Summary of our market study

The global market for physiotherapy services, including those provided by masseurs-kinésithérapeutes (MKs) in France, is experiencing significant growth. estimated at $19.9 billion in 2022, it is set to grow at a CAGR of 6.9% to reach $36.28 billion in 2031. The European region remains the largest contributor to this market. In France, the number of registered MKs has risen by 13.6%, and future projections point to a further increase of 36% by 2040. This rapid growth in the number of practitioners exceeds that of the French population.

Despite a slowdown during the COVID-19 crisis, the market has rebounded strongly with a 19% increase in the value of MK care consumption between 2020 and 2021, underlining the resilience and continued demand for physiotherapy services. The aging of the French population and the increase in long-term chronic illnesses (ALD) are key drivers of this demand. In particular, 50% of physiotherapy procedures involve patients with ALDs, and 10% of French people suffering from ALDs consult an MK on a daily basis.

The French public's opinion of MK services remains positive, with 84% considering MK care to be effective in relieving pain, a sentiment that is likely to persist given the continuing trend in healthcare consumption.

Dynamics of the physiotherapy market in France: an ageing population and chronic illnesses boost demand

In France, demand for physiotherapy services provided by masseurs-kinésithérapeutes (MKs) has followed an upward trajectory, influenced by socio-demographic factors and the prevalence of chronic diseases. As the population ages and the incidence of long-term conditions rises, physiotherapy has become an indispensable service for maintaining health and mobility.

The country has seen a significant increase in the consumption of ancillary medical care, including MK services, the value of which has tripled from around 2.8 billion euros in the early 2000s to almost 6.8 billion euros in recent years. Particularly worrying for the ageing population - those aged 75 and over - who consume five times more physiotherapy care than the general population, this demographic trend promises a steady influx of demand for MK services in the future. By 2070, the proportion of people aged 75 and over is expected to double, representing a substantial long-term market opportunity for physiotherapy providers. In addition, the prevalence of long-term conditions (ALD), or chronic illnesses, further reinforces this demand.

The number of people suffering from ALD is expected to reach between 10 and 15 million by the mid-2020s, which should broaden the scope of MK services. Currently, half of all procedures performed by MKs involve people with ALD, underlining their essential role in the management of these conditions. Market demand for physiotherapy is also driven by the confidence many people have in the effectiveness of the care provided by MKs, as well as the general appreciation of the profession within the French community. This positive sentiment, coupled with the increasing need for physiotherapy services due to demographic and health trends, places the MK market in a strong position for growth and continued public support.

Key players shaping the French masseur-physiotherapist market landscape

As the French physiotherapy market continues to thrive, several key players have emerged as important contributors to the sector. Their services range from providing platforms for MK-patient interactions to supplying specialized physiotherapy equipment that meets the needs of contemporary physiotherapy practice. Without dwelling on their financial performance, let's take a look at the role these companies play in the growing landscape of physiotherapy services in France.

  • Doctolib: A pioneer in patient management technology for the healthcare sector, Doctolib offers a robust online platform for patients to find and book appointments with healthcare professionals, including physiotherapists. This service simplifies the process of connecting patients with the care they need, enhancing their accessibility to therapeutic services.

  • Kinessonne: As a leading supplier of physiotherapy and rehabilitation equipment, Kinessonne provides healthcare professionals with the tools they need to deliver effective treatments. Its range includes electrostimulation, ultrasound and cryotherapy equipment, all essential to modern physiotherapy practices.

  • Fyzea: Another major supplier to the market, Fyzea offers physiotherapists a variety of equipment options, supporting a wide range of therapeutic activities and enhancing the effectiveness of treatment protocols.

  • Promokiné: This player also specializes in the sale of physiotherapy and rehabilitation equipment. By offering a wide range of equipment, Promokiné plays an essential role in enabling MKs to offer their patients comprehensive treatment options.

  • Enraf-Nonius: This company is known for its technologically advanced medical equipment, which facilitates rehabilitation and physiotherapy treatments. Its products are designed to improve the quality of care provided by healthcare professionals, which is essential for patient recovery.

  • Cefar Compex: Cefar Compex offers a range of electrostimulation devices that have become an integral part of physiotherapy practices. These devices help with muscle recovery and pain relief, two of the main concerns of physiotherapists.

  • Dynamika: A smaller but essential player, Dynamika adds to the diversity of market offerings with its range of physiotherapy equipment, responding to the personalized needs of different treatment methodologies.

  • Sissel France: Offering a range of health and fitness products, Sissel France supports not only physiotherapists in their practice, but also individuals wishing to improve their personal well-being.
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Summary and extracts

1 Market overview

1.1 Definition and presentation

Physiotherapists (MKs), or kinesiologists in everyday language, are salaried or self-employed healthcare professionals whose work is governed by the French Public Health Code. They work with or without a doctor's prescription, and their sessions are reimbursed by the French Social Security system.

MKs specialize in the analysis of human body movements. They apply various healing techniques via massage and medical gymnastics, to relieve pain and muscular problems.

The worldwide market for MK services is estimated at 19.9 billion by 2022and is expected to continue growing at a CAGR of6.9% by 2031to reach36.28 billion.[Growth Market Reports]

Europe is the main revenue-generating region in the global MK industry. France is also the 2nd country with the most physiotherapists (97,790 in 2022) in the region, after Germany (204,909 in 2022). [Ordremk]

The number of registrations with theOrdre des Masseurs-Kinésithérapeutes has been growing steadily for several years(+13.6% since 2018) and is set to increase by 36% between 2022 and 2040.

At the same time, consumption of MK care in France has risen from 2,875 million euros in 2001 to 6,771 million euros in 2022. The rise in needs is partly driven by an ageing population, the growing choice of an active lifestyle and the development of healthcare-friendly reforms.

As the number of MKs is set to grow much faster than the French population, the density of MKs will tend to be higher and higher, and the supply of care will tend to grow faster than demand.

The physiotherapy market therefore offers opportunities, but also presents challenges. these include the need to manage growing demand, stand out in a competitive sector, comply with regulations (training and certification), and adapt to technological developments.

1.2 A healthy global and European market

The global market

The global market for masseur, physiotherapist (***) of *.*% to ****, reaching $**.** billion. [***]

Global Physiotherapists Market Sales World, ****-****, in billions of dollars Source: ****

The European market

Europe is the main revenue-generating region in the global MK industry. Factors such as the growing elderly population, the increasing choice of an active ...

1.3 The growing French market

The growth of the French market is closely linked to the increasing consumption of medical auxiliary care. Medical auxiliaries are healthcare professionals governed by a specific section of the French Public Health Code. They include nurses, physiotherapists, speech therapists and orthoptists, chiropodists, opticians, dieticians, ambulance drivers and others.

The graph below ...

1.4 The effects of Covid-19

During the Covid-** crisis: MK practices closed

Following the President of the Republic's announcements and from March **, ****, MK practices had to close under orders from the Conseil national de l'Ordre des MK.

Thus[***]:

non-urgent and non-crucial treatments have ceased to be provided: urogynecological re-education, sprain re-education with no risk of complication... ...

2 Demand analysis

2.1 Socio-demographic factors driving market growth

Demand for MK care is present at all stages of life, but is particularly correlated with the ageing of the population. According to theWorld Health Organization (***), the incidence of stroke, Alzheimer's disease and hip fractures increases exponentially with age, and these conditions are common in people over **. Thus, the aging population ...

2.2 MKs' main patients: seniors and ALD patients

Affections longue durée (***) are diseases whose severity and/or chronic nature require prolonged treatment. They include diabetes, coronary heart disease, neurological diseases, cancer, etc.

The number of people suffering from ALD is expected to reach ** million by ****, an increase of **.*% on ****.

According to the French Medical Association (***), **% of procedures performed ...

2.3 A practice generally appreciated by the French

Harris interactive carried out a survey on "Le regard des Français sur les masseurs-kinésithérapeutes" in ****, on a sample of *,*** individuals representative of the French population aged ** and over.

The graph below represents the French people's opinion of the effectiveness of MK care in relieving pain. **% of those questioned ...

3 Market structure

3.1 Who are the Masseurs-kinésithérapeutes in France?

Number of MKs

In France, in ****, there will be **,*** MKs registered with the Order. The number of registered MKs has been rising steadily in recent years(***), and is set to increase by **% between **** and ****, to ***,***.

This increase, clearly higher than that of the French population (***), and thesupply of care will grow ...

3.2 Graduating as a physiotherapist abroad: a growing phenomenon

From January **** to January ****, there was a *. *% increase in the number of registered professionals with a French diploma, from **,*** to **,***. In comparison, the number of registered professionals with foreign degrees grew much faster, by **.*%, from **,*** to **,***, equivalent to a progression * times faster than that of French graduates.

There are a number ...

3.3 Where are the MKs in France?

The Top * regions with the highest MK populations areÎle-de-France, with a total of **,*** MKs,Auvergne-Rhône-Alpes with **,*** MKs andOccitanie with **,*** MKs. The regions with the lowest concentration of MKs are: Bourgogne-Franche-Comté (***).

Number of MKs by region France, ****, in units Source: ****

The map below on the density of MKs by region ...

3.4 The related market for physiotherapy equipment

The practice of MKs can rely on theuse of a wide range of equipment and accessories, especially for MKs working in hospitals or rehabilitation centers.

This market is segmented by type of equipment or accessories and by type of application[***] :

equipment or accessories: hydrotherapy, electrotherapy, continuous passive movement units, multi-exercise therapy ...

4 Offer analysis

4.1 Typology of MK procedures

The NGAP (***) breaks down the * main acts performed by MKs[***] as follows:

AMS: Rehabilitation acts for orthopedic and rheumatological conditions performed by the MK, **% of acts in **** ; AMK: Acts performed by the MK in the office or in the patient's home, with the exception of acts performed in an office set ...

4.2 MK care prices

The MK's field of expertise is largely defined by Decree no. ****-*** of June **, ****: "The aim is to prevent the deterioration of functional capacities, to help maintain them and, when they are impaired, to restore them.to prevent deterioration in functional capacities, to help maintain them and, when they are impaired, ...

4.3 Supply trends

In the field of physiotherapy, new technologies are being developed to improve the services and treatments offered by professionals.

The growing use of electrical, motorized and robotized equipment

electrical muscle stimulation devices: muscle strengthening and improved mobility. robotized treadmills: work on balance and coordination. motorized exoskeletons: mobility enhancement for patients with ...

5 Regulations

5.1 Current regulations

Practicing massage therapy

In France, the profession of masseur-kinésithérapeute is reserved for holders of the state diploma of masseur-kinésithérapeute. The "numerus clausus" was instituted by the law of June **, ****, and sets a limit on the number of students admitted to the second year of medicine, pharmacy, physiotherapy ...

6 Positioning the players

6.1 Player segmentation

  • Doctolib
  • NM Medical - Kinessonne
  • FYZEA
  • Elite Medicale - PromoKiné
  • Enovis Compex
  • Enovis Chattanooga
  • Phyto Performance
  • PCN Physio
  • Enraf Nonius
  • Kinvent Physio

List of charts presented in this market study

  • Sales in the global physiotherapist market
  • Top 10 European countries in density of physiotherapists
  • Consumption of medical auxiliary care
  • Consumption of MK care
  • Population projections to 2070
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Latest news

Doctolib buys Dutch company Siilo to facilitate communications between healthcare professionals. - 02/03/2023
  • Silo has 500,000 users who exchange an average of 40 million messages a month
  • 14 million euros raised since its creation
  • 40 employees
  • Doctolib - a medical appointment scheduling solution used by 70 million people in Europe
  • Sales up 24% year-on-year, excluding acquisition of Siilo
  • The company has raised 500 million euros from Bpifrance and Eurazeo in 2022, on a valuation of 5.8 billion euros

Companies quoted in this study

This study contains a complete overview of the companies in the market, with the latest figures and news for each company. :

Doctolib
NM Medical - Kinessonne
FYZEA
Elite Medicale - PromoKiné
Enovis Compex
Enovis Chattanooga
Phyto Performance
PCN Physio
Enraf Nonius
Kinvent Physio

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