# Persistent Misunderstandings in Rehabilitation Medicine in India: A Call for Redefinition

## TL;DR

Rehabilitation medicine in India is often misunderstood as just physiotherapy, leading to poor outcomes for people with disabilities.

## Contribution

The paper highlights the urgent need to redefine and elevate Physical Medicine and Rehabilitation as a core clinical specialty in India.

## Key findings

- PMR is frequently misperceived as a supportive service rather than a physician-led specialty.
- The non-mandatory status of PMR in medical education contributes to limited awareness among future doctors.
- Early and proper rehabilitation can significantly improve functional outcomes and quality of life.

## Abstract

Physical Medicine and Rehabilitation (PMR) is often misunderstood in India and is seen only as physiotherapy or a supportive service rather than a full clinical specialty. This misconception may lead to late referrals, preventable complications, and poor functional outcomes for people living with disability. PMR is not just about exercises; it is physician-led and focused on diagnosis, medical management, and coordination of multidisciplinary care. Early rehabilitation is beneficial for recovery, but PMR remains marginalized in acute care and medical education. The non-mandatory status of PMR as a subject for medical graduates in India has led to limited awareness of this discipline among future doctors. With disability affecting a large number of people in India, redefining PMR as a core specialty is urgent. Recognizing its role in improving function, participation, and quality of life is essential to move beyond survival as the only measure of success and to ensure better care for millions who need it, a priority underscored in this editorial.