<h4>Introduction</h4>Elite musicians face high risks of performance-related health problems, yet research mainly targets classical players. Metal musicians, despite unique demands (fast tempos, headbanging, extreme vocal techniques) remain under-investigated, highlighting urgent need for broader, inclusive studies on musicians' health.<h4>Methods</h4>This scoping review, guided by methodological recommendations, maps existing evidence on metal musicians' health worldwide. It identifies gaps across physical, and mental well-being, using systematic searches, inclusion criteria, and structured data analysis.<h4>Results</h4>From more than 5,000 references, 47 studies were included, and then categorised into musculoskeletal, vocal, hearing, mental health, mortality, and other issues. Findings highlight specific risks for metal/rock musicians, including injuries, hearing loss, vocal strain, psychological challenges, and elevated mortality rates.<h4>Discussion</h4>This first scoping review synthesises evidence on metal musicians' health, highlighting musculoskeletal risks, vocal resilience, hearing loss, psychological stress, and elevated mortality. Despite shared issues with other musicians, unique practices like headbanging demand targeted research, prevention, and culturally informed approaches.

Dave Mustaine David Mustaine (born September 13, 1961) is an American guitarist, singer and songwriter. He is the frontman of the heavy metal band Megadeth. Mustaine was also a guitarist and songwriter for Metallica.[1] Early life David Mustaine was born in La Mesa, California. His parents are Emily and John Mustaine. His father was of French and Finnish descent and his mother was Jewish.[2][3] He also had three older sisters named Michelle, Suzanne, and Debbie. The Mustaine family were Jehovah's Witnesses.[4] Personal life Mustaine married Pamela Anne Casselberry in 1998.[5] They have a son, Justice Mustaine who also plays guitar and has appeared in several local theatrical productions,[6] and a daughter, Electra Nicole Mustaine. In 2018, Mustaine said that his neck and spine condition, known as stenosis, was caused by many years of headbanging.[7] In June 2019, Mustaine announced that he had been diagnosed with throat cancer.[8] Notes - ↑ "Dave Mustaine". MetWorld. Archived from the original on 2006-09-06. Retrieved 2009-10-26. - ↑ "See Dave Mustaine's 10 Most Prized Possessions (Including Mini Horse!)". Spin. November 21, 2011. Retrieved December 30, 2014. - ↑ "Yahoo! Groups".

the injury can be sustained in many other ways, including headbanging, bungee jumping and falls. It is one of the most frequently claimed injuries on vehicle Whiplash, whose formal term is whiplash associated disorders (WAD), is a range of injuries to the neck caused by or related to a sudden distortion of the neck associated with extension, although the exact injury mechanisms remain unknown. The term "whiplash" is a colloquialism. "Cervical acceleration–deceleration" (CAD) describes the mechanism of the injury, while WAD describes the subsequent inju Whiplash, whose formal term is whiplash associated disorders (WAD), is a range of injuries to the neck caused by or related to a sudden distortion of the neck associated with extension, although the exact injury mechanisms remain unknown. The term "whiplash" is a colloquialism. "Cervical acceleration–deceleration" (CAD) describes the mechanism of the injury, while WAD describes the subsequent injuries and symptoms. Whiplash is commonly associated with motor vehicle accidents, usually when the vehicle has been hit in the rear; however, the injury can be sustained in many other ways, including headbanging, bungee jumping and falls. It is one of the most frequently claimed injuries on vehicle insurance policies in certain countries; for example, in the United Kingdom, 430,000 people made an insurance claim for whiplash in 2007, accounting for 14% of every driver's premium. In the United States, it is estimated that more than 65% of all bodily injury claims are whiplash related, translating to around $8 billion in economic costs per year. Before the invention of the car, whiplash injuries were called "railway spine" as they were noted mostly in connection with train collisions. The first case of severe neck pain arising from a train collision was documented around 1919. The number of whiplash injuries has since risen sharply due to rear-end motor vehicle collisions. Given the wide variety of symptoms associated with whiplash injuries, the Quebec Task Force on Whiplash-Associated Disorders coined the phrase 'Whiplash-Associated Disorders'. While there is broad consensus that acute whiplash is not uncommon, the topic of chronic whiplash is controversial, with studies in at least three countries showing zero to low prevalence, and some academics positing a linkage to financial issues. Grade… The focus of preventive measures to date has been on the design of car seats, primarily through the introduction of head restraints, often called headrests. This approach is potentially problematic given the underlying assumption that purely mechanical factors cause whiplash injuries — an unproven theory. So far the injury reducing effects of head restraints appears to have been low,…