Comparison of musculoskeletal pain prevalence between medical and surgical specialty residents in a major hospital in Riyadh, Saudi Arabia

Abstract

Objectives: Musculoskeletal disorders are an occupational hazard between physicians. Physicians whose practice involves physical undertakings, such as surgeons, are prone to musculoskeletal pain, which can lead to decreased productivity. This study aimed to compare surgical and nonsurgical specialties musculoskeletal pain prevalence, as well as assess whether certain factors contribute to their pain. Methods: A cross-sectional study that utilized a self-administered questionnaire handed out to 140 conveniently selected surgical and nonsurgical residents at King Abdulaziz Medical City, Riyadh. The questionnaire included a demographics section and a section inquiring about nine anatomical areas derived from the Nordic Musculoskeletal Questionnaire. Results: The mean age was 27 years old, and 79% were male. Surgical residents comprised 39% (n = 55) of the participants. Of all the residents, 82.9% (n = 116) suffered from a musculoskeletal complaint, with the majority involving the lower back (53%). Surgical residents were more likely to take time off work (16% vs. 4%) and attributed their pain to their profession (38% vs. 15%). Lower back pain was related positively to body mass index (P = 0.04). Multivariate logistical regression revealed that being a surgeon (odds ratio [OR] = 5.08 and confidence interval [CI] = 0.27–94.14) and spending time doing interventional procedures (10 h; OR = 0.97 and CI = 0.05–18.61) are predisposing factors to musculoskeletal pain. Conclusion: Ergonomic changes are needed to enhance productivity and decrease time off work. Surgical residents need to be aware of the risk of experiencing musculoskeletal pain and be educated on ways to avoid or cope with their pain.