The musculoskeletal system is made up of bones and joints which are held together by ligaments and tendons. Tendons and ligaments can be damaged by stretching and pulling, for example, when transferring a service user without the aid of a hoist. They enable the body to move and engage in physical activities. (See diagram 1 above).It also includes the spinal cord in (diagram 2) which is located in the back. The spinal cord contains all the nerves that enable the body to function. It is protected by the spinal columns which consist of bones known as vertebrae. Using incorrect moving and handling methods can lead to musculoskeletal injuries to both the service user and social care worker. Bones can be broken if a person is dropped or falls to the floor. Individual can also suffer fractures if pressure is applied to their limbs. There is also risk of injuries to the care workers such as back pain caused by adopting the wrong posture causing the discs between the vertebrate slip.