**5. Conclusion and recommendations**

The burden of MSK disorders is likely to vary in different parts of the world. While moderniza‐ tion has bulldozed the Western world toward similar lifestyles, it has not yet transformed the cultural and traditional picture of Asia, Africa and several regions of South America. The disease health process is cultural and is influenced by socioeconomic factors. Many indigenous groups traditionally squat and/or sit cross‐legged on the ground to enhance their daily activities [37, 38]. Several MSDs can interfere causing immense suffering and frustration. Despite severe pain and disability, people do not easily give up this traditional and cultural lifestyle. It also coping to pain and disability, giving priority to work. This can also be seen in different vulnerable groups, where the quality and precariousness of work make individuals normalize pain and coping to it.

The recommendations are based on the literature discussed in this chapter. The assistance to this problem should be multidisciplinary, using both qualitative and quantitative methodology.

A priority is the promotion and prevention of such conditions in the most vulnerable popula‐ tion groups, living in precarious conditions and social inequality.
