Physiotherapists prescribing medications to manage pain in emergency departments and outpatient clinics

This study is testing whether specially trained physiotherapists can safely prescribe a limited range of pain medications for patients attending emergency departments and outpatient clinics with musculoskeletal injuries. The goal is to make pain management faster and more efficient without needing to wait for a doctor. You may be eligible if: - You are 18 years of age or older - You have a musculoskeletal condition such as a sprain, strain, tendon problem, or arthritis - You are attending an emergency department or outpatient clinic for this condition - You are able to give informed consent and follow study instructions You may NOT be eligible if: - You have an open wound or active infection - You have an inflammatory condition (e.g., rheumatoid arthritis) as the main reason for your visit - You have cancer, cardiovascular disease, metabolic disease, or a central nervous system disorder as the primary problem - You have a serious spinal injury (e.g., cauda equina syndrome) or acute head injury - You have altered or lost consciousness, breathing difficulty, or abdominal pain - You are pregnant - Your injury involved high energy (e.g., a fall from height) Talk to your doctor about whether this trial might be right for you.