First Contact Physiotherapy

What’s the most common musculoskeletal problem seen in primary care and how are we best to manage it?

Musculoskeletal problems are a common issue in primary care across England, with lower back, or lumbar spine, issues being the most frequently reported. This trend aligns with global research, especially in Western countries, where lumbar spine problems—such as pain, restricted movement, and referred pain into the legs and pelvis—are the most common musculoskeletal complaints.

What is First Contact Physiotherapy (FCP)?

First Contact Physiotherapy (FCP) allows patients with musculoskeletal (MSK) issues to see a specialist physiotherapist directly at their GP practice—without needing a referral from a doctor.These physiotherapists are highly skilled MSK clinicians who can:• Assess, diagnose, and manage conditions like back, neck, joint, or muscle pain• Provide expert advice and treatment• Refer to investigations or secondary care if.