The invention relates to a massage roller with a physiotherapy effect, which comprises a metal inner core pipe shaft, a heating pipe and a silica gel roller, wherein the metal inner core pipe shaft isrotatably sleeved with the heating pipe which is fixedly arranged, the metal inner core pipe shaft is rotatably contacted with the heating pipe in clearance, two ends of the heating pipe respectivelyextend out of the metal inner core pipe shaft and are electrically connected with an external power supply through a lead; a plurality of arc-shaped grooves are uniformly arranged on the periphery ofa shaft head, at one side of the metal inner core pipe shaft, a cover plate sleeves the shaft head, the cover plate is fixedly connected with the metal inner core pipe shaft and covers the arc-shapedgrooves, and a plurality of holes are uniformly arranged on the peripheral surface of the metal inner core pipe shaft, corresponding to the arc-shaped grooves; the silica gel roller is wrapped on themetal inner core pipe shaft, and a plurality of holes are uniformly arranged in the silica gel roller and the holes are communicated with the holes in the metal inner core pipe shaft in a one-to-onecorrespondence manner; and the arc-shaped grooves are filled with medicine bags. Muscle and bone massage and medicinal force are combined to supplement each other, so that a good physiotherapy effectcan be achieved.