Difference between strain and sprain.. Is strain and sprain different??? People are often confused between the two. YES , they are different and so is the treatment. A physiotherapist can help identify the difference and guide the patient accordingly. physiotherapist #physiowellness #painrelief #strain #sprain #physiotherapynearme #physiotherapyclinic #ultrasoundtherapy. A physiotherapist can help to cure both strain and sprain