Employers need to get serious about preventing workplace injuries in the home during pandemic, expert says

As Canadian workerstoil away at home during the coronavirus pandemic, often hunched over laptops in awkward positions for hours, employers must prepare themselves for the emerging problem of workplace injuries sustained at home, a health-care professional says.

Doug Pattison, a chiropractor who practises in Regina and Lumsden, Sask., has dubbed it "work-from-home syndrome."

Pattison said he's already treated several patients for chronic strain in their back, neck or shoulders since his clinic reopened its doors to the general public on May 4.

"Sitting for a living is hard on you as it is, but when you're at the office, you've got your fancy work chair and your adjustable desk and all the things that your employers provided you to keep you safe," Pattison said. "But now, with the pandemic, you're working at your kitchen table or sitting on the couch, and it's putting the body into awkward prolonged positions."

When a person's workspace fits them ergonomically it reduces the risk of strains, sprainsand other musculoskeletal injuries (MSIs). According to WorkSafeBC, MSI is the most common work-related injury in British Columbia.

Pattison, who was only treating emergency cases during the first few weeks of the pandemic, said one of his first urgent casesinvolved a woman who had a pre-existingback problem thathad been under control due to someoffice adjustments, including an ergonomic chair. However, when the employee was forced into an improvised home office, herback pain flared up to the point she couldn't work anymore without treatment.

The chiropractor is urging companies to get serious about preventing work-related injuriesat home, before it results in workers' compensation claims and lost time.

Improvised home offices

Across Canada, millions of employees headed home in March in a collective effort to try to stop the spread of the novel coronavirus and keep people safe. At the time, the priority wasn't packing up sit-stand desks or office chairs with lumbar support. People gamely improvised home offices, taking over kitchen tables and spare bedrooms, stacking laptops on books and scouring for lamps.

A lot of people just went home with their laptops because the employer thought, 'Ah, this is going to be a short period of time.' But now, if this is going to be lasting longer, we need every possible way to prevent these injuries at home.- Doug Pattison, chiropractor

"A lot of people just went home with their laptops because the employer thought, 'Ah, this is going to be a short period of time.' But now, if this is going to be lasting longer, we need every possible way to prevent these injuries at home," Pattison said.

He advises companies to shipa person's desk, chairand computer monitorsfrom the office to their home, and encourages employees to do their part by taking breaks, stretchingand exercising.

Chiropractors are obligated to report to the workers' compensation board any injury that a patient states may be work-related.Pattisonsaid he hasn't had to file any reports yet. (He said he treatedhispatients' problems as an exacerbation of a previouscondition and not a new injury.) And he tries to work with employees and companies to address the source of any pain before it becomesa full-blown injury.

Across Canada, provincial health and safety regulations require employers to protect workers from hazards due to poor workplace ergonomics, such as a workstation that isn't the proper height.

In B.C., WorkSafeBCissued guidance on the health and safety responsibilities whenemployees work from home after the pandemic started. It said companies should have a basic health and safety policy for working from home that, at a minimum, addresses the ergonomics of workstations.

Jury-rigged offices

Some people are trying to be innovative, turning their homes upside down to create jury-rigged offices that feel comfortable.

Ryan Holota, vice-president of operations at Saskatchewan Science Centre in Regina,built desks for himself and his wife, Carmen, a high school vice-principal, so they couldwork in the basement of their home.

They're lucky they love to readbecause he needed a lot ofbooks and bookshelves to prop up computers, lampsand desks, he said.

His wife started to work on her laptop at the kitchen table, then experimented with an ironing board as a stand-up desk, and eventually settled at a desk that Holotabuilt by balancing an old door on a bookshelf and laundry hamper in the spare bedroom.

"The main thing was just to make something so I didn't end up hunching over," Holota said. "I wanted to make sure it was something that was comfortableand a position I could continue to work atpotentially for a few months."

WATCH |Ryan Holotademonstrateshow he set up his home office:

Engineering a home office with books and laundry hampers

4 years ago

Duration 2:35

Ryan Holota with the Saskatchewan Science Centre describes how he built two home offices in his Regina basement.

Need long-term solutions

But not everyone is so handy.

Lori Johb is president of the Saskatchewan Federation of Labour, which represents 100,000 workers.She wants to remind employers that it's their obligation to protect the health and safety of employees at home, including both mental and physical health.

"They still have the responsibility to ensure that the workspace is safeand to do what they can to make sure that is the case," Johb said, speaking to CBC News from her own kitchen office.

As for workers, Johb said they shouldn't ignore or dismiss being uncomfortable as simply a short-term problem because many people will be working from home long-term and need "serious, long-term solutions."

"Always keep track of it. Maybe, make notes of when you first started to notice itand if it's getting worse," said Johb, adding that employees should inform their supervisor and occupational health and safety committee about any discomfort or pain.

More than 60 per cent of office workers had experiencedsome sort of back, neck or shoulder pain before the pandemic, according to Saskatoon occupational therapist Ian Lewis. (He cited several studies, including one onAlberta telecommunications workers.) Heexpects the risk would increase in improvised home offices.

However, Lewis saidthat sometimes physical pain can be connected to high stress levels and poor job satisfaction, not ergonomics, and that some people may feel less pain because they'rehappier and more satisfied working in the home environment.

It's too early in the pandemic for any scientific analysis of the effect on workers' bodies fromworking from home.

"I think the most telling symptom is that if someone was pain-free and working well when they were in the officebut now when they are not in the office and working in an improvised workstation and they have pain, it seems logical to look at the workstation," Lewis said.

Pattisonsaid he'sexpectingmore at-home workersto walk through his doors with headaches and neck pain.

"We did a great job to get people out of the workplace to keep them safe from COVID, but now all of asudden, there's other problems that were never really thought ofthat are emerging problems."

WATCH | How to ergonomically work from home:

How to ergonomically work from home

4 years ago

Duration 0:49

Here are a few tips from an occupational therapist on how you can ergonomically work from home.