Hello helen,
please contact me off list at [log in to unmask]
james
________________________________
From: [log in to unmask] on behalf of OccHealth
Sent: Mon 05/02/2007 14:03
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Rotator Cuff Injuries
James
I have had a rotator cuff injury (thru rock climbing too much).
If the pain is as bad as you make it sound and his ROM is so poor then he
needs an Orthopaedic opinion. I sat on mine for 4 years and eventually got
courage (desperation really) and had a surgical repair and have not looked
back since. The recovery to full recovery took around 2 years from
urgery - i.e. before I forgot I had had a problem.
Be careful though to get an Upper Limb specialist as it is a complicated
joint, set of muscles and tendons etc.
Access to Work through JCPlus should be able help with transport to work.
Helen
----- Original Message -----
From: "Wayne Llewellyn" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, February 05, 2007 12:52 PM
Subject: Re: [OCC-HEALTH] Rotator Cuff Injuries
James,
Can you let me know if it is an acute or chronic condition?
My immediate thought would be that if it is purely a 'rotator cuff' injury
then anything more than a 120 day recovery - provided the necessary
treatment and rehabilitation is received - would point towards it being a
lot more complicated involving the spine, posture and significant muscle
imbalances.
If such a prognosis has been made I would suggest a lot more detailed
investigation (if not already done) to pursue a full diagnosis to ascertain
the degree of involvement of other structures and the development of a full
functional restoration programme.
If this person cannot get to work because of their injury it is very likely
that - for an injury of this severity - being at work is going to grossly
prolong the prognosis. However, with the right treatment they should (at the
right stage) be able to return under their own power (as it were) once they
get to a level where being at work will be beneficial to their recovery. Ie.
They should be doing exercises at work to maintain and aid the recovery. I
do understand that this involves a lot of Physio input which might not be
available.
I hope this helps. If you'd like more detail and explanation, do contact me
off line.
Regards,
Wayne Llewellyn
Clinical Director
Premier Health & Sport Therapy Limited
* 6-9 Timber Street, London, EC1Y 0TQ
' 020 7687 7600
8 [log in to unmask]
: www.premiertherapy.co.uk
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-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf
Of James Beresford
Sent: 03 February 2007 21:43
To: [log in to unmask]
Subject: [Norton AntiSpam] [OCC-HEALTH] Rotator Cuff Injuries
I'd appreciate any thoughts, opinions and practical advice on this subject.
I've met a few cases over the years but always found that full recovery can
take a very long time and 2 years or more is not unrealistic. However. What
if you have an employee who is able to work, such as in an office, but who
is simply not able to get in to work? I have a case like this where the
employee cannot raise the affected arm high enough to grab hold of, never
mind control, the steering wheel on his car. He lives too far away to
utilise public transport and even so is not on standard routes, so even if
it could be done, the sheer time element would make it unrealistic.
Furthermore, the shoulder tip is very sensitive and the perils of crammed
public transport would make it a no-go.
Sick pay won't last long. He is in a post where he is the only person doing
that job and subsequently, rightly so, is very worried about his future.
The injury is not work related. The actual cause is the subject of a legal
claim, but even that will take time.
Aside from the physio, steroid injections etc etc that are taking place, can
anyone on this list give me any other suggestions other than advising the
employer that it is likely to take time to resolve and I'll review
regularly?
James Beresford
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