There is a clear distinction between MSK doctors and manual therapists with a background as a physiotherapist, although some techniques may be similar. The MSK doctor has more knowledge and more treatment options, which allows him to be more effective. Due to training and competence, the MSK physician is in a position to make a diagnosis. The MSK doctor has a good overview of indications and contraindications and is ultimately responsible. As a fully qualified doctor with specialist knowledge and experience, he can consult on an equal footing with fellow doctors and specialists.