Background hero banner desktop

Hinge Health State of MSK Care 2024: A Deep Dive into America’s Escalating Pain Crisis

Fourth annual report includes findings from one of the largest national consumer surveys (10,000 people) unpacking the physical and emotional toll of pain

Published Date: Jan 22, 2024

SAN FRANCISCO, CA, JANUARY 22, 2024 - To help illuminate the complex and complicated nature of pain and pain treatment, Hinge Health today released its State of Musculoskeletal (MSK) Care 2024 Report, incorporating findings from a national survey of 10,000 Americans suffering from chronic and acute pain. 

Pain, especially chronic pain, can create a vicious cycle of fear, depression, sleep issues, activity avoidance and more. One in two Americans experience MSK pain, and this year’s report includes 10 key takeaways that highlight the physical and emotional toll of that pain.

Among the takeaways:

  • Pain is a mental health issue: About 1/3 (38%) of people in pain report feeling depressed; nearly half (44%) report anxiety. Furthermore, they say their pain increases and amplifies symptoms of these mental health conditions.

  • Pain rarely exists in isolation: 53% of respondents say that pain affects their sleep while 22% report having obesity and 17% report having type 2 diabetes.  

  • Pain negatively impacts everyday life—and work: 27% of respondents agree that MSK pain has decreased their productivity at work, and 22% agree it has made them consider leaving their jobs.

  • People in pain want to avoid costly, risky interventions: 77% of people in pain are looking for non-surgical options to treat their MSK pain.

  • Barriers to traditional PT include cost, motivation, and access: Half of people in pain indicate traditional PT is too expensive to pursue. Of those who stopped PT, 54% indicated that insurance is not covering enough sessions.

“We live in a nation in pain. The fact that over three-quarters of people are looking for non-surgical options to treat their pain isn’t surprising, given that an estimated 40% of surgeries for MSK fail to produce improved outcomes or lack clinical necessity altogether,” said Dr. Jeff Krauss, Chief Medical Officer, Hinge Health. “Physical therapy by far remains the best course of non-invasive treatment for MSK pain but not enough people are able to access it. Employers have an opportunity to offer benefits that provide a real value to their employees and, in turn, create a healthier, more productive workforce.”

The survey was conducted with a third-party research firm between September 28-October 13, 2023, focusing on 10,000 insured consumers in the U.S. ages 26 to 76 who have personally experienced either acute pain (lasting < 3 months) or chronic pain (lasting ≧3 months) within the past two years. Overall, lower back pain was the most prevalent type of pain reported, with 78% of respondents indicating they experienced lower back pain in the past year. More than 50% of respondents have experienced knee, shoulder, neck, or foot pain in the past year. 

To download the State of MSK 2024 Care Report, visit:

About Hinge Health

Hinge Health is moving people beyond pain by transforming the way it is treated and prevented. Connecting people digitally and in-person with expert clinical care, we combine advanced technology, AI and a care team of experts to guide people through personalized care directly from their phone. Our approach is proven to reduce pain by 68%, prevent 42% of new opioid prescriptions, and avoid more than half of joint replacement surgeries. Available to 18M people, Hinge Health is trusted by leading health plans and employers, including Land O’Lakes, L.L. Bean, Salesforce, Self-Insured Schools of California, Southern Company, State of New Jersey, US Foods, and Verizon.

Learn more about how we are inspiring people to improve their health through the power of movement

Media Contact: