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This sounds like a serious issue. You might want to consult with an attorney to understand your rights. If your job is affecting your health, you might have legal grounds to refuse the assignment. Your health and safety should be a priority for any employer.

Document everything. Make sure you have records of your manager's promises and any medical reports that link your health issues to the old job. This documentation will be crucial if you need to escalate the issue within the company or take legal action.

Talk to your manager again and explain your situation in detail. Sometimes they might not fully understand the severity. Emphasize how returning to the old job could have long-term impacts on your health and family life.

While dealing with this situation, start exploring other job opportunities. Networking can open up new possibilities and give you a backup plan. Sometimes knowing you have other options can make it easier to negotiate your current situation.

Your health should always be the priority. If your manager insists, insist on a written agreement that clearly states your concerns and the company's liability should your health deteriorate again. Sometimes formalizing the situation can push the company to reconsider.

Since your manager mentioned a promotion, you could leverage this. Clearly outline the risks and suggest a timeline for your promotion and transition to a new role. This might prompt them to find a quicker solution if they see you as a valuable asset.