Move without pain.

1.71 billion people worldwide live with a musculoskeletal condition — most go unmanaged.

- Cieza et al 2021

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Here’s What The Experts Say

Direct access PT
Lower costs
Greater function

Direct access PT cuts total healthcare costs and delivers greater functional improvement than physician-first access.

Hon S et al. Phys Ther. 2021;101(1):pzaa201 ↗

Direct access PT
Zero
Adverse events

Zero adverse events across 28 studies — direct access PT is safe, accurate, and preferred by patients over physician-first pathways.

Gallotti M et al. J Clin Med. 2023;12(18):5832 ↗

Physiatrist-first
46%
Lower spine costs

Physiatrist-first spine care cuts costs by 46% and surgery rates by 59% vs. surgeon-first care — across 170,011 Medicare patients.

Standaert CJ et al. PM&R. 2020;12(6):551–562 ↗

Digital MSK
68%
Pain improvement

10,000+ patients saw 68% pain improvement through a 12-week digital MSK program — 73% completion rate.

Bailey JF et al. J Med Internet Res. 2020;22(5):e18250 ↗

Direct access PT
10–30%
Fewer physician visits

Direct access PT reduces physician visits by 10–30% with equivalent clinical outcomes — confirmed across 90,000+ patients.

Fischer M et al. BMC Prim Care. 2026 ↗

First-contact PT
45%
Less imaging

First-contact PT cuts imaging by 45% and medication prescriptions by 71% — confirmed across 10 RCTs and 2,081 patients.

Abuhl B et al. Phys Ther. 2025:pzaf080 ↗

Physiatrist consult
25%
Fewer spine operations

A single physiatrist consultation before surgery referral reduces spine operations by 25% and surgical referrals by 48%.

Fox J et al. Spine. 2013;38(3):E178–84 ↗

Digital MSK
$2,370
Saved per patient / year

Digital MSK care saves $2,370 per patient per year vs. in-person PT — driven by surgery avoidance and fewer office visits.

Pereira AP et al. Arch Phys Med Rehabil. 2026;107(4):665–675 ↗

Early PT
55%
Lower surgery risk

Early PT reduces surgery risk by 55% and opioid use by 22% for low back pain — across 32,070 patients, saving $2,736 per case.

Fritz JM et al. Spine. 2012;37(25):2114–2121 ↗

Direct access PT
Better QoL
At lower cost

Direct access PT delivers better disability and quality-of-life outcomes at lower cost — across 18 studies reviewed.

Demont A et al. Disabil Rehabil. 2021;43(12):1637–1648 ↗

PM&R rehab
$170,000
Saved per WC claim

Early PM&R-led functional restoration saves up to $170,000 per workers' comp claim — with an 88% return-to-work rate.

Theodore BR et al. J Occup Rehabil. 2015;25(2):303–315 ↗

Digital MSK
58%
Fewer surgeries

Digital MSK programs reduce surgery rates by 58% and low-value surgeries by 82% vs. in-person PT.

Domingues B et al. J Med Internet Res. 2025 ↗

Direct access PT
10–30%
Fewer physician visits

Direct access PT reduces physician visits by 10–30% with equivalent clinical outcomes — confirmed across 90,000+ patients.

Fischer M et al. BMC Prim Care. 2026 ↗

Early PT
55%
Lower surgery risk

Early PT reduces surgery risk by 55% and opioid use by 22% for low back pain — across 32,070 patients, saving $2,736 per case.

Fritz JM et al. Spine. 2012;37(25):2114–2121 ↗

PM&R pain rehab
58% → 15%
Opioid use drop

PM&R-led pain rehab drops opioid use from 58% to 15% — with lasting functional gains and improved quality of life.

Crouch TB et al. Am Psychol. 2020;75(6):825–839 ↗

Digital MSK
$2,900
Per employee / year

Digital MSK programs save employers ~$2,900 per employee per year in recovered productivity — across 5,032 employees in 50 states.

Janela D et al. J Occup Environ Med. 2024;66(10):e493–e499 ↗

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How It Works

Guideline adherence
60%
Lower LBP costs

Early guideline-adherent PT for low back pain is associated with 60% lower total LBP-related costs — across 753,450 patients in the Military Health System.

Childs JD et al. BMC Health Serv Res. 2015;15:150 ↗

Waste elimination
89.4%
Fewer opioid Rx

PT-first care reduces opioid prescriptions by 89.4%, advanced imaging by 27.9%, and ER visits by 38.3% — eliminating the highest-waste services from the care pathway.

Frogner BK et al. Health Serv Res. 2018;53(6):4629–4646 ↗

Cost-effectiveness
$32,058
Per QALY gained

Early PT is cost-effective at $32,058 per QALY — well below the standard willingness-to-pay threshold — with better quality of life at 1 year.

Fritz JM et al. Spine. 2017;42(5):285–290 ↗

Bundled payments
90%
Higher community discharge

Higher inpatient rehabilitation is associated with up to 90% higher odds of community discharge after joint replacement — a key quality metric in bundled payment models.

Kumar A et al. Phys Ther. 2022;102(4):pzab313 ↗

Bundled payments
$871
Saved per episode

Preoperative PT reduces post-acute care utilization by 29% after total joint replacement — saving $871 per episode in skilled nursing and rehab costs.

Snow R et al. J Bone Joint Surg Am. 2014;96(19):e165 ↗

ED value
47%
Fewer ED opioids

PT in the emergency department reduces imaging by 25%, opioid administration by 47%, and ED length of stay by 35% — delivering immediate value at the point of entry.

Pugh A et al. PLoS One. 2020;15(4):e0231476 ↗

ED value
Fewer
ED return visits

Direct-access PT in the ED produces lower pain, better function, and fewer return visits at 1 and 3 months — with less opioid and prescription medication use.

Gagnon R et al. Acad Emerg Med. 2021;28(8):848–858 ↗

Post-ED transition
56%
Lower total costs

Early PT after an ER visit cuts surgery risk by 53%, long-term opioid use by 55%, and total costs by 56% — the highest-value intervention at the post-ED transition point.

Magel J et al. Phys Ther. 2020;100(10):1782–1792 ↗

PT-led triage
55–91%
Surgery conversion rate

PT-led orthopedic triage achieves equivalent diagnostic accuracy, higher surgery conversion rates (55–91% vs. 22–38%), shorter wait times, and lower costs than surgeon-led triage.

Samsson KS et al. BMC Musculoskelet Disord. 2020;21(1):673 ↗

Guideline adherence
Lower
Utilization & costs

Guideline-adherent PT — active over passive treatments — is associated with decreased healthcare utilization and overall cost savings for patients with low back pain.

Hanney WJ et al. PLoS One. 2016;11(6):e0156799 ↗

Cost-effectiveness
9–10 of 19
Comparisons favor PT

Physical therapy is cost-effective or cost-saving in 9 of 19 comparisons — with improved health outcomes in almost all studies across MSK, neurological, and cardiopulmonary conditions.

Bürge E et al. Phys Ther. 2016;96(6):774–786 ↗

OA management
NZ$6,312
Net benefit at 2 years

Supervised exercise PT for hip/knee OA is cost-effective and cost-saving at 2 years — with a net benefit of NZ$6,312 from a societal perspective.

Abbott JH et al. Osteoarthritis Cartilage. 2019;27(3):424–434 ↗

OA management
>95%
Probability cost-effective

PT vs. glucocorticoid injection for knee OA is cost-effective at greater than 95% probability — supporting PT as the higher-value first-line treatment.

Rhon DI et al. JAMA Netw Open. 2022;5(1):e2142709 ↗

Quality metrics
65,815
Episodes validated

A core set of 6 patient-reported outcome-based quality indicators for PT in LBP has been validated — enabling value-based benchmarking across 219 practices.

Verburg AC et al. Phys Ther. 2021;101(8):pzab118 ↗

Bundled payments
41%
Drop in post-acute costs

Post-acute care costs after total hip arthroplasty declined by 41% nationally ($5,903 → $3,485) following Medicare bundled payment programs incentivizing PT-led rehabilitation pathways.

Serino J et al. J Bone Joint Surg Am. 2022;104(3):255–264 ↗

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