Study Interventions: All aspects related to physical therapy care are based on standard care provided by physical therapists for MSK complaints. Current practice at the Duke Outpatient Clinic consists of an onsite physical therapist to provide examinations, onsite exercise and home based exercise programs, and pain control education. Our planned study will consist of two interventions, both of which are standard care, however the investigators are modifying the order of when a patient may be seen by a physical therapist for a MSK complaint within the primary care setting. Our two interventions are physical therapist first or primary care provider first. The primary care provider first model may utilize the onsite physical therapist to provide physical therapy care by referral, known as the co-located primary care provider to physical therapist model, or utilize physical therapy by offsite referral.