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Patients who are caregivers, such as grandparents, nannies, adoptive parents and child care workers, are a population that too retains a high risk for back injury potential. These patients perform the repetitive movements common to care taking small children. When evaluating these patients for spinal injury, it is also important to consider their age. Grandparents and older care-givers may injure muscles of the spine, irritate an existing condition of spinal arthritis, or develop a new injury to the ligaments muscles or a bursar. Patients who are younger, those in there twenties, thirties and forties may easily injure the intervertebral disc as well as the spinal joints and tissues of the spine.