Inclusion Criteria:  ADSM (at baseline; separation from the military post-treatment will not be grounds for exclusion) Patients presenting to an NMCP or a branch clinic physical therapy department Patients who have only receive their evaluation appointment for their primary complaint Patients prescribing for a primary complaint of a MSD (the following ICD-10 codes will be included: M13, M14.8, M15-19, M21-25, M40-43, M46-48, M50-54, M60-71, M73, M75-77)  Exclusion Criteria:  Patients not eligible to receive outpatient physical therapy Patients receiving fewer than four treatment sessions of physical therapy Patients who are pregnant Patients receiving physical therapy for acute post-surgical recovery Patients scheduled for or subject to a Physical Evaluation Board (PEB) at baseline Coast Guard