Physiotherapy for musculoskeletal conditions: more difficult than rocket science

Physiotherapy is frequently prescribed to reduce pain and optimize functioning for people with musculoskeletal conditions. In the past 25 years, there has been an increase in studies investigating its efficacy. At the same time, innovative models of management for people with musculoskeletal conditions have been developed. This review speculates as to how the results of these studies might alter physiotherapy management to deliver more appropriate, effective interventions and maximize resource use. It is not intended to be an evidence-based review of these modalities or models of care. Although based on the systems within the UK publicly funded National Health Service, the issues are pertinent in privately funded health systems with finite resources, which face the challenge of providing healthcare for an aging population suffering chronic ill-health.