diff --git a/microbootstrap/bootstrappers/faststream.py b/microbootstrap/bootstrappers/faststream.py
index 7cd725e..a4fa7a1 100644
--- a/microbootstrap/bootstrappers/faststream.py
+++ b/microbootstrap/bootstrappers/faststream.py
@@ -8,6 +8,7 @@
 from faststream.asgi import AsgiFastStream, AsgiResponse
 from faststream.asgi import get as handle_get
 from faststream.specification import AsyncAPI
+from opentelemetry import trace
 
 from microbootstrap.bootstrappers.base import ApplicationBootstrapper
 from microbootstrap.config.faststream import FastStreamConfig
@@ -23,6 +24,9 @@
 from microbootstrap.settings import FastStreamSettings
 
 
+tracer: typing.Final = trace.get_tracer(__name__)
+
+
 class KwargsAsgiFastStream(AsgiFastStream):
     def __init__(self, **kwargs: typing.Any) -> None:  # noqa: ANN401
         # `broker` argument is positional-only
@@ -119,6 +123,11 @@ async def check_health(scope: typing.Any) -> AsgiResponse:  # noqa: ANN401, ARG0
                 else AsgiResponse(b"Service is unhealthy", 500, headers={"content-type": "application/json"})
             )
 
+        if self.instrument_config.opentelemetry_generate_health_check_spans:
+            check_health = tracer.start_as_current_span(f"GET {self.instrument_config.health_checks_path}")(
+                check_health,
+            )
+
         return {"asgi_routes": ((self.instrument_config.health_checks_path, check_health),)}
 
     async def define_health_status(self) -> bool:
diff --git a/microbootstrap/instruments/health_checks_instrument.py b/microbootstrap/instruments/health_checks_instrument.py
index 80fe33e..9b0ee3f 100644
--- a/microbootstrap/instruments/health_checks_instrument.py
+++ b/microbootstrap/instruments/health_checks_instrument.py
@@ -19,6 +19,9 @@ class HealthChecksConfig(BaseInstrumentConfig):
     health_checks_path: str = "/health/"
     health_checks_include_in_schema: bool = False
 
+    # Cross-instrument parameter, comes from opentelemetry
+    opentelemetry_generate_health_check_spans: bool = True
+
 
 class HealthChecksInstrument(Instrument[HealthChecksConfig]):
     instrument_name = "Health checks"