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Ellie, If you are suspicious of his motivation to work I would have thought a WAI questionnaire might be the next move to see if his efficacy can be measured. It will cover both the physical and mental aspects. You can then make a more accurate determination of the MSK impact on his ability to do his job. Its not a panacea to solving the problem but will give you an extra measure on which to base your actions. http://occmed.oxfordjournals.org/cgi/reprint/57/2/160 the link is an article related to the WAI which will give you an idea of what it's about if you don't already know. I only have a hard copy which is a 30 page doc. I'm sure you can get access to how to get it on the net. Regards, Wayne Llewellyn Clinical Director Premier Therapy, 6-9 Timber Street, London, EC1Y 0TQ t: 020 7687 7600 e: [log in to unmask] w: www.premiertherapy.co.uk 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" Premier Health & Sport Therapy Limited. Registered in England no. 3376266. Registered Office: 6-9 Timber Street, London EC1Y 0TQ. _____ size=2 width="100%" align=center tabindex=-1> From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Ellie Paige Sent: 27 June 2008 10:51 To: [log in to unmask] Subject: Re: [OCC-HEALTH] Sheurmanns Disease Had physio assessment and ongoing sessions. Physios referred him back to GP as they did not seem to be making much of an impact upon his stated symptoms etc. GP has advised him to continue seeing the physios ======================================== Message Received: Jun 27 2008, 10:10 AM From: "Wayne Llewellyn" To: [log in to unmask] Cc: Subject: Re: [OCC-HEALTH] Sheurmanns Disease Ellie, Has he had a full physiotherapy assessment? Regards, Wayne Llewellyn Clinical Director Premier Therapy, 6-9 Timber Street, London, EC1Y 0TQ t: 020 7687 7600 e: [log in to unmask] w: www.premiertherapy.co.uk 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" Premier Health & Sport Therapy Limited. Registered in England no. 3376266. Registered Office: 6-9 Timber Street, London EC1Y 0TQ. <hrsize=2 width="100%" align=center tabindex=-1> From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Ellie Paige Sent: 26 June 2008 19:04 To: [log in to unmask] Subject: [OCC-HEALTH] Sheurmanns Disease Any advice on how Sheurmanns Disease would manifest in a 36year old man? A chap has had six episodes of back pain over the past 2 years, approx 1 week absence every 2 months. Been diagnosed with Sheurmanns Disease and his absences have rocketed so that he has been at work approx 3 weeks out of every 4 and has just had seven week off with back pain, and his abilities when at work dramatically decreased so that he can not bend or lift anything. His GP has just said that the symptoms are unpredictable and his employers feel they can not sustain the level of absence or his lack of ability inbetween any longer. Walked very gingerley when in OH and compained of back pain when sat for 10mins.....but ran across the car park to his car when he did not notice me watching from the 1st floor window....not that I was checking on him of course...thats where the water cooler just happens to be!!! I though this was a disease of adolescence..please forgive my ignorance if I am wrong ..... and that the symptoms usually recur in later life Any help greatly appreciated ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk </hr ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk