I saw a recent Lancet paper mentioning that the number of people needing rehab has increased from 1990 to 2019 by 63% with MSK conditions being the most prevalent.

Are we contributing to this increase?

Have we created patient's dependence for rehabilitation because of the high numbers of passive modalities?

I guess depending on your healthcare profession and training we all have different ideas what "the problem" is.

No offense in generalising other professions but for passive treatment:
a manual therapist might say your kneepain is a result of some immobile tarsal bones,
a chiro maybe would find some problems with L2-L4,
a massage therapist might suggest your Quad is to tight,
a rolfer would work on some fascia and say we'll come to that on Session 2 and 4 ;-)

and in a way they might be all right and help the patient.

I think the question is how "the problem" is communicated to the patient and how he interpretes it and the results of the intervention.

If it is commuicated and viewed as something that needs to be fixed by someone then... yes, we created patient's dependence...

I like working manually sometimes but no paitent leaves without things they can do for themselfs.

Alejandro, wasn't this talked about by Jan Hartvigsen in his lecture series on the Lancet papers?
https://www.trustme-ed.com/lectures/low-back-pain-what-it-is-and-why-we-should-pay-attention

Or where did you find that?

And indeed it's important to not create dependency in our patients but more empowerment. 

Hands-on is not a bad thing, it can create a better bond with your patients, but it's also a possible way to create dependency on the massage.
Perhaps best to balance this?

Indeed Daniel, it's all about how we communicate the "problem" to the patient. Do you have some tips on how to do this? How do you explain pain to patients?

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The rise in rehabilitation needs from 1990 to 2019, with musculoskeletal (MSK) conditions being the most prevalent, suggests a growing demand for recovery and management of physical health. While healthcare advancements and aging populations play a role, we must consider whether modern treatment approaches are contributing to this trend. The widespread use of passive modalities, such as massages and electrotherapy, might inadvertently encourage patients to rely on rehabilitation rather than promoting active, self-driven recovery methods. This shift could lead to dependency on therapy, rather than fostering independence and self-management. It’s essential to balance passive treatments with empowering patients to take an active role in their recovery. Just as the haidilao century square menu offers diverse options to cater to various preferences, rehabilitation strategies must be tailored to meet individual needs and promote long-term wellness.