Workplace ergonomics and musculoskeletal injury prevention

Most musculoskeletal injuries at work build up over weeks, from repeated loads and awkward positions. The cheapest time to treat them is early, and the best time to prevent them is before they start.

Set up the work, not just the person

Desk work

Place the screen so the top is near eye level and about an arm’s length away. Keep elbows near 90 degrees with the wrists straight, feet supported, and the lower back supported by the chair. Change position often. Short, frequent movement breaks are better than one long one.

Lifting and carrying

Keep the load close to the body, avoid twisting while lifting, and use carts or a second person for heavy or awkward items. Plan the route before you lift.

Repetitive tasks

Rotate tasks when you can, keep frequently used items within easy reach, and use tools that fit the hand. Pain that returns with the same task is a signal to change the task.

Act on early symptoms

Aching, stiffness, tingling or weakness that comes with a task and fades at rest is an early warning. A physical therapist can find which movements or tissues are overloaded and give you a plan, often before time off work is needed. Numbness, progressive weakness, loss of bladder or bowel control, fever, or pain after a significant fall or accident needs urgent medical care.

Where this connects to rehabilitation

If pain has already set in, the same principle applies as in any tendon or back problem: dose the load, build capacity, and return in steps. Our team’s own research record includes work on mechanical diagnosis and therapy for lateral elbow pain, a common repetitive-strain problem. See the exercises below and the rehabilitation pages for the next steps.

For the back, a few daily lower back stretches are a good place to start. An early physical therapy visit can head off time away from work. Our own clinicians contribute research too: Nova physical therapist published in the Journal of Manual and Manipulative Therapy. Prevention works best alongside a stocked workplace first aid kit and a written emergency plan. Employers who handle pre-employment drug testing and physicals can also ask about job-specific injury prevention. This guide is part of our wider workplace health series.

About the clinical team behind this page

Author

Dr. Pelham Williams IV, MD

Regional Medical Director, Southeast (Atlanta)

Dr. Pelham Williams IV is Regional Medical Director for Nova’s Southeast region, based in Atlanta. His practice centers on the evaluation and non-operative management of musculoskeletal and work-related injuries, including acute joint injuries and repetitive-strain problems, and he reviews content on occupational injury and sports injury diagnosis.

Clinical reviewer

Dr. Angel Williams, PT, DPT, OCS, FAAOMPT

Director of Orthopaedic Rehabilitation & Biomechanical Recovery

Dr. Angel Williams is a board-certified Orthopaedic Clinical Specialist and a Fellow of the American Academy of Orthopaedic Manual Physical Therapists. Dr. Williams has served as a supervising physical therapist at Nova and designs rehabilitation programs built on progressive loading, manual therapy and dry needling for tendon, ligament and post-surgical recovery. Where a physician prescribes a cellular therapy alongside rehabilitation, Dr. Williams builds the loading program that goes with it.

Medical disclaimer: The information on this site is for education and does not replace a consultation, diagnosis or treatment. Full credentials are on our physicians and clinical governance page.

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Individual results vary and no outcome is guaranteed. This page is general information, not medical advice.

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