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Whole-body vibration and back pain — DOccMed MCQ

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ModerateMusculoskeletal DisordersWhole-body vibration and back painDOccMed

A quarry dumper-truck driver has recurrent low back pain worse after long shifts on uneven haul roads. Seat suspension is poorly maintained, exposure logs show long driving periods and examination shows no radiculopathy. 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: B — Recommend vehicle-seat maintenance, exposure reduction and active rehabilitation

Whole-body vibration can contribute to low back symptoms, particularly with prolonged driving and poor seating. Management should combine engineering controls, exposure reduction and active rehabilitation. Normal imaging does not exclude work-related mechanical pain. Permanent removal from driving is rarely the first proportionate step.

Reference: HSE Whole-body Vibration guidance; NICE NG146