Manipulative physiotherapy is the term used to describe the field of physiotherapy practice which relates to disorders of the musculoskeletal system. Physiotherapists who practise in this area, are skilled in the assessment, diagnosis and physiotherapy management of musculoskeletal conditions. Manipulative physiotherapists have advanced skills in the assessment, diagnosis and management of musculoskeletal conditions. These skills assist the medical practitioner with accurate, cost effective diagnosis and appropriate evidence based management. Manipulative physiotherapists in India have world leading expertise in the effective management of pain and other disorders related to the musculoskeletal system.