The State of MSK Report 2026
The State of MSK Report 2026

The hidden drivers of overspend and inefficiency in MSK care

A fresh dual-perspective survey, complete with real patient and provider stories, maps a clear path to more effective, unified care.

The State of MSK Report 2026

Why is the right MSK care still so hard to find?

Despite the $661B annual spend on MSK care, most of the 40% of adults who experience MSK pain still don’t know how to find relief.¹ ² The 2026 State of Musculoskeletal Care report reveals why.
$661B annual spend on MSK care

What patients are saying

“I saw four orthopedic surgeons over the years. No one ever suggested physical therapy. I did PT only after I had my surgeries — I can go up and down stairs normally for the first time.”
32% get varying advice from different doctors regarding MSK pain³
80% report that MSK pain limits their day-to-day activities³
Karen, Hinge Health member

Where providers are focusing

“I’ve seen many patients proceed quickly to surgery that didn’t relieve their pain and in retrospect, a thorough conservative assessment would likely have uncovered a better, less invasive path.”
34% say patients often get high-cost care before noninvasive options³
31% See patients who start care with the wrong type of provider³
Grace Maloney, MD, Physiatrist, interventional spine specialist, Barrow Neurological Institute

Start streamlining costs and improving care outcomes

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