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From conference calls to construction sites: how musculoskeletal conditions impact workforce health
Published: August 19, 2024


Over half of U.S. adults suffer from musculoskeletal conditions that can cause pain, impair functioning, and substantially decrease productivity at work.1 Unfortunately, these conditions are costly — 75% of employers rank musculoskeletal conditions among the top 2 health conditions driving their costs — and on the rise.2
Spinal disorders are projected to become 26% more prevalent in the next decade, and cases of arthritis and osteoporosis are expected to rise by more than 30% in the next 20 years.3 Whether your employees work remotely or in person, it’s vital to understand how musculoskeletal conditions occur, what impact they have on your bottom line, and how you can help protect your employees.

How do musculoskeletal conditions occur?
Musculoskeletal conditions affect bones, joints, muscles, and connective tissue. They can cause pain, limit mobility and dexterity, and impair overall functioning. Some common conditions include arthritis, back and neck pain, sprains, and tendonitis. These conditions are often caused by overexertion, repetitive motion, or bodily reaction — for example, bending or twisting the wrong way.
“With people who do physical work, I see a lot of overuse injuries related to improper movement,” explains Dr. Dennis Farid Khalili-Borna, who specializes in family and sports medicine at Kaiser Permanente. “If you move incorrectly, something that starts as a small strain can become something that gets flared up regularly.”
Musculoskeletal conditions can also occur when employees are too sedentary or lack ergonomic workstations. “Building movement into your workday is essential,” Dr. Khalili-Borna says when discussing the musculoskeletal hazards of office work. “And having an ergonomic workstation encourages proper posture while reducing neck strain.”

Musculoskeletal conditions are big cost drivers for employers
Employers spend $353 billion annually on treatments aimed at helping their employees with musculoskeletal conditions, which accounts for nearly 15% of their total medical costs.4 Each employee with arthritis adds $8,919 in annual health care costs, and those with rheumatoid arthritis add about $7,500.5 And workers with at least one musculoskeletal condition missed an average of 14 workdays per year.6
Construction workers are especially prone to missing work due to musculoskeletal conditions. According to Dr. Khalili-Borna, they often suffer from tennis elbow (aka tendonitis), which can affect their health and productivity. “Once you get tendonitis in the elbow, it takes 9 months on average to get back to full health,” he explains. “That doesn’t mean an employee will be out for 9 months, but flareups will force them to miss workdays.”

The high cost of low back pain
Low back pain is the leading cause of disability and productivity loss worldwide, and it poses a significant economic burden on businesses.7 20% of workers who report low back pain miss more than a month of work, and 10% miss more than three months annually.8 The medical and pharmacy costs for those with low back pain are also roughly $2,400 higher compared to other employees.9
The true impact of knee pain
Knee pain affects nearly 1 in 2 people and accounts for 5% of all primary care visits, making it a critical concern facing your business.10 Employees experiencing knee pain can miss 19 days of work per year.11 And those who suffer from osteoarthritis (a common cause of knee pain) can cost businesses $7,707 more in total annual healthcare costs.12


Musculoskeletal surgery is expensive and often ineffective
36% of musculoskeletal surgeries are unnecessary, and employers and health plans stand to save at least $90 billion per year if employees choose pain-relief methods like physical therapy over surgery.13 For Dr. Khalili-Borna, surgery is usually a last resort — something that should only be considered after someone suffering from a musculoskeletal condition has exhausted all other means of rehabilitation.
“If someone has a significant structural injury that won't get better, like a meniscus tear that’s causing instability, they might not be able to heal up their stabilizing structures without surgery,” he explains. “But for most minor injuries the body does a pretty good job healing itself, especially when it comes to neck and back issues.”
Musculoskeletal conditions can strain mental health
When your employees are managing chronic musculoskeletal pain or recovering from an injury, they’re not just missing out on work. They might be unable to do some of the things they love, including activities that give them a sense of community and identity. As a result, their mental health can take a hit. Studies show that people with higher levels of physical activity are less likely to develop depression or experience stress and anxiety.14 And your employees’ mental health can directly affect your business. Workers who rate their mental health as fair or poor miss an estimated 12 days of work annually due to mental health-related absences, which costs employers an average of $340 per day for full-time workers.15
How can employers help?
As a business leader, there are several ways you can support employee musculoskeletal health.
How to support employees with in-office or remote desk jobs
- Offer ergonomic assessments, training, and needed equipment
- Encourage non-static positions.
- Communicate the importance of taking regular breaks and stretching.
- Provide financial assistance for remote employees to set up an ergonomic workstation. This should include a desk or table; adjustable chair with lumbar and arm support; and an external monitor, mouse, and keyboard.
- Ensure that employees understand the risks of working at workstations with poor ergonomics.
Given that desk jobs provide little opportunity for movement and can lead to unhealthy behaviors like snacking, you might also encourage your employees to practice healthy lifestyle choices like regular exercise and eating healthy foods.
“For in-office and remote workers, we tend to gain weight as we become more sedentary and snack more often. Being sedentary can lead to core weakness, and carrying more weight can put pressure on our spine when we walk, which can cause back pain,” Dr. Khalili-Borna says. “When we look at a patient, we see if there are other healthy lifestyle modifications we need to make — like a change in diet or exercise — that can help them with improving their musculoskeletal condition.”
How to support employees with non-desk jobs
- Provide training on proper lifting techniques.
- Make mechanical assist devices available when possible.
- Offer height-adjustable workbenches.
- Ensure that tools and materials are within reaching distance.
- Schedule more breaks to allow for rest and recovery.
- Rotate workers through physically demanding jobs.


Partner with a health plan that:
- Offers virtual physical therapy to encourage workers to remain engaged with their care — without having to make the choice between prioritizing their work over their health.
- Incorporates musculoskeletal care into a holistic, evidence-based, and personalized care plan — one that addresses comorbidities that might impact recovery.
- Offers same-day procedures for musculoskeletal injuries that require surgery, which avoids readmission costs and allows your employees to heal at home.
- Integrates your employees’ mental health into their overall care — so they’re better equipped to handle the physical, psychological, and emotional toll of managing or recovering from a musculoskeletal condition.
Dr. Khalili-Borna also suggests that employers offer modified work tasks for employees who are recovering from a musculoskeletal condition. That way, they can remain productive while continuing to heal. “Most commonly, people return to work and must perform tasks that aggravate their condition,” he explains. “Employers should try to accommodate an employee’s temporary physical restrictions, so they aren’t forced to take more time off work.”
Supporting musculoskeletal health supports your business
Musculoskeletal conditions impact every workforce and every company’s bottom line. Employers can make it easier for employees to manage current musculoskeletal conditions and prevent future ones by offering affordable, accessible care alongside ergonomic education and equipment. By taking a proactive approach to promoting musculoskeletal health, employers can help reduce health care costs — and make a meaningful difference in their employees’ quality of life.
GUIDE
Lower orthopedic expenses, elevate workforce health
Our easy-to-follow guide helps you empower employees to use existing benefits for muscle and joint pain, fostering a culture of proactive care.


About our expert
Dr. Dennis Farid Khalili-Borna, MD
Dennis Khalili-Borna is a board-certified family medicine physician with a certificate of added qualification in sports medicine, and has been with Kaiser Permanente since 2001. He currently serves as the regional physician lead of Sports Medicine for Southern California Kaiser Permanente, as well as the physician in charge of his clinic in family medicine at Fontana, California.
Additional resources you may find helpful

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Find the right plan for your business 1-877-305-7933
Footnotes:
1“Fast Facts: Musculoskeletal Conditions,” United States Bone and Joint Initiative, accessed June 10, 2024.
2“2024 Large Employer Health Care Strategy Survey: Executive Summary,” Business Group on Health, August 22, 2023.
3“2022 Musculoskeletal health trends,” Advisory Board, April 2022.
4Daniel Demyan, “How Do You Use Data to Reduce Musculoskeletal (MSK) Costs on Your Health Plan?”, Roundstone Insurance, April 21, 2023; “2022 Castlight Workforce Health Index,” Castlight, April 2022, accessed June 10, 2024.
5Ortaliza et al., Peterson-KFF Health System Tracker, November 12, 2021; “Health and Productivity Impact of Chronic Conditions: Rheumatoid Arthritis,” Integrated Benefits Institute, February 2018, accessed June 10, 2024.
6“Employer-Reported Workplace Injuries and Illnesses – 2021-2022,” U.S. Bureau of Labor Statistics, accessed June 10, 2024.
7“Indirect Costs of Back Pain and MSDs,” Ohio State University, accessed June 11, 2024, https://spine.osu.edu/indirect-costs-back-pain-and-msds
.
8See note 7.
9“Health and Productivity Impact of Chronic Conditions: Back Pain,” Integrated Benefits Institute, September 2019, accessed June 10, 2024.
10Corey W. Hunter et al., “Consensus Guidelines on Interventional Therapies for Knee Pain (STEP Guidelines) from the American Society of Pain and Neuroscience,” Journal of pain research vol. 15, p. 2683-2745. September 8, 2022, https://pubmed.ncbi.nlm.nih.gov/36132996/
; Vicky Duong et al., “Evaluation and Treatment of Knee Pain: A Review,” JAMA vol. 330,16 (2023), p. 1568-1580, https://pubmed.ncbi.nlm.nih.gov/37874571/
.
11“Work Injuries and Illnesses by Part of Body,” Injury Facts, accessed June 11, 2024, https://injuryfacts.nsc.org/work/industry-incidence-rates/work-injuries-and-illnesses-by-part-of-body/
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12Angela V Bedenbaugh et al., “Real-World Health Care Resource Utilization and Costs Among US Patients with Knee Osteoarthritis Compared with Controls,” ClinicoEconomics and outcomes research : CEOR vol. 13, p. 421-435, May 21, 2021, https://pubmed.ncbi.nlm.nih.gov/34054301/
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13Lee Hafner, “36% of MSK surgeries are unnecessary, costing the workforce $90B,” Employee Benefit News, July 21, 2023, https://www.benefitnews.com/news/36-of-msk-surgeries-are-unnecessary-costing-the-workforce-90b
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14Felipe Barreto Schuch et al., “Physical activity, exercise, and mental disorders: it is time to move on,” Trends in psychiatry and psychotherapy, October 21, 2021, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8638711/.
15Dan Witters and Sangeeta Agrawal, “The Economic Cost of Poor Employee Mental Health,” Gallup.com, November 3, 2022, https://www.gallup.com/workplace/404174/economic-cost-poor-employee-mental-health.aspx.