The MSD Domino Effect: How the Pain Cycle Radiates Throughout an Organization

Dr. Daryl Laney

The Dallas Healthy Workforce Forum

July 18, 2017

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

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

What are Musculoskeletal Disorders (MSDs)?

MSDs are injuries to the soft-tissue, which can affect:

• Muscles • Joints

• Nerves • Cartilage

• Tendons • Fascia

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

The Pain Cycle

Injury

Pain

Inflammation

ScarringRestriction

Weakness

Spasm

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

“Corporate Back Syndrome”

Low Back Pain

Carpal Tunnel Syndrome

Shoulder Pain

Hip Pain

Impact on the Employee

Ability to Perform Job

Time Away from Work

Morale

Cost

Impact on the Organization

Productivity and Impact on Team

Hiring/Training Additional Employees

Workman Comp Claims

Costs and Rising Insurance Premiums

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

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

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:

Benefits of On-site Treatment

Efficiency and Convenience

QuantifiableResults

Rapid Recovery

EmployerSatisfaction

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