Musculoskeletal Program of Care (MSK POC)

We are introducing a new, evidence-based Program of Care, the MSK POC, intended for musculoskeletal injuries, excluding injuries to the low back or shoulder.  This POC was developed in collaboration with the Ontario Chiropractic Association, the Ontario Physiotherapy Association, the Ontario Society of Occupational Therapists and the Registered Massage Therapists’ Association of Ontario.

The MSK POC is an evidence-based health care delivery program which describes treatment interventions that have been shown to be effective in the treatment of musculoskeletal injuries. The MSK POC emphasizes task-specific and worker-specific rehabilitation and, consistent with the "Better at Work" philosophy, makes staying at work or returning to work an integral component of rehabilitation.

We want all workers to benefit from the Musculoskeletal Program of Care.

Effective August 1, 2014, workers who require treatment for a musculoskeletal injury or recurrence, that is not addressed by the Low Back Program of Care (LB POC) or the Shoulder Program of Care (SH POC) will be treated in the Musculoskeletal Program of Care (MSK POC).

After August 1, 2014, three Programs of Care will address musculoskeletal injuries:

  • workers with low back pain will be treated in the LB POC,
  • workers with a shoulder injury will be treated in the SH POC and
  • workers with other musculoskeletal injuries will be treated in the MSK POC

Focus of the MSK POC

The MSK POC is focused on functional assessment and functional restoration. The Patient-Specific Functional Scale (PSFS) is the outcome measure for the MSK POC and will be used at the initial assessment and again at discharge from the MSK POC. The PSFS identifies the tasks that the worker has difficulty with because of the injury and will assess change in functional ability and help focus the treatment on specific functional tasks.

Return to work is an important part of successful rehabilitation. Graded exposure to work-related activities is an effective way to help workers regain their functional abilities.

Health Professional requirements

Prior to delivering the MSK POC, health professionals must become knowledgeable about the MSK POC reference guide, the outcome measure, the Initial Assessment and the Care and Outcomes Summary Reports, the fee schedule and other materials noted below.   To participate in delivering WSIB’s Programs of Care, health professionals must complete the Application to Deliver Programs of Care form (96.1kb, PDF).


Watch our MSK POC video.

Materials for download:

Programs of Care Provider Directory

Find a health professional who can deliver the MSK POC, or report changes to your listing in the Programs of Care Provider Directory.

Have questions?

  •  Refer to the Questions and Answers
  •  Call the WSIB Clinical Expert Line at 416-344-5739 or toll-free at 1-866-716-1299 for clinical questions or to discuss the worker’s ability to participate in the MSK POC
  •  Call the Health Care Professional Access line at 416-344 4526 or 1-800-569-7919 for administrative questions
  •  Call the WSIB at 416-344-1000 or 1-800-387-0750 before the end of the 6th week of the MSK POC, where a worker is not expected to be able to return to all regular duties and hours at the conclusion of the MSK POC.

Contact WSIB

Submit Initial Assessment form and the Care and Outcomes Summary:

  • Fax: 416-344-4684
  • 1-888-313-7373
  • Mail: 200 Front Street West, Toronto, Ontario M5V 3J1

Before the end of the 6th week of the MSK POC contact with WSIB where the worker is not expected to be able to return to all regular work duties and hours at the conclusion of the MSK POC: 

  • 416-344-1000
  • 1-800-387-0750

Discuss  case-specific clinical concerns by the calling the WSIB Clinical Expert Line:

  • 416-344-5739
  • 1-866-716-1299

Discuss administrative matters:

  • 416-344-4526
  • 1-800-569-7919