Musculoskeletal Disorders (MSDs) have been identified as the most expensive occupational health disorder and leading work-related health concern in developed as well as developing countries. It accounts for over 30% of all injuries requiring time away from work [1]. Musculoskeletal disorders (MSDs) have been defined as injuries affecting muscles, tendons, ligaments, joints, nerves, and blood vessels, and have been reported to be the major causes of work-related disability [2,3]. The global burden of disease study in 2017 indicated that MSDs increased the risk of disability by 50% from 1990 to 2017 globally [4]. The current prevalence and distribution of MSDs are widespread in many countries, generating substantial costs in terms of lost workdays, medical expenses, and impact on health-related quality of life [5]. Additionally, in low- and middle-income countries, they account for 19% of all disability-adjusted life years lost due to disability [6].

Several studies have identified various risk factors and patterns for developing MSDs. In a study by Hoy et al [7]. increasing age, lower educational levels, and the presence of other diseases were reported to be strongly associated with an increased risk of developing MSDs. Other commonly reported factors associated with the increase in incidence and prevalence of MSDs among workers include awkward working postures, repetitive use of body parts, prolonged standing, demographic characteristics, poor lifting techniques, and the absence of effective work injury prevention programs [8,9]. Previous studies on MSDs have indicated that lower back, neck, shoulder, forearm, and hand are the most common body parts that suffer from MSDs [10]. The observed pattern of MSDs among agricultural service workers predominantly occurs in the low back; nevertheless, they are often more generalized in nature [11]. Furthermore, the European Agency for Safety and Health at Work has reported that in the European Union, the relative prevalence rate of MSDs is highest among service workers, and shop and market sales employees [12]. Additionally, working for a long time in a sitting position or maintaining a static posture for a prolonged period has been identified as one of the major causes of occupational diseases [13]. Also, previous studies have indicated that constant sitting affects mostly the neck and lower back region [14]. In a study by Davis et al [15], it was reported that musculoskeletal discomfort and pain in different body regions are common complaints among individuals whose occupations are characterized by repetitiveness and monotonous work. Furthermore, neuromuscular fatigue and discomfort in the shoulder, low back, and neck region have been commonly reported among sales workers [16]. Additionally, cumulative local muscle fatigue has been strongly associated with increased risk potential for MSDs [17]. Pain has a great impact on individuals and society through the associated disability, comorbidity, loss of job, healthcare needs, and quality of life [18].

The impact of Musculoskeletal Disorders (MSDs) in the general population has been associated with disability and assessed by measures of Quality of Life (QoL) [19,20]. Consequently, Quality of Life (QoL) has become an important indicator of the burden of musculoskeletal disorders (MSDs) [21]. Additionally, surveys from the industrialized world revealed a high prevalence of MSDs and their negative effect on the perceived QoL, as compared with other common chronic conditions [22]. Most investigations examining the potential drop in QoL induced by musculoskeletal disorders have compared patients with established disease with healthy controls in a cross-sectional design [23]. Thus, quality of life has become an important measure when studying health status and health outcomes [24].

Job performance in certain occupations often requires specific postures and continuous repetitive movements often conducted with forceful exertions that may lead to musculoskeletal disorder (MSDs) symptoms [25]. Saleswomen, by the nature of their job, are often required to work in a sitting position for a prolonged period with little or no physical activity, and they are affected by MSDs because their body muscles are forced to maintain a static posture for a long period at working time [26]. In addition, sales workers face substantial stress, including time constraints, mental pressure, and physical demands, especially with repetitive movements, thereby making the job description of a saleswoman entail job-related risk factors that cause MSDs symptoms [27]. Studies have been conducted to explore the relationship between the pattern of musculoskeletal disorders and Quality of Life (QoL) among saleswomen in developed countries. However, there is evidence on the burden of MSDs on market women in developing countries, like Nigeria. Hence, this study aims to explore the pattern of musculoskeletal disorders among pepper sellers in Ondo town, Ondo State, and its impact on their Quality of Life (QoL).