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Simmo,
Many people have had life changing events force other choices upon them, myself included. The real trick is to look at what you have got in knowledge and skills and see how they translate to other roles as Paul has suggested above. Your skills and knowledge may not neccessarily be how you have earned your living up til now. What hobbies, interests etc have you got you would like to use in the future ? You will possibly need upskilling regardless but don't restrict yourself to any one option.
Building management\supervisory role ?
Also don't underestimate the value of good exercise targetted to your back issue that will improve and strengthen the damaged area. It will minimise the possibilty of further damage and give you greater options.
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