Route delivery merchandiser is a tough job where a back injury of some sort is a question of when not if. Whether delivering and shelving soda, water or beer, merchandisers move literally tons of material every single day. While equipment like lift gates, hand trucks or forklifts can help, there is no getting around the fact that 90% of the job is manual brute force. Most merchandiser work injuries are not due to a single lifting incident resulting in immediate, acute low back pain. Rather, the back simply wears down over time from the accumulated wear and tear from the physical demands of delivering merchandise over time.