Agree with Carr - I would always go the functional assessment route in such cases, prefereably with a good physio. Having an assessment with someone with specialist knowledge of the workplace and MSD, and having physio via NHS can be vastly different

Date: Tue, 4 Mar 2014 13:12:56 +0000
From: [log in to unmask]
Subject: Re: [OCC-HEALTH] PC difficulties following # finger
To: [log in to unmask]

Apologies Teresa.... I mean an OH physio based ergonomic assessment (so by a physio with OH and ergonomics experience)....as they will be able to take into account the possible outcomes and give more longterm adjustment advice to cover as many bases as possible. I often find they are able to be fairly "honest" with employees too in a productive way.

On 4 March 2014 13:09, Teresa Goodyear <[log in to unmask]> wrote:

Hi Wayne and Carr,

She had physio- didn’t really do the exercises she was given which didn’t help. The finger is at around a 60o angle and she is unable to move the knuckles at all to straighten it or curl it round say a knife. She cannot make a fist.

She saw the Consultant last week who advised further surgery- basically a break and reset although this surgery would permanently fix the little finger at around 45o. She states the surgeon did not think that anymore physio- as things are at the moment- would add anything more than she already has. She is wearing a brace designed to straighten the finger but after 20minutes of wearing she complains of pain and she says the Consultant advised that now around 15-18 weeks post fracture it more than likely isn’t doing what it was designed to do so she can stop wearing it!

Regards

Terri

Terri Goodyear

Occupational Health Advisor

CBS WREF Services

Johnson Controls on behalf of GSK

Email   [log in to unmask]

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From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Wayne Llewellyn
Sent: 04 March 2014 12:56
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] PC difficulties following # finger

Terri,

Depending on the level of deformity or if it has been actually fused it sounds like there may still be some treatment and rehab required considering the time line. Any additional movement gained could allow a more functional finger and eventually a return to more normal keying. Also, if there is still a degree of pain that will have an effect on function.

A full physiotherapy and ergonomic assessment would be the next move. Let me know if you decide to go that route if you need any help setting it up.

Regards,

Wayne Llewellyn
CEO and Clinical DirectorD

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From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Teresa Goodyear
Sent: 04 March 2014 12:07
To: [log in to unmask]
Subject: [OCC-HEALTH] PC difficulties following # finger

Dear List,

I was wondering whether anyone has any other suggestions to my query below- thank-you in advance for any assistance.

I have a lady who fell and broke her hand last Oct/Nov, she badly fractured her left little finger and after surgery has been left with a crooked little finger with minimal movement, essentially it has fused. She returned to work in January and after a period of adjusted duties is now back to normal working but we are continuing to have problems due to the little finger. She has an admin role- 70% of her role is at a pc/using keyboard. The main issue is typing and using her left hand. To use the little finger she has to throw her elbow out to the side which in the long run I feel is going to cause elbow, shoulder and neck pain. She has tried to type using ring finger through to index finger but is making typos and she states in the long run it is causing her more work.

We have explored the use of speak and type packages but she works in an open plan office in an high traffic area- at the moment we are unable to change her location. The packages that we have also looked at are not compatible with our own internal designed software i.e. maximo systems, electronic permit to work system and the such like.

I have done a DSE Assessment, we made a few changes but nothing that will help with the hand and using the keyboard. I have advised rotation of tasks and she has sat with her manager to see where work can be swapped for something that is not keyboard related- there isn’t a lot that they can change.

Have any of my learned fellow professionals had a similar issue and found a simple and effective fix or can you suggest anything? I feel that I have thought of what I can and what the company would be prepared to support.

Thanks.

Kind Regards

Terri Goodyear

Occupational Health Advisor

CBS WREF Services

Johnson Controls on behalf of GSK

Building 1- 1L12, Priory Street, Ware, Hertfordshire, SG12 0DJ, United Kingdom

Email   [log in to unmask]

Mobile +447772 910272

Tel       +441920 883853 (Ware) or +441438 790290 (Stevenage)

This message is for the named person's use only. It may contain confidential, proprietary or legally privileged information. No confidentiality or privilege is waived or lost by any mistransmission. If you receive this message in error, please immediately delete it and all copies of it from your system, destroy any hard copies of it and notify the sender. You must not, directly or indirectly, use, disclose, distribute, print, or copy any part of this message if you are not the intended recipient.

Please be advised that all e-mail communication relevant to assisting in the management of the OH process will be printed and entered into the individual's OH file. This may therefore be disclosed under the Data Protection Act (1998).

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