Background: Sports injuries are prevalent across all levels of athletic participation, from recreational to professional sports. These injuries can significantly impact an athlete's performance, career longevity, and quality of life. Effective management and rehabilitation are crucial for timely and successful recovery. Physiotherapy plays a pivotal role in the multidisciplinary approach to sports injury management, offering a range of interventions aimed at promoting healing, restoring function, and preventing recurrence. Objective: This comprehensive review aims to evaluate the role of physiotherapy in managing sports injuries, highlighting the effectiveness of various physiotherapeutic interventions and their impact on recovery outcomes for athletes. Methods: A systematic search of electronic databases, including PubMed, MEDLINE, Cochrane Library, and Embassy, was conducted to identify relevant studies published between 2000 and 2023. The review included randomized controlled trials (RCTs), cohort studies, and case control studies focusing on physiotherapy interventions for sports injuries. Data on recovery time, functional outcomes, pain reduction, and recurrence rates were extracted and analyzed. Results: The review encompassed 40 studies with a total of 6,500 participants. Physiotherapy interventions, such as manual therapy, exercise therapy, electrotherapy, and neuromuscular training, were found to be effective in managing a variety of sports injuries, including sprains, strains, fractures, and overuse injuries. Athletes receiving physiotherapy demonstrated significant improvements in pain reduction (mean difference = -1.5 on a 10-point scale, 95% CI -1.8 to -1.2, p < 0.001), functional capacity (standardized mean difference = 0.60, 95% CI 0.45-0.75, p < 0.001), and reduced recurrence rates (risk ratio = 0.70, 95% CI 0.60-0.85, p < 0.001). Conclusion: Physiotherapy is a critical component in the management of sports injuries, offering significant benefits in pain reduction, functional recovery, and prevention of injury recurrence. The integration of physiotherapeutic interventions into the standard care of athletes can enhance recovery outcomes and support long-term athletic performance. Future research should focus on optimizing physiotherapy protocols and exploring innovative techniques to further improve sports injury management.