What if following the clinical guideline is sometimes the wrong call? Not occasionally. In the kinds of MSK situations that come up regularly. That's the argument physiotherapy researcher Matt Low makes in Part 2 of this conversation, and it's worth sitting with.

About Matt: Matt Low is a physiotherapy clinician and researcher based in the UK whose work sits at the intersection of philosophy, epistemics, and clinical practice. He asks uncomfortable questions about what physical therapy actually is and where it's going.

In this episode:

• Why rigid guideline adherence can be an ethical problem, not a clinical safety net (SIJ fusion as a concrete case)
• How value-based care's four pillars create friction rather than harmony in practice
• What AI is already doing to MSK services right now (Cambridge UK is procuring AI for MSK management today)
• Why ambient documentation tools change more than just note-taking
• The contextual architect: what the PT role looks like when AI handles algorithmic pathways
• What decentering the human in PT curriculum would actually mean in practice

Resources mentioned:

• Chad Cook's paper on value-based care in MSK practice
• Dave Nicholls' work on the future of physiotherapy
• Deleuze and Guattari (rhizome concept applied to clinical thinking)
• Part 1 of this conversation

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