I came across a rather infrequent but recurrent situation that appears to confuse some of those managing workers’ compensation claim files. This involves pain in the distal lower extremity and the confusion is the difference between plantar fasciitis and Achilles tendonitis. Both of these diagnoses are noted to be causative of distal lower extremity and or heel pain. However, both of these specific pathologies are very specific and different disease…
If there is anything that would be considered the scourge of workers’ compensation, it is low back pain. As we are an aging workplace population, and the mechanical design of the human body really does not support being upright or placing the amount of force through the lower lumbar region, I would doubt that there is even one individual over the age of 18 who has not experienced low back…
Both pathologies involve similar structures and are very close together. However, they are distinctly different conditions, have different onset, and have different treatment protocols. With respect to rotator cuff injuries, the more often they occur secondary to acute trauma such as a fall, or any blunt force injury. However, impingement syndrome occurs when the tendon component of the rotator cuff becomes pinched or otherwise compromised by the bones of the…
Here is a surprise for each of you, artificial intelligence (AI) is present and growing within workers’ compensation. The concern for many is whether this is a good thing. Given the complexities of workers’ compensation, and with the understanding that this is simply one of many tools, it would be my opinion that yes, the use of AI is a good thing for workers’ compensation. The reality is that the…
To paraphrase that old real estate saying, location, location, and of course location. It is noted that carpal tunnel syndrome and cubital tunnel syndrome are two very common clinical situations involving nerves of the upper extremity. Carpal tunnel syndrome compromises the median nerve at the wrist and is indicative of a compressive neuropathy underneath the carpal ligament. Cubital tunnel syndrome also noted is a compressive neuropathy compromises the ulnar nerve…
The tendon is the structure that attaches a specific muscle to a bone. Each muscle has a thin fascia sheath which comes together at the end of the muscle forming a tendon. This tendon attaches to a bone enabling the bone to move in a prescribed fashion. Tendons are tough, rope-like structures that have a covering similar to a paper wrapping around a straw. The individual structures of the tendon…
I am very proud to say I work with workers’ compensation adjusters on a daily basis. One of the most important aspects of my career is to aid those individuals in their respective medical dictation so that they are enabled to do the best possible job as workers’ compensation professionals. Having a competency in the basics of medical knowledge plays a crucial role in investigating the claim, handling the claim,…
A guilty pleasure of mine is scrolling through my Facebook feed. While doing this yesterday, I saw one posting that all workers’ compensation was evil. As an individual who’s been providing cost containment services to the workers’ compensation world for 33 years, I took exception. I was thinking about how is this person perceiving workers compensation as being evil? The first thought that came to mind is that this individual…
The television news has reported that the United States is under a significant heatwave. More than 100 million people will be affected by this climate issue. This suggests a fairly common medical malady within the Worker’s Compensation system and that is heat injuries. There are three types of heat injuries, the first being heat cramps, the second heat exhaustion and the third (and most severe) heat stroke. Heat injuries occur…
Subsequent to the pandemic, a relatively new concept in the world of healthcare delivery was employed. I am speaking about telemedicine. Telemedicine refers to the use of all possible communication modalities, most commonly the Internet, and specific portals so that a face-to-face virtual encounter is completed. Thus, the question becomes what is the relative utility of telemedicine? First and foremost, increased and more access to all appropriate care can be…
