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Manual handling back pain — DOccMed MCQ

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ModerateMusculoskeletal DisordersManual handling back painDOccMed

A care-home worker develops mechanical low back pain after repeated bed transfers. Neurology is normal, pain is improving and she is anxious that returning before complete resolution will cause permanent damage. What is the most appropriate advice regarding fitness for work?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Encourage early supported return with temporary manual-handling modifications

Most mechanical back pain improves with activity and early supported return. Temporary restrictions on heavy transfers, use of hoists and review of staffing reduce risk while maintaining work participation. MRI is not needed in the absence of red flags or neurological deficit. Waiting until pain-free can reinforce fear avoidance and prolong absence.

Reference: NICE NG146; HSE Manual Handling guidance