fiona evard physiotherapist moving and handling coordinator harrogate and district nhs foundation...
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Fiona EvardPhysiotherapistMoving and Handling Coordinator
Harrogate and District
NHS Foundation Trust
The Physiology of Upper Limb Disorder and Back Pain
People are at their best when
They do a wide range of variable motions and tasks.
BUT They are limited, wear out, and lose
accuracy quickly. Have a fixed physical design. Are highly affected by the environment
Physical Stress
Excessive loads and repetitive motions can cause problems
The Formula
REPETITION X FORCE X POSTURE
pain and discomfort
Muscle weakness
Numbness and tingling sensations
Limited range of motion
Common Work Related Musculoskeletal Disorders
Carpal Tunnel Syndrome Epicondylitis and Bicipital Tendonitis Rotator Cuff Tendonitis Shoulder Capsulitis Impingement Syndrome Tenosynovitis Cervical Spondylosis Tension Neck
The Painful Shoulder
Sternoclavicular joint Acromioclavicular joint Subacromial space Glenohumeral joint Scapulothoracic joint Rotator cuff muscles: supraspinatus,
infraspinatus, teres minor, subscapularis.
Causes of pain
Impingementpain between 60 and 120 degrees of abduction. Normal x rays
Rotator cuff tears,the result of chronic impingement. A scan will show the extent of the tear. Possible arthroscopic repair.
Frozen shoulderchronic inflammation with loss of range of movement. Recovery prolonged. Physio and medication
Calcific tendonitis.calcium salts deposited in tendons. Pain aggravated by movement. Injection or decompression
Hands and Wrists
Tendonitis: Tendons connect the powerful forearm muscles to your fingers.
When using the hand the tendons slide back and forth through a sleeve within the Carpal Tunnel
Repetition creates friction and pain
Carpal Tunnel Syndrome
The tunnel is small and creates a ‘bottleneck’
Excessive wrist movement creates a ‘kink’ in tunnel
Pain and inflammation result. A major nerve running through the
tunnel becomes compressed. Numbness, pain, pins and needles etc.
Epicondilitis or tennis elbow
Neck Pain
Wear and Tear Static Postures Inability to adjust
heights No Breaks
equals
Muscle Spasm, Fatigue, Pressure on intervertebral discs and pain
Adverse Neural Tension
The position of the head creates pressure on the nerve root.
This can cause headache The nerve ‘tethers’ at the elbow. Its smooth movement is impinged. This results in a constant aching.
Summary
Poor work stations lead to: Musculoskeletal Disorders which are: INFLAMMATION Prevention is better than the cure Risk Assessment and ACTION
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