Hinge Health broader MSK platform

The real gap is not digital physical therapy quality, it is product breadth and distribution depth. Hinge is building an MSK front door that starts with app based exercise therapy and then routes members into pelvic health, fall prevention, care navigation, EHR connected workflows, and now in person orthopedic networks. Sword built a strong digital pain and PT engine, but its footprint has centered much more tightly on pain recovery and adjacent pelvic health.

• Hinge sells a broader care workflow. A member can start with guided exercises, get form feedback from sensors and computer vision, message an AI assistant, connect into provider records through HingeConnect, and if needed get routed into HingeSelect for imaging, injections, or surgery referrals at lower contracted rates.
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• Sword has historically won on focused digital therapy. Its core product is at home MSK treatment with motion tracking and clinician support, and recent expansion has mostly extended from that base into pain relief and pelvic health through Bloom, rather than into a full payer integrated MSK navigation stack.
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• That difference matters in enterprise sales. Hinge reported 25 million contracted lives and 2,830 clients at the end of 2025, plus partnerships with all five major national health plans. Sword materials point to 6 million plus lives and 2,000 plus employers in early 2024, showing meaningful reach but a smaller embedded distribution network.
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The category is moving from single point digital PT tools toward broader MSK care orchestration. Hinge is pushing fastest in that direction by bundling software triage, specialist access, and in person network management. Sword is also broadening, especially through Bloom and the Kaia acquisition, but the market is increasingly rewarding platforms that can own more of the care journey and more of the payer relationship.