Yes, Physical Therapists and PT services are under-utilized across the medical and rehabilitation board. There has been a shift in the way we treat and see new patients. 20 years ago Physician referrals were commonplace and they sent patients straight to PTs. There were Pros and Cons to this but the trends has been a huge decline in referrals since the introduction of big networks, HOPTS and POPTS. However, since the inclusion of Direct Access in many states Physical Therapists can now market direct to the consumer which has had an huge increase in the demand for PT services.