Do we often over complicate things with our approach to the rehab of MSK disorders? I, likely more than most, firmly believe in the concept “the truth defies simplicity”; however often the causative factor for a problem is rather apparent with an equally simple solution. Too often do I observe approaches based on loose scientific principles or over extensions of human physiology. These behaviors often obfuscate thinking and make treatment more complicated than it should be. The understanding or perception regarding the attributed mechanism for an intended therapeutic effect is important; for both provider and patient. In short, why is as important as what is done or chosen for treatment. Granted there will be variability in approaches based on one’s training and knowledge base; but are our thoughts often too scattered and random when they should be more focused and directed? Does this uncoordinated way of thinking impact our outcomes? Does this matter? Let’s hear your thoughts (pun intended).