Rheumatic and musculoskeletal diseases (RMDs) have far-reaching impacts on individuals and society, marked by chronic pain and functional limitations. While early diagnosis and treatments enhance RMD prognosis, comprehensive management demands multidisciplinary rehabilitation. Goals include pain management, joint function preservation, mobility sustenance, and active participation facilitation. Interdisciplinary teams craft patient-specific rehabilitation plans. Rheumatologists must guide discussions on tailored rehabilitation strategies for RMDs, particularly osteoarthritis, rheumatoid arthritis, and axial spondylarthritis, aligning with international guidelines. This review discusses evolving rehabilitation trends in rheumatic diseases, exploring challenges and opportunities for improved patient outcomes and quality of life.