Why is chronic back pain such a common issue for early years workers?

A recent study reveals that nearly all early years workers in the UK suffer from chronic musculoskeletal pain, particularly in the lower back. The demanding nature of their work, which includes lifting, stooping, and working at low heights, is largely responsible. Despite the pain, many workers see it as an unavoidable part of the job, often resorting to self-medication rather than reporting the issue. This widespread problem highlights the need for better workplace ergonomics, training, and support.

Chronic back pain has long been an under-discussed issue among early years workers, who face unique physical demands in their day-to-day roles. While the care they provide is invaluable, the physical toll it takes is often overlooked. The recent study by the University of Derby brings this issue into sharp focus, revealing the alarming extent of musculoskeletal pain in the sector.

The Scope of the Problem

The study surveyed 196 early years workers across England and Wales, with an astonishing 99% reporting some form of musculoskeletal pain. Lower back pain was the most prevalent, with 89% of respondents affected. This pain is often attributed to the “high-risk” physical actions these workers perform daily—lifting children, working at low heights, and constant bending or stooping.

Moreover, the study found that pain is not limited to one area of the body. Most participants reported pain in multiple locations, with 72% experiencing pain in at least four different areas. Despite this widespread suffering, the majority of workers continue to soldier on, frequently using painkillers to manage their discomfort instead of taking sick leave or reporting their condition.

Why Don’t Workers Report Their Pain?

One of the most concerning findings of the study is the culture of silence surrounding this issue. Many workers don’t report their pain because they view it as an inevitable part of their job. This mindset is perpetuated by the fact that when pain is reported, it often leads to little or no action from employers. Comments from participants reveal that any measures taken are minimal at best, such as being provided with a chair or having general health discussions, rather than addressing the root cause of their pain.

The Long-Term Impact on Health

The long-term impact of this unaddressed pain can be severe. Prolonged musculoskeletal pain can lead to more significant health issues, including chronic conditions that may force workers to leave the profession prematurely. For some, the pain has already reached a point where they are contemplating a career change, fearing that their bodies won’t hold up in the long term. This trend is particularly troubling given the ongoing recruitment and retention crisis in the sector.

The Legal and Ethical Obligations of Employers

Under UK law, employers are required to protect the health and safety of their workers. This includes assessing the risks of tasks that could cause injury and taking steps to mitigate them. However, the study suggests that many employers in the early years sector are falling short of these obligations. The frequent lack of effective intervention when pain is reported indicates a broader issue of neglect within the industry.

What Can Be Done?

Addressing this issue requires a multi-faceted approach. First and foremost, there needs to be a cultural shift within the sector to recognise that chronic pain is not just “part of the job.” Employers must take proactive steps to create a safer working environment. This includes better training for staff on how to manage their physical health, improved workplace design to reduce the strain of physical tasks, and investment in ergonomic equipment.

In addition to these practical steps, there must be a greater emphasis on early intervention. By addressing pain when it first occurs, rather than allowing it to become chronic, employers can prevent more severe issues down the line. Regular health checks and risk assessments should be standard practice, with adjustments made to accommodate workers’ needs as they arise.

Personal Stories: The Human Cost of Chronic Pain

The study included numerous personal accounts from workers detailing their struggles with chronic pain. These stories paint a vivid picture of the human cost of this issue, from the frustration of not being able to perform daily tasks without pain to the fear of what the future holds. One respondent, only 26 years old, expressed concern about what their body would be like in ten years if the pain continues at its current rate. Another described how their back pain had become so severe that they seriously considered leaving the profession altogether.

These personal experiences underscore the urgent need for change. While the physical demands of early years work are unlikely to change dramatically, the way the sector supports its workers must. Without intervention, we risk losing dedicated professionals to an entirely preventable issue.

Conclusion

Chronic back pain and other musculoskeletal issues are far more than just an inconvenience for early years workers—they are a significant health concern that needs to be addressed urgently. The recent research from the University of Derby shines a light on this widespread problem, but it is only the first step. The next step requires action from employers, policymakers, and the workers themselves to create a safer, more supportive working environment. Only then can we ensure that those who care for our youngest citizens are not sacrificing their health in the process.

Early years workers are suffering from chronic musculoskeletal pain, particularly in the lower back, due to the physical demands of their job. This pain is often unreported, leading to inadequate employer responses and a culture that accepts suffering as part of the job. The long-term health implications are severe, risking both the wellbeing of workers and the stability of the sector. Immediate action is needed, including better training, workplace design, and early intervention to support workers’ health.

“Chronic pain has become an accepted burden in early years work, but it doesn’t have to be this way.”

If you work in the early years sector, it’s time to speak up. Don’t let pain be an accepted part of your job. Advocate for better working conditions and support—your health is worth it.