Prevalence of endoscopy-related musculoskeletal disorders amongst Australian endoscopists

Endoscopic procedures increase the risk of endoscopy-related musculoskeletal disorders (ErMSD), with high prevalence reported internationally; however, Australian data are limited. This study aimed to determine the prevalence of ErMSD among Australian endoscopists and identify associated risk factors and protective behaviours. A national online survey of credentialled endoscopists collected data on demographics, procedure type and volume, pain and injury history, consequences (including treatment and work modification), and prevention practices. Eighty-one endoscopists (73.8% surgeons, 25.0% gastroenterologists) participated. Overall, 61.7% reported current (29.6%) or previous (32.1%) ErMSD. Common injury sites included the thumbs/hands, lumbar and cervical spine. Higher weekly colonoscopy volume was significantly associated with ErMSD (p = 0.01). Symptoms were frequently exacerbated during or after procedures (80.9%), with over half reporting impacts on activities outside work (51.1%) or requiring formal treatment (57.4%). ErMSD is prevalent among Australian endoscopists and is associated with procedural volume, highlighting the need for targeted prevention strategies.