Geriatric physiotherapy is crucial for enhancing mobility and quality of life in older adults. As the global population ages, the prevalence of age-related conditions such as arthritis, osteoporosis, and cardiovascular diseases increases, necessitating effective physiotherapy interventions. This comprehensive review explores the role of physiotherapy in managing mobility issues, detailing various interventions including exercise therapy, manual therapy, assistive devices, gait training, and pain management. The review also highlights the psychological and social benefits of physiotherapy, emphasizing its impact on mental well-being and social participation. A multidisciplinary approach, involving collaboration with physicians, occupational therapists, dietitians, social workers, and caregivers, is essential for addressing the complex health needs of older adults. Despite barriers such as physical limitations, psychological factors, and socio-economic challenges, innovative strategies and a holistic approach can significantly improve health outcomes. Future directions in geriatric physiotherapy include the integration of technology, such as virtual reality and telehealth, and continued research to develop optimal interventions. By focusing on personalized, patient-centered care, physiotherapy can help older adults maintain their independence, manage chronic conditions, and enhance their overall quality of life.