<p>It is universally agreed that the use of physical intervention techniques on service users with learning disabilities is to be avoided if possible. This article explores how a physiotherapist can bring valuable in-depth anatomical and physiological knowledge to the multidisciplinary team. This specialist knowledge can be used to augment the existing expertise in the multidisciplinary team and ensure that, when physical intervention techniques are proposed as a measure of last resort, they are assessed as suitable and safe for the individual.</p>