Bridging the Wellness Gap

Kathleen Gramzay

It was heartening to hear local company reports of the favorable trend of increased employee participation in wellness programs at the “Phoenix Business Journal’s Healthiest Employers” event. Notwithstanding arguments of hard ROI versus soft returns regarding employee satisfaction and productivity, “wellness” clearly benefits both the employers and individuals.


While nutrition and exercise programs help to improve blood sugar levels, blood pressure, and body mass index, a significant gap in wellness remains for both businesses and their employees who cannot participate in wellness programs due to a factor which accounts for 33% of all work-related illnesses and injuries. The elephant in the wellness room is chronic pain.


Perhaps it’s time to expand wellness to a deeper level and address the largest category of chronic medical conditions accounting for the greatest loss of productivity, absenteeism, health-care costs, and a significant portion of worker’s compensation claims – Musculoskeletal Disorders (“MSDs”).

The Leading Cause of Disability/Health Care Cost

The prevalence of MSDs and their related costs are sobering. One in two or 126.6 million1 adults are affected by MSDs. That’s twice the rate of those with chronic heart and lung conditions, and seven times the 18.8 million diagnosed with diabetes. 

It’s hard to be productive, or participate in a company challenge or make the best food choices when it’s painful to even think or move. How many employees might choose to participate or stay engaged if pain and/or mobility issues didn’t stop them? How much more productivity, focus, and satisfaction might employees have if chronic pain, tension or stress wasn’t distracting them from work or keeping them absent from it? 

What are Musculoskeletal Disorders?

“Musculoskeletal Disorders” encompass conditions and injuries related to the bones, joints, muscles, tendons, ligaments, and connective tissue (also known as fascia).


The most prevalent musculoskeletal conditions are: 


  • Back & Neck disorders, disc disorders, and injuries
  • Arthritis & Joint Pain
  • Osteoporosis
  • Injuries

The National Impact of MSDs

The overall cost for MSD treatment and lost wages is a staggering $874 Billion2 which constricts businesses, employees, and society-at-large. Already equaling 5.7% of GDP in 2011 dollars3 and rising, it wouldn’t be an overstatement to say that musculoskeletal disorders are one of the leading determinants of the physical and economic health of our nation.

Narrowing the Scope

Setting aside the categories of acute and chronic bone issues (such as fractures, arthritis, osteoporosis, skeletal and disc disorders) and the acute stages of torn ligaments or tendons requiring surgery, leaves soft tissue disorders and injuries open for discussion.


Looking at the $176.9 Billion4 spent from back, neck, and musculoskeletal injury subcategories compared to the overall, current U.S. health care costs pointing toward a trillion, might, at first glance, seem like small potatoes. 


To the contrary, these subcategories are significant for two reasons: the scope of their impact and the fact that they have the greatest potential for positive change.

The Impact of Musculoskeletal Injuries5:

77% (65.8 million) – Leading cause of all injury-related health care visits


$176.9 Billion – Annual cost of treatment (2011)

 

397 Million – Number of prescriptions filled for MSDs (2011)


70% (216.5 million days) – Self-reported lost work days due to MSDs


30% (284,000) of work-related injuries due to MSDs with an average of eleven lost work days

Compounded Pain for Business

For employers, the economic burden from lost work days is compounded by two other factors. First, the price of absenteeism and lost productivity estimated to be $225.8 Billion or $1,685 per employee6. Second, when the multi-year economic impact of increased worker’s compensation insurance premiums triggered by 7+day claims is added in, it’s easy to understand why U.S. businesses are struggling.

Traditional Treatment

MSDs are traditionally treated with rest, over-the-counter or prescription drugs, and/or surgery. Before addressing other components, the overriding socioeconomic component of accelerated increase in prescription drug treatment for MSDs needs to be recognized.

The Rise of Prescription Drug Treatment for Musculoskeletal Disorders

Of all direct cost component use, the 97% increase in filled prescriptions for MSDs is largest.



While the direct costs for all MSDs treatment components have increased, none compare to the 210% increase of prescription drugs.

The greater socioeconomic cost and consequence, yet to be fully measured, is the opioid addiction epidemic resulting from the increased number of prescriptions being written for them. From absenteeism to rehabilitation, opioid addiction is a very real burden contributing to declining productivity and rising health care costs. 


Unfortunately, the impact doesn't end there. The grave reality of soaring deaths due to opioid overdose is most recently seen in this week's proclamation by Governor Ducey of a statewide health emergency for Arizona. For more discussion on the epidemic, see The Price of Pain series. 


Having access to and implementing alternative pain relief options provides exponential benefit for employers, individuals, and the society-at-large.

Lost Work Days by Nature of Injury

Let’s look at injury nature and median days lost, while conservatively focusing on the soft tissue-related or slow onset conditions from the table below. 


  • Carpal Tunnel Syndrome – twenty-seven days
  • Tendonitis – ten days
  • Sprains & Strains – ten days
  • Soreness & Pain – eight days
  • Back Pain – seven days
  • Workplace Injuries – eight days (includes soft tissue conditions)
  • Musculoskeletal Disorders - eleven days (includes soft tissue conditions)


Each of the above categories hits or crosses 7 days away from work, negatively impacting workers’ compensation insurance ratings. The good news: they are also the categories with greatest opportunity to reduce the number of days away, as well as average cost per hospital stay.

The 2011 average charge per hospital stay for the Sprains and Strains and Musculoskeletal Disorders categories: $41,700 and $48,100, respectively. 7

By percentage above, back and neck pain at 35% and musculoskeletal and connective tissue conditions at 17% account for over half of all lost work days.


Finding a different solution to address the underlying causes of MSDs and mitigate the number of incidents, treatment costs, and lost days is the key to shifting the tide of our current economic and physical health and our overall well-being. 


Addressing the above-listed and many other soft-tissue disorders is the segment of health-care where the potential for prevention, faster healing, cost reduction and increased productivity is not only greatest, it is already a reality.

Alternative Methods Sought

The fact that the average number of non-physician care visits for MSDs has increased 92% from 197.5 million visits in 1996 to an average of 379.3 million in 20118 attests to the public’s active pursuit of alternative treatments. And for good reason.


Musculoskeletal disorders respond favorably to the hands of skilled therapists; ones who understand and partner with the self-healing mechanisms already built into the neuromuscular-fascial system. Pain relief and restored mobility can be achieved without the systemic side effects of pharmaceuticals. 

The Wellness Bridge - A Different Solution

Even though it has been traditionally studied and applied by professionals, the knowledge of how to partner with the body is not exclusively the domain of professionals. It’s intrinsic in every body, and available to be used by the average person in order to direct or restore his or her own greater health and well-being.


The term “self-care” encompasses many definitions from pampering oneself to visiting a professional to receive the benefit from their skills. These approaches will always have a fundamental place in one’s good health and well-being arsenal. However, within the body’s built-in intelligence and self-restoring design for movement there exists another level of self-care.


While working with thousands of people and hundreds of therapists over 17 years, it’s been my experience that most MSDs can be cleared utilizing the body’s own ability to reset itself, release chronic pain, restore proper muscular tension and a normal range of motion. Resetting normal tension and force patterns allows more balanced, unimpeded movement. It also reduces negative impact on joints and helps mitigate reoccurrence of the condition or injury. 


Through a specific system of intentional movements, the term “self-care” deepens to a therapeutic level that is self-applied. Mindfulness, directed in partnership with innate neuromuscular system intelligence releases the underlying cause of myofascial conditions which were previously treated through office visits and medication. 


Currently, wellness programs target the underlying factors of diet and exercise to reduce the correlated health conditions. Their implementation is a good step towards greater health for individuals and business.


Offering a self-care wellness program that targets the underlying cause of soft-tissue conditions and/or injuries to release chronic musculoskeletal pain and restore the body’s normal tone and mobility without drugs or office visits takes “wellness” to a deeper level.


It not only addresses the country’s leading health-care cost and cause of disability, it also bridges the wellness gap for healthier individuals, employers, and our society as a whole.



C1-5, 1-5,7,8 Source: United States Bone and Joint Initiative: The Burden of Musculoskeletal Diseases in the United States (BMUS), Third Edition, 2014. Rosemont, IL. Available at http://www.boneandjointburden.org


6 Source: CDC, International Monetary Fund


About the Author: Kathleen Gramzay

Kathleen Gramzay, BCTMB is Body/Mind Performance Expert, 20-yr Board Certified Massage Therapist, and Developer of Kinessage® Self Care and Mindful Resilience. Her mission is to empower people to release their stress, chronic tension & pain to live more joyful, productive and healthy lives.  If you would like to learn more about Kinessage® Self-Care or the Mindful Resilience programs, contact Kathleen

By Kathleen Gramzay July 10, 2025
No matter how useful artificial intelligence is, it’s critical to remember one thing: Leadership is still—irrefutably—human. While AI excels at logic, speed, and efficiency, it lacks the heart, ethics, and vision that define great leadership. The most effective managers and executives bring something to the table that algorithms can’t replicate: emotional depth, contextual judgment, and the ability to inspire. Here are 10 essential human leadership qualities that remain irreplaceable in the age of AI. 1. Emotional Intelligence: Leading with Empathy Emotional intelligence (EQ) is more than just being nice—it’s the ability to sense, understand, and respond to human emotions and needs. When a team is under stress, a good leader doesn’t just push deadlines. They read the room. They pause, listen, and then provide the resources their people need to be and engage as their best selves. AI can detect sentiment, but it can’t genuinely care. That human ability to say “I understand” or “you have my support” and mean it and follow through on it, builds trust, loyalty, and psychological safety—core ingredients of high-performing teams. 2. Ethical Judgment: Navigating the Gray Areas Business decisions often require navigating complex moral terrain—choices where the right path isn’t clear. Should we prioritize profit or people? Should we launch a product that’s technically legal but socially questionable? These aren’t decisions that can be made by optimizing for data points. They require human leaders with integrity, lived experience, and a moral compass that machines simply do not possess. 3. Creativity and Vision: Seeing What Doesn’t Yet Exist AI can analyze what has happened and make predictions about what might happen—but only humans can imagine something entirely new. True visionaries see around corners. They dream, take creative risks, and shape future opportunities from abstract ideas. They cultivate a culture that enables their teams to carry them out. Whether it’s launching a revolutionary product or rethinking a business model, these leaps of imagination are powered by healthy human brains, not a neural network. 4. Motivation and Inspiration: Moving Hearts, Not Just Metrics People don’t follow data—they follow purpose. Great leaders energize their teams not with charts, but with conviction and connection. They tell stories, share values, and create a shared mission that sparks passion. AI might generate performance dashboards, but it can’t walk into a room and inspire people to go the extra mile during hard times. Leadership requires presence, vulnerability, and authenticity. 5. Cultural Intelligence and Inclusion Workforces today are global and diverse. Effective leaders understand cultural nuance, social identity, and how to create inclusive environments where everyone feels seen and valued. AI might translate languages, but it doesn’t grasp cultural meaning. It doesn’t know when to be subtle, when to be bold, or how to honor traditions. Only humans can lead with true cross-cultural sensitivity and build belonging through shared commonality and appreciation for the expanded brain-trust that diversity provides. 6. Adaptability in Uncertainty Leaders often must make decisions with incomplete data and shifting conditions. This is where human adaptability can shine. AI waits for patterns to emerge; humans lean into ambiguity. When a market suddenly shifts or a crisis hits, a strong leader pivots, improvises, and reassures others—not because a model told them to, but because they feel the moment demands it. 7. Mentorship and Personal Growth True leadership isn’t just about directing—it’s about developing others. Human leaders mentor, coach, and champion their team members, often becoming lifelong influences in people’s careers. That human-to-human investment—offering wisdom, encouragement, support, or tough love—is something no chatbot can emulate. 8. Relationship Building and Trust Trust is built over time, through shared experiences, emotional honesty, and consistent behavior. It’s delicate, hard-won, and essential for collaboration. You can’t automate a bond. People trust people, not platforms. Conscious human leaders who demonstrate genuine care for the mental and physical well-being of their people foster loyalty, reduce turnover, and make workplaces more enjoyable and more resilient. 9. Storytelling: The Power to Connect and Align Data tells you what’s happening. A story tells you why it matters. Leaders use stories to rally teams, communicate vision, and create shared meaning during times of change. These narratives give work purpose beyond profits, connecting people to something greater than themselves. No AI can write a story that truly resonates the way a leader speaking from lived experience can. 10. Ethical Use of AI: Humans Must Lead the Machines It is up to human leaders to decide how AI is used. Will it promote fairness—or amplify bias? Will it empower people—or replace them irresponsibly? Only human beings can ask and answer those questions from a place of conscience. Leadership in the AI era includes being ethical stewards of technology, ensuring that innovation aligns with human values. The Bottom Line AI is a powerful tool—but it’s still just a tool. The heart of any organization lies in its people, and the soul of its success lies in conscious leadership. As companies embrace automation, they must double down on developing human-centered leaders—people who can think creatively, act ethically, adapt instinctively, and lead with empathy. The future of work will be built not just on what machines can do but as always, on what only humans can bring. ________________________________________________________________ Kathleen Gramzay is the Founder of Kinessage LLC. She is passionate about helping mission-driven leaders reduce burnout and recharge their resilience, to lead and succeed with greater positive ripple impact and reach. Kinessage LLC supports performance, culture, and human-conscious organizations, empowering leaders, managers, and teams to show up more effectively, confidently, and collaboratively through resilience strategy and training. The Kinessage® interactive body/mind training programs teach individuals neurosomatic skills to reduce burnout, build stress resilience, and self-release chronic tension and pain, increasing mental and physical resilience for greater individual and organizational success and sustainability. If you'd like to provide a deeper level of conscious engagement and effective resilience tools for your leaders or organization at your next monthly meeting, quarterly retreat, or conference, contact Kathleen directly Here.  If these articles resonate, I welcome you to comment, subscribe, or share them!
By Kathleen Gramzay July 10, 2025
In every great story, there’s an invisible force that weakens even the strongest heroes. For Superman, it’s kryptonite. For today’s workforce—especially its leaders—it’s uncertainty. The world is no longer dealing with occasional turbulence. We’re living in a time of persistent volatility: economic upheaval, global instability, rapid technological shifts, and mounting social pressure. For business leaders, this creates an urgent challenge—and a defining opportunity. Gallup’s 2025 Global Workplace Report lays it out plainly: manager burnout is now a systemic risk. The data shows that nearly 6 in 10 managers report being stressed at work, and employee engagement worldwide is 21 percent (as low as during the COVID 19 lockdown). Even more alarming? Most leaders are navigating this reality without the tools to support themselves, let alone the people they lead. This is not a leadership crisis. It’s a nervous system crisis. Stress: The Silent Saboteur of Performance Uncertainty doesn’t just make people uncomfortable—it dysregulates the human nervous system. When employees and leaders are exposed to chronic ambiguity, hypervigilance sets in. Focus narrows, creativity shuts down, and the brain prioritizes survival over strategic thinking. The result? Burnout, disengagement, conflict, and collapse of morale. What does unmanaged stress look like in the workplace? Missed deadlines and sluggish innovation High turnover, absenteeism, and presenteeism Managers emotionally checked out or over-functioning on empty Talent depletion across every level Gallup reports the cost of the fall of global engagement is $438B in lost productivity, and cites the manager engagement drop from 30% to 27% as its primary cause. The Report warns that if leaders don’t address this burnout epidemic, GDP loss on a global scale could be the long-term outcome. This is much more than an HR problem, it’s an economic imperative. Resilience: The Antidote to Kryptonite But here’s the good news: unlike kryptonite, uncertainty isn’t fatal—if we’re prepared. The human body and brain are wired to adapt. What’s necessary, is to build that blueprint potential into a practiced skill of real, embodied, enduring resilience that becomes the bodymind’s enhanced response to stress and uncertainty. Think of resilience as the organizational equivalent of muscle memory. When people learn how to regulate their stress response, recover from setbacks, and stay grounded amid chaos, they don’t just “cope”—they lead. They collaborate better, think more clearly, and act more decisively under pressure. And what happens when that skill is built across entire leadership teams? You get healthy, engaged people, and performance that lasts. Neurosomatic resilience training builds exactly this capacity—through nervous system regulation, stress load reduction, emotional agility, and mental flexibility. It’s about equipping people to thrive in the storm, not wait it out. The Business Case for Resilience The numbers speak for themselves: According to Gallup, highly engaged teams show 23% higher profitability and significantly lower turnover and absenteeism. Organizations that support employee well-being see up to 41% less burnout, higher productivity, and greater customer satisfaction. Cultures that prioritize resilience outperform in adaptability, innovation, and retention—key drivers of competitive advantage in a world of constant change. Resilience isn’t soft. It’s smart strategy. Leading Through, Not Around, Uncertainty We are long past the point of seeing burnout as an individual failure. It is a systems failure that the demands placed on people have outpaced their internal and collective capacity to meet them. As a leader, you have the power to flip the script. Instead of bracing for the next disruption, what if your people were equipped to move through it—calm, creative, and collaborative? Instead of treating well-being as a sideline initiative, what if it became your organization’s strategic foundation? Instead of fighting to sustain yesterday’s momentum, what if you built the nervous system strength required to lead into what’s next? The Path Forward A resilient organization starts with resilient leaders. It starts with the decision to treat people not as resources to be optimized, but as human beings with interdependent systems that require support - mind, body, and spirit. Resilience training is not a luxury. It’s the core infrastructure for future-ready business. It builds the internal capacity your people need to meet the external demands your industry will inevitably face.. Uncertainty isn’t going away. But burnout, disengagement, and stress-related decline don’t have to be your story. Here’s a simple start of 3 basic practices to weave into your day: 1. Regulate Before You React In high-stress moments, take a pause before responding. Use a simple nervous system regulation tool—take 5 deep diaphragmatic breaths to center yourself. This models calmness for your team and improves your decision-making clarity. 2. Create Micro-Moments of Recovery Resilience isn’t built in isolation—it’s built in the flow of the workday. Integrate short, regular recovery practices: a 5-minute walk, hydration breaks, digital detox zones, or brief mindfulness pauses. These reset your energy and help prevent burnout from accumulating. 3. Normalize Conversations About Capacity and Act on the Feedback. Build psychological safety by regularly asking your team, “What’s one thing you need to feel more supported this week?” This opens the door for honest communication and reinforces a culture where human limits are respected—not ignored. Key point: demonstrate positive action on the feedback to walk your talk and make real headway in building trust. Resilience is the superpower. Are you ready to intentionally build it into your organization? ___________ Kathleen Gramzay is the Founder of Kinessage LLC. She is passionate about helping mission-driven leaders reduce burnout and recharge their resilience, to lead and succeed with greater positive ripple impact and reach. Kinessage LLC supports performance, culture, and human-conscious organizations, empowering leaders, managers, and teams to show up more effectively, confidently, and collaboratively through resilience strategy and training. The Kinessage® interactive body/mind training programs teach individuals neurosomatic skills to reduce burnout, build stress resilience, and self-release chronic tension and pain, increasing mental and physical resilience for greater individual and organizational success and sustainability. If you'd like to provide a deeper level of conscious engagement and effective resilience tools for your leaders or organization at your next monthly meeting, quarterly retreat, or conference, contact Kathleen directly Here.  If these articles resonate, I welcome you to comment, subscribe, or share them!
By Kathleen Gramzay July 10, 2025
Humanity is at a paradoxical crossroads. We are wired for greatness, but chronic stress has short-circuited our potential. Why is this an issue? Under chronic stress or burnout, greatness isn’t an accessible menu option. What then determines whether we can access our greatness and embrace our collective capacities to solve the significant shared human challenges, or devolve into threat-based, fearful people who believe the only way to survive is to dominate others, take as much as we can get right now, and let everyone not like “us” fend for themselves? - The conditioned state of our nervous system, our awareness of it, and our conscious will to reclaim sovereignty over it. Chronic stress conditions us to respond as threatened prey or predator. Stress resilience conditions us for problem-solving, long-range decisions, and positive action under pressure. Perhaps you’re familiar with this scenario: The leader shows up smiling and in a good mood; everyone breathes a collective sigh of relief and relaxes with a sense it’s going to be a good day. The next day, the leader shows up barking orders and demanding everything NOW. Instantly, each person’s nervous system goes into its individual aspect of survival mode. Communication goes from collegial to cutthroat or no communication at all. Strategic thinking, positive engagement, and creativity are neurologically offline. The collective goal is sacrificed to reactionary individual protection and safety. Like a network of computers, human nervous systems respond relative to those with whom they interact. The fact is, business leaders aren't just managing employees, they're managing human nervous systems. And more critically, they are either regulating or dysregulating them. Our wiring has been burning for a while, fueled by the pandemic, distrust, invasions, and political upheavals that continue to disrupt personal-to-global relationships, supply chains, markets, and the world economy. Consider data from leading industry sources: Senior-leader and manager burnout levels: 50 -70% (SHRM, Gallup, McKinsey) Employee burnout levels: 88% (Forbes/MyPerfectResume) U.S. employee active engagement: 32% (Gallup) The ripple effects of employee disengagement/burnout are exponential: Economic : (American Journal of Preventive Medicine April ‘25) Annual Cost Per Employee $3,999–$20,683 (hourly to executive) Equal to 0.2–2.9 times average health insurance and 3.3–17.1 times employee training costs Human : The mental, emotional, behavioral, and physical health of each person The contagious dysregulating impact on others around them In the leader survival mode example above, the workday is unproductive and the ripple effect continues. Impacted employees unconsciously vent their emotions perhaps by cutting off someone in traffic, being rude to a convenience store clerk, or berating a family member for not doing a task at home, causing more separation and survival mode behavior. We know it’s necessary to care for business operating systems. We spend big budgets maintaining and protecting them. We understand they must be defragged, updated, and rebooted if we expect them to run efficiently and continue working well. Our human operating systems - our consciousness, mental, and physical states of being - are infinitely more powerful, resilient, and expansive. Yet they are less understood, less valued, and less prioritized. Our intellect has brought us far in terms of technology. Yet it’s our human operating system - the state of the body/mind, our mental and physical felt sense of safety, that determines whether we direct that technology to benefit everyone or use it to fuel division, hatred, greed, and chaos. It begs the question: Why are we willing to invest heavily in artificial intelligence yet allocate little budget to stop the deterioration of human intelligence and health at a time when every human’s highest capacity is critically needed to optimize our advancements? To successfully navigate today’s tumultuous world, we must consciously upgrade our human capacity to live and lead through it. How? Prioritize (budget & model) mental and physical restoration to reduce chronic stress and its corrosive effect on humanity and business. Resilience is a leadership necessity, not a luxury. Leverage neurosomatic (body/mind) skills to turn stress into strength activating the innate intelligence that fuels creativity, and connection of our greater Selves. We can defrag our minds, remove the toxic files from our bodies, and reboot our desire to positively engage with each other. Operating through our higher-order thinking minds and hearts we can draw from the collective wisdom of coherence and reason for human success and sustainability. The capacity of these body/minds is regenerative and expansive. By investing in and applying resilience to all aspects of our human intelligence – neurosomatic, emotional, and intellectual, we can regain our sovereignty to individually and collectively move ourselves, our families, communities, businesses, nations, and humanity forward. In future posts, I’ll share practical applications to enhance resilience in yourself and your teams. Follow along as we recharge our collective resilience. If these articles resonate, I invite you to comment, subscribe, or share them.  ___________ Kathleen Gramzay is the Founder of Kinessage LLC. She is passionate about helping leaders of mission-driven organizations reduce burnout, and recharge their resilience, to lead and succeed with greater positive ripple impact and reach. If you'd like to provide a deeper level of conscious engagement and effective resilience tools for your leaders or organization at your next monthly meeting, quarterly retreat, or conference, please contact Kathleen directly Here. Kinessage LLC supports performance, culture, and wellness-conscious organizations, empowering leaders, managers, and teams to show up more effectively, confidently, and collaboratively through resilience strategy and training. The Kinessage® interactive body/mind training programs teach individuals skills to reduce burnout, build stress resilience, and self-release chronic tension and pain, increasing mental and physical resilience for greater individual and organizational success and sustainability. You can find out more at www.kathleengramzay.com
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