Contributor: Arpit Khemka
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In this second article of the series, we will explore the importance of a collaborative, multidisciplinary approach to musculoskeletal (MSK) care. This care delivery model involves a range of specialists including acupuncturists, chiropractors, occupational therapists, and orthopedic surgeons. By taking this comprehensive approach, patients can experience better outcomes and more streamlined care delivery.
In Part 1 we discussed meeting patients where they are (literally) when it comes to musculoskeletal care.
The management of musculoskeletal (MSK) conditions is complex and requires a comprehensive, multidisciplinary approach to provide effective care. As the healthcare industry continues to evolve, virtual physical therapy (PT) services are playing an increasingly vital role in the treatment of MSK conditions. In Part 2 of our series, we discuss the importance of including multiple specialists in the management of MSK conditions and how a multidisciplinary approach can lead to better patient outcomes, supported by clinical guidelines, studies, and publications.
The Complexities of MSK Care
MSK conditions often involve multiple body systems, and their management necessitates the input of various healthcare professionals, such as physical therapists, chiropractors, acupuncturists, occupational therapists, and speech therapists, as well as pain management specialists (who help lower the risk of opioid addiction) and orthopedic surgeons. A typical MSK care plan may include a combination of these modalities to address the various aspects of a patient's condition.
The American College of Physicians (ACP) and the American Pain Society (APS) jointly published clinical guidelines emphasizing the importance of a multidisciplinary approach to managing chronic pain, a common symptom of many MSK conditions. The guidelines recommend that providers consider the inclusion of multiple treatment modalities, such as physical therapy, cognitive behavioral therapy, and pharmacologic therapies, to address the diverse needs of patients with chronic pain effectively.
The Limitations of a One-Size-Fits-All Approach
Many MSK care solutions in the market focus primarily on the delivery of physical therapy services by PTs and coaches. While PT plays a significant role in the management of MSK conditions, a one-size-fits-all approach that solely relies on PT can be limiting and may not address the full range of a patient's needs.
A study published in the journal Physical Therapy found that patients with low back pain who received a multidisciplinary approach to care had better outcomes compared to those who received care from a single provider. The multidisciplinary approach included interventions from physical therapists, occupational therapists, and pain management specialists, among others.
Kelly McLaughlin, DPT, ATC, Cert MDT, Director of MSK Programs at SimpleTherapy, explains the limitations of a one-dimensional approach: "MSK care is far more complex than just prescribing exercises and monitoring a patient's progress. A truly effective care plan requires the input of multiple specialists who can address different aspects of the patient's condition and ensure a well-rounded, personalized treatment plan."
The Future of MSK Care: A Multidisciplinary, Omnichannel Approach
As the healthcare landscape continues to evolve, it is becoming increasingly clear that a multidisciplinary approach to MSK care is vital for achieving optimal patient outcomes. By integrating various healthcare professionals and modalities, providers can create tailored care plans that address the unique needs of each patient.
Moreover, an omnichannel approach that combines digital, virtual, and in-person care delivery can enhance patient engagement and satisfaction, ensuring that patients receive the most appropriate care in a manner that suits their preferences and circumstances.
A systematic review published in the journal BMC Musculoskeletal Disorders supports the effectiveness of a multidisciplinary approach in managing MSK conditions, particularly chronic low back pain. The review found that patients who received multidisciplinary care experienced better functional outcomes, reduced pain, and improved quality of life compared to those who received care from a single provider.
The rise of virtual PT services has provided a new avenue for delivering multidisciplinary care to patients with MSK conditions. By incorporating telehealth services and digital tools, healthcare providers can more easily collaborate and coordinate care, ensuring that patients receive timely and appropriate interventions from a diverse team of specialists.
Conclusion
As the MSK care landscape continues to evolve, it is crucial for healthcare providers to embrace a multidisciplinary approach that integrates the expertise of multiple specialists and offers a combination of digital, virtual, and in-person care delivery. By doing so, providers can address the complex needs of patients with MSK conditions more effectively, leading to better patient outcomes and higher satisfaction.
In Part 3 of our series, we will discuss the limitations of sensor-based technology in MSK care and explore how a well-rounded, multidisciplinary approach focused on delivering personalized care can have a more significant impact on patients' lives.
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References
- Saragiotto BT, de Almeida MO, Yamato TP, and Maher CG. Multidisciplinary Biopsychosocial Rehabilitation for Nonspecific Chronic Low Back Pain, Physical Therapy, Volume 96, Issue 6, 1 June 2016, Pages 759–763, https://doi.org/10.2522/ptj.20150359
- Lin I, Wiles L, Waller R, et. al. What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review. British Journal of Sports Medicine 2020;54:79-86.