 |
 |
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 P Please don't print this e-mail unless you really need to. "This message and any attachments are solely for the intended recipient and may contain confidential or privileged information. If you are not the intended recipient, any disclosure, copying, use, or distribution of the information included in this message and any attachments is prohibited. If you have received this communication in error, please notify us by reply e-mail and immediately and permanently delete this message and any attachments. Thank you." -----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 ~~~~~~~~~~~~~~~ Please remove this footer before replying. For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html FORTHCOMING CONFERENCES AND EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH For Occupational Health jobs, go to http://OHJobs.drmaze.net <http://ohjobs.drmaze.net/> Find out about Occupational Health Nursing Education in UK at http://home.wlv.ac.uk/~in6232/aohne/ ~~~~~~~~~~~~~~~ Please remove this footer before replying. For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html FORTHCOMING CONFERENCES AND EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH For Occupational Health jobs, go to http://OHJobs.drmaze.net <http://ohjobs.drmaze.net/> Find out about Occupational Health Nursing Education in UK at http://home.wlv.ac.uk/~in6232/aohne/ ~~~~~~~~~~~~~~~ Please remove this footer before replying. For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html FORTHCOMING CONFERENCES AND EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH For Occupational Health jobs, go to http://OHJobs.drmaze.net <http://ohjobs.drmaze.net/> Find out about Occupational Health Nursing Education in UK at http://home.wlv.ac.uk/~in6232/aohne/ ~~~~~~~~~~~~~~~ Please remove this footer before replying. For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html FORTHCOMING CONFERENCES AND EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH For Occupational Health jobs, go to http://OHJobs.drmaze.net Find out about Occupational Health Nursing Education in UK at http://home.wlv.ac.uk/~in6232/aohne/