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Work Related Injuries

Back Clinic Work-Related Injuries Chiropractic and Physical Therapy Team. Work injuries and conditions can occur from a variety of circumstances, altering an individual’s lifestyle, however, those that occur in the work field can often also be debilitating and impairing, affecting an individual’s work performance. Work-related injuries can include bone fractures and muscle strains/sprains to conditions causing degeneration of many structures of the body, such as arthritis.

Also referred to as occupational injury, repetitive and constant motions of the hands, arms, shoulders, neck and back, among others, can gradually wear out the tissues, increasing the risk of injury which could eventually lead to further complications. A collection of articles depicts the causes and effects of many work-related injuries, carefully describing each variety. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.


Forklift and Lift Truck Accidents and Injuries Back Clinic

Forklift and Lift Truck Accidents and Injuries Back Clinic

Forklifts, also known as lift trucks, are used for loading, unloading, and transporting various goods and materials in construction, shipping, and retail industries. They are heavy-duty equipment and require extensive training to operate safely. Forklifts are involved in many serious workplace accidents causing thousands of injuries annually. Chiropractors specialize in injury care and rehabilitation from vehicle accidents and collisions. They can help restore optimal musculoskeletal function and health through adjustments, massage, decompression, and traction therapies.Forklift and Lift Truck Accidents and Injuries Chiropractor

Forklift Operation

The forklift is one of the most widely used pieces of equipment to raise, lower, or remove pallets, boxes, crates, or other containers and transport and stock goods and materials. There are a variety of lift trucks that include:

Operation

The weight, speed, and operation difficulty increase the risk of an accident, increasing the risk of injuries. Other factors include:

  • They can reach up to 20 miles per hour or more.
  • They have front braking systems making it harder to stop.
  • The weight distribution is in the back.
  • The rear wheels turn instead of the front, causing tip-overs.
  • Most carry their loads in front and can obstruct an operator’s view.
  • Lifting too heavy a load can destabilize a forklift and cause it to turn over.

Accident and Injury Causes

Federal work safety regulations require individuals to complete a training program to operate a forklift safely. The most common causes of accidents include:

  • Lack of training and experience.
  • Lack of safety equipment – helmets, seatbelts, grab handles, roll cages, cage guards, warning lights, and sirens.
  • Lack of maintenance – bent forks, no load backrest, unbalanced wheels, etc.
  • Improper loading – off center, damaged goods, loose loads.
  • Lifting, moving or tilting the mast too fast.
  • Riding with a raised load.
  • Speeding.
  • Improper backing-up techniques.
  • Poor communication.
  • Horseplay.
  • Giving rides.
  • Failing to immobilize the machine when the operator leaves.
  • Failing to pay attention to the position of the forks.
  • Failing to yield to pedestrians.
  • Traveling up or down unsafe inclines.
  • Driving off the side of a ramp.
  • Design or manufacturing defects.

Common Accidents

The most common type of accidents involve:

  • Tip-overs and Rollovers.
  • Falling off the lift.
  • Getting struck by falling materials or objects.
  • Pedestrian injuries like getting hit by the vehicle or tripping over the forks.
  • Getting caught in or compressed/crushed by the vehicle or objects.

Injuries

The most common injuries that result from lift accidents include:

  • Contusions
  • Sprains
  • Muscle tears
  • Back pain disorders
  • Crush injuries
  • Fractures

Chiropractic Therapy and Rehabilitation

Chiropractic therapy can help heal and rehabilitate musculoskeletal injuries. A chiropractic team will relieve pain symptoms and restore the body’s alignment and function. Treatment includes:

Adjustments

  • To gently realign joints.
  • Decrease pain.
  • Increase range of motion.
  • Improves posture.

Soft-tissue massage

  • To relax tight muscles.
  • Relieve spasms.
  • Release tension in the connective tissue surrounding the muscles.
  • Reduces pain.
  • Improves the range of motion of the spine and joints.

Exercises and stretches

  • To restore and maintain flexibility, joint stability, and mobility.

Joint bracing and taping

  • To support sprained joints or muscles during healing.

Health Coaching

  • Guides diet and nutrition to reduce inflammation and promote healthy eating to manage weight.

Forklift Fails


References

Bage, T et al. “Forklift-related lower limb injuries: a retrospective case series study with patient-reported outcome measures (PROMs).” Annals of the Royal College of Surgeons of England vol. 103,10 (2021): 730-733. doi:10.1308/rcsann.2020.7124

Born, C T et al. “Patterns of injury and disability caused by forklift trucks.” The Journal of trauma vol. 40,4 (1996): 636-9. doi:10.1097/00005373-199604000-00020

Hong, Choon Chiet, et al. “Forklift-Related Crush Injuries of the Foot and Ankle.” Foot & ankle international vol. 36,7 (2015): 806-11. doi:10.1177/1071100715576486

Ull, Christopher et al. “Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance.” “Gabelstaplerunfälle – Verletzungsmuster, Therapie und Outcome im berufsgenossenschaftlichen Kontext.” Zeitschrift fur Orthopadie und Unfallchirurgie, 10.1055/a-1402-1649. 19 Apr. 2021, doi:10.1055/a-1402-1649

Waters, Thomas et al. “Lower back disorders among forklift operators: an emerging occupational health problem?.” American journal of industrial medicine vol. 47,4 (2005): 333-40. doi:10.1002/ajim.20146

Restaurant Work Shoulder and Hand Injuries

Restaurant Work Shoulder and Hand Injuries

Restaurant work takes a toll on the body with the repetitive moving, bending, twisting, reaching, prepping, cutting, serving, and washing. This is especially true of the shoulders, arms, and hands. When individuals avoid treating their aches and pains, this can lead to chronic pain conditions that can cause severe and permanent damage to the musculoskeletal system. Chiropractic can alleviate the tingling and pain by removing the compression, re-stretching/lengthening, and strengthening the muscles and nerves to perform at optimal levels.

Restaurant Work Shoulder and Hand Injuries

Restaurant Work

The arms and hands are designed to accomplish various tasks. When functioning normally, tasks can be performed flawlessly. Repetitive/Overuse or trauma can cause nerve compression, stiffness, and pain, decreasing function and affecting daily routines.

Carpal Tunnel

  • Carpal tunnel syndrome is one of the most common disorders that affect the arm and hands.
  • The carpal tunnel is a space where a nerve and several tendons pass. If the nerve becomes compressed, it can cause numbness, tingling in the fingers, pain, and muscle weakness, making it difficult to grip objects.
  • Discomfort and pain start gradually in one or both hands.
  • It can cause tightness and pain in the shoulder, forearm, wrist, and hand.
  • It can also cause numbness in the palm and fingers.
  • It can cause swelling and burning sensations.
  • Individuals often shake out the numbness and tingling sensations throughout the day or night.

Tendonitis

  • Tendonitis can present with carpal tunnel symptoms except for the gradual starting pain.
  • Tendonitis comes from Overuse and repetitive motions.
  • The pain will be tender directly on the affected area.
  • To help prevent and avoid, ask about exercises that stretch the affected tendons.
  • Ask a doctor or chiropractor which exercises and stretches are the safest for the specific condition.
  • Depending on the severity of the condition, individuals may need corticosteroid injections, physical therapy, or surgery.

Injury Prevention Tips Restaurant Work

  • Learn to stop trying to carry everything in one trip.
  • Ask for help/support staff to servers who deliver large orders and for clearing.
  • Recommend changes if body posture increases injury risk.
  • Heavy trays and plates should be balanced on the palm for better weight distribution.
  • Healthy rotation ensures that one worker does not always have the chopping and cutting duties for hours.
  • Take frequent breaks from tasks that require repetitive motions.
  • Find various stretches and exercises to build strength and flexibility in the arms, wrists, and hands.
  • Avoid scheduling multiple consecutive long shifts for jobs that require repetitive hand motions.

Body Composition


Sticking To A Meal Plan

Identify personal motivation to stick to a meal plan other than improving body composition. To keep motivation high, individuals need to identify other reasons behind goals. This could be:

  • Saving money from the food budget.
  • Spending time with loved ones preparing a healthy recipe.
  • Setting an example to family and friends.
  • It can be whatever motivates you.
  • Reassess and tweak the meal plan as needed.
  • Nutritional needs or dietary preferences change.
  • Meal planning should be a dynamic process.
  • Don’t get disappointed if not going as planned.
  • Refocus by making changes as needed.
References

Gentzler, Marc D, and Janan A Smither. “Using practical ergonomic evaluations in the restaurant industry to enhance safety and comfort: a case study.” Work (Reading, Mass.) vol. 41 Suppl 1 (2012): 5529-31. doi:10.3233/WOR-2012-0872-5529

Laperrière, Ève et al. “Work activity in foodservice: The significance of customer relations, tipping practices and gender for preventing musculoskeletal disorders.” Applied ergonomics vol. 58 (2017): 89-101. doi:10.1016/j.apergo.2016.05.013

Masear, V R et al. “An industrial cause of carpal tunnel syndrome.” The Journal of hand surgery vol. 11,2 (1986): 222-7. doi:10.1016/s0363-5023(86)80055-7

www.osha.gov/etools/hospitals/food-services/work-related-musculoskeletal-disorders

Szabo, R M. “Carpal tunnel syndrome as a repetitive motion disorder.” Clinical Orthopedics and related research,351 (1998): 78-89.

Dealing With a Job-Related Injury: What You Need to Know

Dealing With a Job-Related Injury: What You Need to Know

Any job-related back injury can significantly complicate an individual’s life. Dealing with the pain, trying to figure out how to get things done while in recovery, and workers’ compensation to protect individuals who are injured on the job, getting them healthy without the stress of worrying about losing money from missing work.

Dealing With a Job-Related Injury: What You Need to Know

Job-Related Injury

According to the Occupational Safety and Health Administration or O.S.H.A., a job-related injury is one that either contributed to or is caused by something in the work environment that injures an individual or exacerbates/worsens a previous injury. This is a general overview of the definition, and there are some exceptions. For example, being at the place of work as a general public citizen and not working when an injury happens will not be covered. If not sure whether a back injury is job-related, it’s better to be cautious and report the incident as soon as it happens.

Common Back Injuries

Back injuries are the most common job-related injuries. Back injuries are the number one reason individuals cannot work, whether they hurt their back at home or on the job. The Bureau of Labor Statistics found that nearly 40% of all musculoskeletal injuries that resulted in lost workdays were because of back injuries. The most common back injuries include:

  • Sprains
  • Strains
  • Herniated Discs
  • Whiplash
  • Spinal Cord Injuries
  • Vertebral Fractures

Compensation

Every state’s workers’ compensation program is different; however, the basic components are the same throughout. This means that if a workers’ compensation claim is approved and an individual cannot work because of their injury, they can expect to receive a regular base salary during treatment, rehabilitation, and recovery. Individuals also continue to receive medical coverage through the company, while the workers’ compensation fund should pay for treatment and diagnostics related to the injury.

When A Back Injury Occurs at Work

When a back happens at work, inform the employer as soon as possible. Do not be embarrassed or feel as if it is not a big deal to seek workers’ compensation.  It is an insurance program for both the individual and the employer. An employer pays into the state’s workers’ compensation program for limited liability when employees get injured. Individuals don’t pay for the program, but it protects the individual in case something happens.

Letting an injury go untreated might not be anything at first, but months and years later, it can come back and be worse than when it first happened, causing greater damage, added medical costs, and procedures that the individual has to pay for out of pocket. 

Once an individual knows they have a back injury, it is recommended to seek treatment as soon as possible to prevent worsening the injury or create new ones and develop a treatment, rehabilitation, and strengthening program. If an individual needs emergency care, tell the doctors about the work injury and precisely what happened. Emergency medical care should be sought out when:

  • There is a loss of function in any of the limbs.
  • There is a persistent numbness with the back pain.
  • There is nausea, dizziness, or vomiting after the injury.
  • There is a fever with back pain.
  • Loss of consciousness.
  • Loss of bowel or bladder control.

If the injury is not immediate and progresses gradually, but suspect that it is from work, it should be reported and examined by a medical professional.

Treatment

Proper treatment for a back injury depends on the severity of the injury. Those who prefer non-invasive, medication-free treatment are able to recover with chiropractic or physical therapy. Chiropractic doctors are experts in the spine and the musculoskeletal system. Chiropractic treatment is safe, and proven, and can help relieve pain, restore function, to get back to work safely.


Body Composition


Resistance Exercise

Resistance workouts are made to stress the muscles resulting in muscle gain. Resistance exercise makes the body adapt by growing the muscles to make them more capable of handling intense forces without strain. The stress of resistance exercise causes the muscle fibers to tear at the cellular level. Then, special muscle cells, known as satellite cells, jump into action to repair, rebuild, and grow the muscle. These types of exercises include high-intensity workouts or compound exercises that increase muscle growth. However, there needs to be a healthy balance between workouts and rest to support healthy hormone levels and maximize muscle gain.

Hormones

There are three primary hormones that stimulate muscle hypertrophy. They are:

  • Insulin-like growth factor 1 IGF-1
  • Growth hormone GH
  • Testosterone

Muscle protein synthesis is a critical process in muscle hypertrophy and happens after weight training. The hormones signal to the muscle to repair and rebuild after workout sessions. GH is released in high quantities during sleep, which is why proper sleep is needed to help reach body composition goals. When nutrition, workouts, and hormonal effects are combined, muscle-building happens. Figuring out the right balance is essential for reaching health goals.

References

Burton, A K, and E Erg. “Back injury and work loss. Biomechanical and psychosocial influences.” Spine vol. 22,21 (1997): 2575-80. doi:10.1097/00007632-199711010-00021

www.osha.gov/laws-regs/regulations/standardnumber/1904/1904.5

www.bls.gov/opub/ted/2018/back-injuries-prominent-in-work-related-musculoskeletal-disorder-cases-in-2016.htm

Marjorie L Baldwin, Pierre Côté, John W Frank, William G Johnson, Cost-effectiveness studies of medical and chiropractic care for occupational low back pain: a critical review of the literature, The Spine Journal, Volume 1, Issue 2, 2001, Pages 138-147, ISSN 1529-9430, doi.org/10.1016/S1529-9430(01)00016-X.(https://www.sciencedirect.com/science/article/pii/S152994300100016X)

Randall, Sara. “1. Avoiding back injury.” The practicing midwife vol. 17,11 (2014): 10, 12-4.

Avoiding Back Injuries At Work

Avoiding Back Injuries At Work

High-impact labor jobs can cause back pain, as well as jobs that require sitting all day. Nowadays, everyone is at risk of developing some form of back pain at their place of work. Here are a few tips for avoiding back injuries at work. It does not matter what an individual does for a living, or how it is done. Sitting, standing, lifting, bending, twisting, reaching, pulling, and pushing, all can have a negative impact on the spine’s health and the muscles in the back.  
11860 Vista Del Sol, Ste. 128 Avoiding Back Injuries At Work
 
According to the Occupational Safety and Health Administration or OSHA, work-related musculoskeletal disorders are a common reason for missing work or restricting work time. Back pain and injury prevention/avoiding is the goal along with seeking the proper treatment as soon as possible.  

The Risk for Back Pain

Work-related musculoskeletal disorders that affect the spine are a worldwide problem. The World Health Organization has stated in the United States that there is an estimated 149 million workdays lost every year because of back pain, with total costs estimated to be around 100-200 billion a year. And the World Health Organization identified low back pain as the leading cause of disability in the world. The National Institute for Occupations Safety and Health, which is a division of the CDC, listed five primary risk conditions for work-related musculoskeletal disorders:
  • Regularly lifting of objects
  • Regular exposure to whole-body vibration like using a jackhammer or driving a forklift
  • Regular reaching overhead work
  • Working with the spine in a chronic flexion position
  • Repetitive work/tasks
 

Office Back Pain

Individuals that stare at screens most of the day means their spines are at risk for cervical spinal flexion. This can lead to neck, shoulder, and upper back pain. And sitting for long bouts of time with poor posture adds tremendous pressure and weight on the low back. When the body is seated for a long time, the body is not utilizing its core abdominal muscles and back muscles that keep the body and foundation strong and flexible. The more these muscles are under-utilized the more the body begins to fall into the vicious cycle of slouching, slumping, poor posture, and increased stress on the back muscles.  
11860 Vista Del Sol, Ste. 128 Avoiding Back Injuries At Work
 

Avoiding Back Injury

With advancements in medicine, there are solutions for relieving pain and getting an individual back to regular work activity. Basic ways for avoiding injuries and keeping the spine healthy.
  • Lifting with the legs and not the back
  • Maintaining healthy weight
  • Healthy diet
  • Stretching before physical activity and also during work will keep the muscles active and optimal circulation
  • Overall physical fitness like taking a walk
  • Knowing when to rest giving the body a break
  • Focus on recovery during off-hours

Working with Spine Specialists

If the pain is constant or there is a high possibility of an injury, see a medical professional. The correct diagnosis leads to the right treatment, which can include:
  • Rest
  • Physical therapy
  • Chiropractic
  • Pain management
  • Medication
  • Injections
  • Surgery
 
There is no one-size-fits-all approach. Every individual will have a personalized treatment plan. A multi-approach is recommended, and the most therapeutic for long-term benefits. One treatment option to be very cautious about is opioids. A review in BMJ suggests opioids do not help individuals get back to work faster, and pain control is only short-term. Back pain inflammation is better addressed through anti-inflammatory medication, physical therapy, and exercise. If pain or a back problem currently exists, see a doctor, chiropractor, or spine specialist and find out about treatment options and avoiding back problems.

Body Composition


 

How Aging Affects the Body

The body’s muscles are constantly being broken down and repaired. When the muscles are used, microscopic tears happen from the regular wear and tear. This means rebuilding those tears with protein. However, as the body gets older, it stops rebuilding the muscles as efficiently. With time, there is a reduction in overall muscle mass and strength. That loss can come from a combination of factors including:
  • Hormone changes – for example, testosterone gradually decreases
  • Physical inactivity
  • Comorbid conditions like cardiovascular disease, diabetes, and cancer
But this reduction in muscle mass doesn�t just happen to the elderly. Research has shown that strength and development in an individual’s 20s peaks and begins to plateau in their 30s. For many, decreased strength translates to being less active, and routine activities become more difficult to execute. Inactivity means fewer calories burned, muscle development decrease, and negative changes to body composition including muscle loss, and percent body fat increase.  

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*  
References
�Work-Related Musculoskeletal Disorders & Ergonomics.� Centers for Disease Control and Prevention, Atlanta, GA.�www.cdc.gov/workplacehealthpromotion/health-strategies/musculoskeletal-disorders/index.html OSHA Technical Manual,�Section VII, Chapter 1: Back Disorders and Injuries. Occupational Safety and Health Administration, Washington, DC.�www.osha.gov/dts/osta/otm/otm_vii/otm_vii_1.html#3 �Cervical spine joint loading with neck flexion.��Ergonomics. January 2020.�pubmed.ncbi.nlm.nih.gov/31594480/ �Back to Health.��Safety & Health.�The National Safety Council, Itasca, IL.�www.safetyandhealthmagazine.com/articles/18897-back-to-health
Don’t Give Up On Physical Therapy For Back Pain

Don’t Give Up On Physical Therapy For Back Pain

When individuals stop working on their back pain therapy, the pain can come back. Don’t give up on the process and trust the therapists/providers. Many people experience their first episode of low back pain between the ages of 20 and 40. Often they are not sure what caused their back problems. There are a variety of factors that could be contributors like:
  • Old running shoes
  • A heavy box that was inappropriately lifted and carried
  • Exercise strain
  • Too much sitting
  • Poor posture
  • Work injury
  • Personal injury
  • Sports injury
11860 Vista Del Sol, Ste. 128 Don't Give Up On Physical Therapy For Back Pain
After some time with the pain, a visit to the doctor is in order, hoping for clear answers and strong medicine. A diagnosis of non-specific back pain and a prescription for physical therapy is given. This is because doctors are now required to prescribe non-medication, non-invasive therapeutic approaches for any type of pain first. After three to four weeks of physical therapy, and there is still no improvement or signs of improvement will a doctor recommend medication/s and/or surgery.

Physical Therapy

Nonspecific back pain describes back pain that is not associated with a clear cause like:
  • Osteoporosis
  • Inflammatory arthritis
  • Tumor
  • Fracture
  • Infection
  • Structural deformity
Non-specific back pain is very common and often acute, meaning the symptoms usually go away on their own within a month. Physical therapy also known as PT can help expedite the healing process. Physical therapy can improve a variety of back-related problems, including those caused by disease and structural abnormalities. A study found that physical therapy works as well as surgery for lumbar spinal stenosis or the narrowing of the spinal canal in the low back.

Don’t Give Up On The Program

Unfortunately, many individuals do not follow through with the full course of physical therapy. Reasons include:
  • Time
  • Cost
  • Inconvenience
  • Low level of physical activity before treatment
  • Depression
  • Anxiety
  • Poor social support
  • Increased pain during exercise
11860 Vista Del Sol, Ste. 128 Don't Give Up On Physical Therapy For Back Pain
The problem with stopping physical therapy is that individuals can end up right where they began. Not following a treatment plan can have negative effects on outcomes and healthcare costs. Progress depends on how much follow-through an individual does on their own. Don’t give up on the program and maintain rehabilitative progress.

Scientifically Backed Benefits

Scientific proof means measuring results objectively to determine if a treatment works. Physical therapy has consistently proven to be highly effective. Researchers found that physical therapy led to positive health benefits when treating back pain. Specifically, individuals that followed a physical therapy program to the end had:
  • Less physical therapy visits
  • Their length of care was shorter
  • Prescription medications were used far less
  • Fewer visits to the doctor
  • Advanced imaging is used less
  • Cost savings
For example, spine stabilization exercises during an episode of low back pain can decrease pain, disability, and the risk of another episode.
11860 Vista Del Sol, Ste. 128 Don't Give Up On Physical Therapy For Back Pain

The Right Physical Therapy Clinic

Do research to find the best therapeutic clinic or professional. It is perfectly understandable to be picky about physical therapy. Several studies have shown that a healthy relationship between patients and physical therapists improves outcomes. When choosing a clinic, individuals should be aware that there are different models. The differences can influence the experience.
  • Some therapists treat more than one person at a time. This means the exercises will be shown how to do them properly, then the individual will be expected to continue on their own with the therapist returning to see the progress and start the next exercise.
  • Some therapists see the patient once, then an assistant takes over. Assistants will help with the exercise programs.
  • There are some clinics that could be out of network or do not accept insurance. Individuals can pay more, but the benefit is more one-on-one time/care with a physical therapist.
  • If an individual does not like the experience with one model, try another.
  • Remember that individuals need to advocate for their own health, treatment, and progress.
  • If an individual is not improving, then they need to have a discussion with the physical therapist.
  • The therapist can then problem solve and try a new treatment or refer the patient for additional care like imaging, medications, or a different intervention altogether. Don’t give up, relief from back pain is possible.

Don’t Give Up On Body Health

 

 

Body composition analysis an effective tool during physical therapy

Body composition is essential for understanding physiological makeup and to help guide a treatment plan to target specific areas in physical therapy programs. InBody analysis is non-invasive and convenient, making it ideal when used in conjunction with physical therapy rehabilitation programs. The InBody test provides results that can be used to educate and engage individuals to help track improvements throughout the physical therapy course. In less than 60 seconds, the test results are easy-to-understand, accurate, and objective. This helps to evaluate and monitor progress during rehabilitation. With the test a physical therapist can:
  • Assess muscle distribution
  • Focus on areas weakened by injury or surgery
  • Identify fluid imbalances related to inflammation
  • Monitor changes to determine the efficacy of the therapy program
  • Guide recommendations for long-term success
  • Don’t give up!

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
PLOS One.�(Jun 2016) �The Influence of Physical Therapy Guideline Adherence on Healthcare Utilization and Costs among Patients with Low Back Pain: A Systematic Review of the Literature.��pubmed.ncbi.nlm.nih.gov/27285608/ Pain and Therapy.�(Jan 2020) �Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions.��link.springer.com/article/10.1007/s40122-020-00149-5 Spine.�(Apr 2012) �Management Patterns in Acute Low Back Pain: the Role of Physical Therapy.��www.ncbi.nlm.nih.gov/pmc/articles/PMC3062937/
Workers� Compensation for Back Injuries Overview

Workers� Compensation for Back Injuries Overview

Getting workers� compensation for a back/spinal injury can be a daunting and overwhelming task. There are plenty of questions, and we have answers from both medical and legal professionals. Anyone can be affected by back pain at work.
  • Truck drivers
  • Manual laborers
  • Construction workers
  • Hairstylists
  • Automotive technicians
  • Teachers
  • Healthcare workers
  • Foodservice workers
  • Hospitality workers
  • Office workers
Work-related back injuries can be prevented by paying attention to posture, taking standing/moving breaks, stretching out, and lifting properly. However, if back pain at work stems from a work injury individuals could be entitled to workers� compensation benefits.  
11860 Vista Del Sol, Ste. 128 Workers� Compensation for Back Injuries Overview
 

Workers� Compensation

Workers’ compensation is an insurance program that helps with and provides benefits and medical care for workers that have been injured or fallen ill resulting directly from their job. This means if an individual is injured at work, employers have negotiated to free themselves of a majority of the liability by paying for the treatment and recovery. Companies that employ five-hundred or more are able to manage their own workers� compensation program. However, most workers� compensation programs are managed by state governments. Every state has its own workers� compensation program that employers pay into. The federal government handles the federal workers� compensation program for federal employees. The program is funded by the employer with the cost not affecting an individual’s paycheck.

Workers� Compensation Coverage

Compensation programs are different throughout the country. Typically workers� compensation pays for:
  • Initial emergency department
  • Urgent care visit
  • Diagnostic testing recommended by the emergency department
  • Follow-up physician
  • Surgical intervention
  • Rehabilitation
Under workers� comp back injury treatment/s are completely covered, meaning an individual does not have to meet a deductible or pay premiums, copayments, or coinsurance. Individuals continue to receive regular health insurance benefits from the employer. This could require a deductible, premiums, copays, and coinsurance. This is for the treatment of other health issues while receiving workers� compensation care. If an individual is unable to work because of a workers’ comp back injury, a worker can expect to be paid a base salary after taxes while being treated. Those whose salary is dependent on overtime creates a disadvantage. Workers� compensation can mean a pay cut for these individuals. Workers� comp pay depends on the state. Usually, there is a wage rate set by the state.

High Risk for Back Injury on the Job

Employees that are involved in physical labor like construction, factory work, and healthcare work have a higher risk of getting a back injury on the job. These injuries are often the result of:
  • Improper lifting techniques
  • Repetitively turning
  • Twisting while lifting
  • Holding something heavy
  • Lifting heavy objects above the head
  • Using the back muscles instead of the hips and legs when lifting bending of the knees and bringing heavy objects close to the core
Truck drivers also have a higher risk of back injuries. Sitting for long periods and reduced physical activity contributes to the back muscles losing their strength, endurance, and cardiovascular ability. Then when unloading the cargo the stress on the spine is doubled.  
11860 Vista Del Sol, Ste. 128 Workers� Compensation for Back Injuries Overview
 

Injury Report

A back injury should be reported to the supervisor or the company�s human resources department. Depending on the state, there is a statute of limitations to file an injury claim. For example, an individual has one year from the date of injury to file a workers� compensation claim with the supervisor or human resources department. However, it is best to report the injury and seek medical attention as soon as possible after being injured at work. The longer the wait, the more the employer could dispute the legal validity of a workers� compensation claim.

Injury Qualification

If injured at work, assume the injury will be covered by workers� compensation. However, it is not always completely clear. An individual could be injured at a work-related cookout or working from home and trip down the stairs. These are gray areas and are very new as more people working from home. These kinds of workers� comp claims are now starting to be seen. Whatever the event, report injury/s to the employer. If the situation is untraditional, there could be some back and forth with the employer.

Spine Specialist Referal

To receive work comp treatment patients with back injuries will be referred to an occupational therapy clinic. An occupational therapist or clinic will set up the treatment. This could include:
  • Chiropractic
  • Medication
  • Physical therapy
  • Hydrotherapy
  • MRI
  • CT scan
  • X-rays
For many that could be enough to get them back to work. If the initial treatments fail an individual could be referred to a spine specialist to set up an optimal treatment plan. A spine specialist could recommend additional therapy, medication, diagnostic imaging, spinal injections, or surgery. Occupational therapy usually goes on for four to six weeks before the individual is referred to a spine specialist. This all depends on the situation. Individuals can be referred immediately for specific spinal treatment or be told to wait for a specific time. It all depends on the medical situation.

Employer and the Spine Specialist

In most states, employers will request a copy of the treatment plan and spine surgeon�s clinical notes written about the case during office or telemedicine appointments. Doctors have to provide clinic notes and treatment plans to the human resources departments along with the workers� compensation insurance carrier. Consistent, active communication goes on between the primary doctor, the company�s human resources department, and the insurance carrier. Note that workers� compensation is exempt from HIPAA privacy regulations. Employers and the workers� compensation insurance carrier have access to medical records related to the back injury. But medical information unrelated to the injury is restricted.

Obtaining Workers� Compensation From a Doctor

Generally, no. Obtaining Workers� comp is between the individual and their employer, not the doctor. Sometimes doctors are asked to determine if an individual’s injury/s are work-related. This involves going through medical records but these requests are rare.  
 

Benefits Duration

It depends on the case and where an individual lives. Every state is its own system. In some states, treatment can be ongoing for as long as treatment is needed and is consistent. What is highly recommended is meeting with a workers� compensation attorney in your state when beginning the process to learn your rights and the process. This can help in preventing issues from popping up like an employer pressuring a worker to come back before a doctor has cleared them to return.

Making Most of Workers� Comp

Keep appointments and be compliant with the doctor’s treatment plan and recommendations. Be transparent with the doctor. Not telling them exactly what is happening will not help in their recovery. If there is an improvement from the treatment/s fantastic, but if there are minimal to no improvements be as descriptive as possible about what is happening and what does work. The goal is to work with a clinical team that can get an individual better back to work and normal activities.

Lower Back Bain Pain Chiropractic Relief

 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Sit-Stand Desks, The Spine, and What to Consider

Sit-Stand Desks, The Spine, and What to Consider

Sit-stand desks are coming around, especially with so many of us working from home. Sitting is not a bad thing, it is just that we do it too much. Whether at home or work, too much-sitting causes health problems, and musculoskeletal problems, which can lead to a chronic back pain condition.

Too much sitting has been compared to smoking, and sitting in front of a computer for hours and hours has led to 85% of workers reporting discomfort/pain/ health issues at work. Fortunately, there is hope for the modern-day office known as the sit-stand desk or a standing office desk. Individuals are rapidly discovering the benefits of this ergonomic tool.

11860 Vista Del Sol, Ste. 128 Sit-Stand Desks, The Spine, and Things to Consider

Sit-stand desks encourage workers not to sit as much and stand for a while. This generates a spectrum of spine health benefits that range from reducing pressure on the back to burning a few extra calories just from changing positions. Thinking of investing in an adjustable desk, here are some key things to consider.

Get a new sit-stand desk or a unit that sits on top of my desk

This depends on the amount of space that is available. If there is plenty of space, specifically, to spread things out over a large desk area, then it can make sense to invest in a stand-alone sit-stand desk. If the current desk is right for you, then a sit-stand desk put on top of the current desk may be the better option.

Height Adjustment

It�s important that the height of the desk can be adjusted. This has to do with different heights for different work tasks. For example, an individual could prefer one height for writing and another height when working/keyboarding on the computer.

If the desk is going to be used by others, then it�s essential that the height can be adjusted to meet the needs of those with different heights and work preferences. The Business and Institutional Furniture Manufacturers Association recommends that the height range be 22.6? to 48.7?. Ultimately the range depends on those using the desk.

 

Depth of the desk

Depth is the front-to-back tabletop distance when facing the desk. A good choice is a desk that has a minimum depth of 30?. This allows those who prefer more desk space the ability to spread out the work. However, smaller depths are available.

Weight capacity

Sit-stand desks are built to handle the weight of the usual desktop items:

  • Computer
  • Monitor/s
  • Keyboard
  • Mouse
  • Speakers
  • Phone

With heavy items, it’s best to review the weight restrictions of the desk you will be using. Weight restrictions vary, but there are all kinds of desk models to fit your needs. �

Desk budget

This depends on your budget, work purposes, and quality. Sit-stand desks can be found in a wide range of prices. Opting for the cheapest desk is not the wisest thing to do. Remember these desks are an investment in the spine and overall health. Consider the quality of the desk and how long it will last along with a warranty to protect you if the desk malfunctions.

What to look for

Sit-stand desks come with all kinds of options, in terms of quality and convenience.

Noise level:

If a quiet work environment is important, then look into desks that offer a quiet action/transition when switching from sitting to standing and vice versa.

Speed:

Some desks can take a long time to switch. Be careful with these because the use of the full functionality can diminish because of the length of time it takes. Look for the quick adjustment type.

Manual vs. electrical:

There are some desk models that operate using hand cranks, locking switches, etc. while others use electric/pneumatic lifts to raise and lower the desk with a power button. The method of movement chosen will have a distinct impact on the ease of use, speed, and noise level.

Programmable:

Some desks can be programmed with height preferences so they can be set to the desired position and saved.

Customization:

If the desk needs to be able to function around privacy screens or specialized office equipment, a one-size-fits-all desk may not be the best option. This is something to consider if the desk needs to fit perfectly in an established environment. �

11860 Vista Del Sol, Ste. 128 Sit-Stand Desks, The Spine, and Things to Consider

 

Keeping the desk in the standing position

Some individuals may feel better standing all day. However, standing for long periods does as much damage to the spine as sitting all day. The best approach is to vary postures over a workday.

  • After sitting for an hour, get up and move around.
  • If you�ve been standing for a while, take a break and sit.

That is what sit-stand desks are made for. They are made to promote changing positions throughout the day, which is the best thing for the spine. Be prepared for a transition period. Standing at work can bring some unexpected fatigue if you’re used to sitting all day.

Getting into the flow of working while sitting then standing, then going back can be a bit daunting. The goal is to slowly build up the amount of time standing, switching to a sitting position, and getting comfortable doing it. Things that can help with the transition are to wear supportive shoes or get custom foot orthotics and use an ergonomic foot mat to make the transition more comfortable.

It will be a short-term adjustment period, but the long-term benefits are well worth it. Employers and employees along with their spines will be very thankful.


 

Chiropractic Podcast: Why Chiropractic Works

 

youtu.be/WeJp61vaBHE


 

NCBI Resources