-organized physiotherapy programs can decrease the rate of injuries in different sport fields by one-third to one-half, as well as improve recovery rates and minimize recurrence of injuries. Such innovative modalities as proprioceptive training, eccentric strengthening, and optimization of movement patterns combined with sport-specific rehabilitation have become a breakthrough in the management of injuries. Preventive physiotherapy extends its measures not only to the management of individual athletes but also to the injury monitoring of the whole team, the monitoring of the workload, and the use of evidence-based training load management. Recovery programs have been changed to include tissue healing principles, education in pain neuroscience, psychological support, and progressive tissue loading programs. This review provides a synthesis of existing evidence in favor of the use of physiotherapy interventions within the injury prevention-recovery continuum with emphasis placed on the need to conduct individual assessment and employ evidencebased practice and collaboration across disciplines. The future directions are improved technology supported rehabilitation, personcenteredmedicineand implementation science to streamline the provision of physiotherapy in sports settings. The literature is categorical regarding the application of physiotherapy as a very vital part of extensive sports medicine programs and its proven value in terms of reduction of injuries and hastening of recovery process and safe reentry into the field of play.