A new study published in the Journal of Clinical Medicine shows that a virtually delivered musculoskeletal (MSK) care program, bringing together physicians, physical therapists, health coaches, and dietitians, can make a real difference for older adults living with chronic pain. The program did not just ease pain; it also improved mobility, boosted emotional well‑being, and helped participants feel more in control of their health. Researchers say the findings highlight how telemedicine is becoming a powerful tool for managing MSK disorders in aging populations. Conditions like osteoarthritis, spinal degeneration, chronic back pain, and tendon problems are among the leading causes of disability in older adults. Access to conventional rehabilitation can also be difficult because of transportation and mobility barriers.
This study evaluated whether a virtual physician-integrated practice unit (IPU) model could improve musculoskeletal (MSK) care in older adults. The study analyzed 902 adults aged ≥65 years enrolled in a virtual MSK program between September 2023 and February 2025. Participants underwent an initial telehealth assessment with an MSK physician or nurse practitioner and a physical therapist, followed by individualized virtual therapy, coaching, nutritional counseling, and medical follow-up. The mean age was 73.6 years, with chronic pain as the most common complaint. Back pain represented nearly 44% of cases, followed by knee, shoulder, neck, and hip pain. Among 891 evaluated patients, average pain scores decreased from 4.56 to 2.30 on the Numeric Pain Rating Scale, reflecting nearly a 50% reduction. In patients with severe baseline pain (scores ≥7), over 91% achieved pain relief, with pain severity reduced by approximately 61%. Functional scores improved by more than 42%, while higher program engagement was linked to greater benefits. Anxiety scores improved by 44%, and depressive symptoms decreased by 57%, highlighting significant emotional and physical recovery through virtual care.
The multidisciplinary structure of the program was considered central to these outcomes. In addition to medical and physical therapy support, patients received behavioral coaching focused on mindfulness, sleep hygiene, stress management, and lifestyle optimization. Dietitians also provided nutritional guidance and weight-management support when needed. According to the investigators, the findings reinforce the value of treating MSK disorders through a holistic, patient-centered approach rather than focusing solely on pain symptoms. The researchers also noted that adherence rates compared favorably with conventional rehabilitation programs. Nearly 63% of participants completed the required multi-visit care pathway, a noteworthy achievement in an older population that often struggles with consistent access to rehabilitation services.
Similarly, a study by Grant et al. examined physician-led digital musculoskeletal care in a large cohort, reporting significant pain reduction and improved physical function, especially in severe cases. They concluded that multidisciplinary, telemedicine-based integrated practice units combining medical oversight, physical therapy, behavioral support, and lifestyle interventions offer effective, holistic, and accessible care for chronic MSK disorders.
The study adds to growing evidence supporting telemedicine-based rehabilitation for chronic musculoskeletal disorders. As healthcare systems search for scalable and accessible solutions for aging populations, virtual multidisciplinary care models may emerge as an important strategy for reducing chronic pain, improving mobility, and supporting healthy aging.
References
1. Peña E, Su L, O’Connor MI, Grant RA. Virtual Physician-Integrated Practice Units Enhance Pain Relief, Function, and Well-Being in Older Adults with Musculoskeletal Disorders: A Single-Arm Pre–Post Study. Journal of Clinical Medicine. 2026;15(10):3675
2. Grant RA, O’Connor MI, Myers P, Fiechtl J. Transforming Musculoskeletal Care: Effectiveness of a Physician-Led Telemedicine Integrated Practice Unit. Telemed Rep. 2025 Sep 25;6(1):300-308.