Comprehensive assessments of the muscular skeletal system are necessary to discover a detailed diagnosis to promote a proper treatment protocol what will succeed in timely and great results. In debt examination with the proper skills learned in the Physiotherapy education and in specialized manual (hands on) post graduate courses are crucial in our Physiotherapy profession to make sure that if complicated and or regular conditions or are to be dealt with,that this will be done in a professional and responsible manor. The examination information gathered is not only important for P.T. treatment procedures but also vital if any other serious conditions are diagnosed or if there is any suspiciousness leading to a possible serious condition, which then must be dealt with appropriately. In my profession as a Physiotherapist this initial assessment is of the upmost importance! This is where treatment procedures are going to be successful struggle or fail!