Physiotherapy is a combination of different therapies. The goal is Pain Management. Overall Objective reduces the need for prescription drugs, perhaps even counter the need for surgery. Pain relief and management is the first step! Physiotherapists possess skills in addition to massage therapy helpful in identifying the origin of pain and using techniques of massage, heat, ice, manual manipulation, vibration therapy etc. to provide pain relief. After providing pain relief, it is up to the client to seek further treatment to manage pain. Improving the health and condition of muscles, bones, joints, ligaments, and tendons allows the restoration of movement, flexibility, and ROM. Client education, treatment, and participation in self-care will improve physical health and improve quality of life.