the msd domino effect - dr. daryl laney
TRANSCRIPT
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The MSD Domino Effect: How the Pain Cycle Radiates Throughout an Organization
Dr. Daryl Laney
The Dallas Healthy Workforce Forum
July 18, 2017
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Musculoskeletal Disorders: The Big Picture
Understanding the nature of musculoskeletal Injuries, the cyclic nature of pain, and the impact on:
The Employee
The Organization
The Bottom Line
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MSD Fast Facts
38% More Lost Days than average injury or Illness
Accounts for 1/3rd of all Workman's Comp costs
Estimated Total Costs =$45-54 Billion annually
Direct costs = $20 Billion annually
Leading cause of pain and disability at work
Nearly 400,000injuries are reported annually
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What are Musculoskeletal Disorders (MSDs)?
MSDs are injuries to the soft-tissue, which can affect:
• Muscles • Joints
• Nerves • Cartilage
• Tendons • Fascia
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What Causes an Injury?
MSDs are often triggered by one, or a combination of factors, including:
• Sudden or sustained exposure to force
• Repetitive motion
• Awkward postures
• Vibration
• Exposure to individual risk factors
• Exposure to workplace risk factors
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The Pain Cycle
Injury
Pain
Inflammation
ScarringRestriction
Weakness
Spasm
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Common Injuries and Conditions
Achilles Tendinitis Neck Pain
Ankle Sprains Patellar Tendinitis
Carpel Tunnel Syndrome Plantar Fasciitis
Frozen Shoulder Rotator Cuff Strains
Golfers Elbow Shin Splints
Hamstring Strain/Pull Tension Headaches/Migraines
Hip Flexor/ Psoas Tendonitis Tennis Elbow
Hip Pain TMJ
Knee Sprains Whiplash
Lower Back Pain
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“Corporate Back Syndrome”
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Low Back Pain
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Carpal Tunnel Syndrome
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Shoulder Pain
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Hip Pain
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Impact on the Employee
Ability to Perform Job
Time Away from Work
Morale
Cost
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Impact on the Organization
Productivity and Impact on Team
Hiring/Training Additional Employees
Workman Comp Claims
Costs and Rising Insurance Premiums
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Musculoskeletal Treatment Options
Traditional
New Treatment Trends• Off-site Options
• On-site Treatment
• Primary Care• Physical Therapy• Chiropractic • Rx Medication
• Occupational Therapy• Pain Management• Surgery
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Fascial Distortion Model
Dr. Stephen Typaldos, DO
Musculoskeletal complaints are viewed through 1 or more of 6 types of distortions to the body’s connective tissue (fascia)
Body language, verbal descriptions, mechanism of injury, pre/post-session tests help assess the injury and determine best resolution
Hands-on approach to manipulate fascia, eliminating pain quickly
Falls under first aid treatments according to OSHA standards
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Supporting Research
Immediate pain relief
Improved muscle recovery
after trauma
Reduction of prescription use
Decreasing edema
Increased range of motion
Studies show that myofascial techniques effectively provide:
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Benefits of On-site Treatment
Efficiency and Convenience
QuantifiableResults
Rapid Recovery
EmployerSatisfaction
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Slowing the MSD Domino Momentum
Proactive Approach:
Identify Risks
Prevent and Educate
Responsiveness:
Early Intervention of Injury
Access to Best Treatment
Continuous Improvement:
Monitor, Measure, Adjust
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