The burden of musculoskeletal conditions

Abstract

Musculoskeletal conditions (MsC) are a major burden to the individual, society and the health service. Approximately 10% of GP consultations are for MsC. Most new consultations are for self-limiting conditions such as soft tissue rheumatism, chronic widespread pain and arthralgia. Incident cases of osteoarthritis are ten times more common than rheumatoid arthritis (RA). The prevalence of MsC is higher in women and rises with age. It is likely that MsC prevalence will continue to rise as life expectancy increases. Costs for MsC include those to healthcare services, to society and indirect costs. One-fifth of all incapacity claims in Great Britain are for MsC. Combined costs for RA patients amount to £7000 per person affected per year. Major hip procedures cost on average £7800 and major knee procedures on average £4471. Risk factors for MsC include age and gender. The prevalence of certain MsC varies depending on ethnicity, lifestyle factors and genetic predisposition. The main consequences of MsC are chronic pain and disability. The burden of MsC is high and the impact of these conditions on the health service and society will continue to rise alongside increasing life expectancy.