KNEE AND HIP INJURIES, OSTEOARTHRITIS, AND WORKERS’ COMPENSATION: PHYSICAL ACTIVITIES AS RISK FACTORS FOR WORK INJURIES: WHAT YOU NEED TO KNOW

There is no requirement that the causes of a work injury has to be 100 percent industrial.

There are some medical conditions that can have a work-related component to them.  In other words, they are only partially caused by job duties.   Osteoarthritis (OA) can be that type of industrial injury.  OA is a common form of arthritis that can impact a variety of parts of the body.  The parts of the body OA can impact includes the knees.

This article will discuss OA , who Treats OA,  and how OA can be work-related.

What is Osteoarthritis?

Per the CDC, “Osteoarthritis (OA) is the most common form of arthritis. Some people call it degenerative joint disease or “wear and tear” arthritis. It occurs most frequently in the hands, hips, and knees.”

“With OA, the cartilage within a joint begins to break down and the underlying bone begins to change. These changes usually develop slowly and get worse over time. OA can cause pain, stiffness, and swelling. In some cases,  it also causes reduced function and disability; some people are no longer able to do daily tasks or work.”

Note:  The term degenerative joint disease is a term that is frequently used.   It is commonly abbreviated to DJD.

What Are the Symptoms of OA?

Symptoms of OA can include pain or aching, stiffness, decreased range of motion, and swelling. CDC.

Who Treats OA, and What Treatments are Available?

OA is an interesting medical condition in that there are two medical specialties that can address the condition.   The two types of doctors are Orthopedists and Rheumatologists.

Orthopedists focus on the bones and the joints.   They can prescribe medications and perform operations.

Rheumatologists focus on internal medicine matters.  They can prescribe medications and prescribe non-surgical treatments.

How Is OA Work-Related?

OA is work-related with respect to some activities.   According to one study,  A synthesis of 69 studies from 23 countries yielded strong and moderate evidence for lifting, cumulative physical loads, full‐body vibration, and kneeling/squatting/bending as increasing the risks of developing osteoarthritis (OA) in men and women.”  Strong and moderate evidence existed for no increased risk of OA related to sitting, standing and walking (hip and knee OA), lifting and carrying (knee OA), climbing ladders (knee OA), [and] driving (knee OA.)” Men and Women’s Occupational Activities and the Risk of Developing Osteoarthritis of the Knee, Hip, or Hands: A Systemic Review and Recommendations for Further Research, Monique A.M. Gignac Emma Irvin Kim Cullen Dwayne Van Eerd Dorcas E Beaton Quenby Mahood Chris McLeod Catherine L. Backman 14 February 2019, https://doi.org/10.1002/acr.23855

Note: thus, there are activities that can increase the risk of OA and other activities which are not a causative risk factor.  Thus, an analysis of one’s work activities is important when considering to file a claim.

What is the Legal Theory for Industrial Causation?

An Injured Worker must prove that their work activities contributed to the development of the disease. South Coast Framing, Inc. v. Workers’ Comp. Appeals Bd. (2015) 61 Cal.4th 291 [188 Cal.Rptr.3d 46, 349 P.3d 141].)

What is the Analysis?

The fact that one engages in certain injurious activities does not guarantee a valid claim.  A medical opinion is required. Such a medical opinion should include a medical examination, testing, review of medical records, review of one’s past medical history, and an analysis of the physical activities the worker engaged in at work. .

What if I Need Advice?

If you would like a free consultation regarding workers’ compensation, please contact the Law Offices of Edward J. Singer, a Professional Law Corporation. We have been helping people in Central and Southern California deal with their workers’ compensation cases for 27 years. Contact us today for more information.

OPERATING ROOM PERSONNEL AND ORTHOPEDIC WORK INJURIES: MEDICAL PROFESSIONALS SUFFERING MUSCULOSKELETAL DISORDERS AND WORKERS’ COMPENSATION: WHAT YOU NEED TO KNOW

There is some irony to the fact that Operating Room Personnel, who help repair and treat patients with workers’ compensation injuries, are at risk of work injuries in doing so.  Operating Room Personnel perform vital services in our society’s medical delivery system.  Their hard work is appreciated by all.  The Operating Room, however, is a difficult place to work.

This article will discuss Operating Room Personnel, the mechanisms of injury that occur as a result of the Operating Room, and the various musculoskeletal injuries that Operating Room Personnel are at risk for sustaining.

Who Are Operating Room Personnel?

Operating Room Personnel include Surgeons, Nurses, Scrub Nurses and Surgical Technicians.

What are the Mechanisms of Injury for Operating Room Personnel?

There are a variety of mechanisms of injury for Operating Room Personnel. These mechanisms include manipulation, standing and static stress.

What is Manipulation?

“Manual activities are another risk factor for work-related physical activity among operating room personnel. Manual activities mean the manual movement and transfer of surgical instruments and devices that require special attention. Pulling, pushing or lifting surgical instruments, heavy and specialized surgical equipment and patient displacement are the most common manual activities of operating room personnel.” J Multidiscip Healthc. 2020; 13: 735–741. Published online 2020 Jul 31. doi: 10.2147/JMDH.S259245 PMCID: PMC7402850 PMID: 32801736 A Multidisciplinary Focus Review of Musculoskeletal Disorders Among Operating Room Personnel Reza Tavakkol, Ashkan Karimi, Soheil Hassanipour,  Ali Gharahzadeh, and Reza Fayzi.

Some of the problems with respect to manipulation is that some of these activities may not be performed in an ergonomic fashion. Supra.

One study found the abnormal posture with respect to nurses.  The study noted that “in most cases nurses were at high risk level and needed urgent and prompt change in their working posture.” Health Promot Perspect. 2016; 6(1): 17–22. Published online 2016 Mar 31. doi: 10.15171/hpp.2016.03 PMCID: PMC4847110 PMID: 27123432 Working posture and its predictors in hospital operating room nurses Farahnaz Abdollahzade, Fariba Mohammadi, Iman Dianat,  Elnaz Asghari, Mohammad Asghari-Jafarabadi,  and Zahra Sokhanvar. 

What is “Standing?”

“[T]the team members are in a standing position throughout the surgery.25,26 Standing up for a long time is one of the most important risk factors for musculoskeletal disorders.27 Andersen et al found that prolonged standing may increase back pain and leg pain J Multidiscip Healthc. 2020; 13: 735–741. Published online 2020 Jul 31. doi: 10.2147/JMDH.S259245 PMCID: PMC7402850 PMID: 32801736 A Multidisciplinary Focus Review of Musculoskeletal Disorders Among Operating Room Personnel Reza Tavakkol, Ashkan Karimi, Soheil Hassanipour,  Ali Gharahzadeh, and Reza Fayzi.

What Is “Static Stress?”

“Static stress is one of the risk factors that cause musculoskeletal disorders in operating room personnel. Static stress includes activities such as prolonged standing and constant physical posture during surgery and holding equipment such as retractors during surgery.” J Multidiscip Healthc. 2020; 13: 735–741. Published online 2020 Jul 31. doi: 10.2147/JMDH.S259245 PMCID: PMC7402850 PMID: 32801736 A Multidisciplinary Focus Review of Musculoskeletal Disorders Among Operating Room Personnel Reza Tavakkol, Ashkan Karimi, Soheil Hassanipour,  Ali Gharahzadeh, and Reza Fayzi.

What Body Parts that Can Be Injured by Operating Room Work?

Practically every orthopedic body part is susceptible for injury in the Operating Room. “Operating room personnel are most affected by musculoskeletal pain (58–90%) due to difficult working conditions.20 Musculoskeletal disorders can occur in different parts of the body. The most common areas of involvement include the neck, shoulder, elbows, wrists, and hands, upper and lower back, hip and thighs, knees, ankles, and feet. Among the musculoskeletal disorders, low back pain has the highest prevalence.” Supra.  

What If I Need Legal Advice?

If you would like a free consultation concerning any workers’ compensation case, please contact the Law Offices of Edward J. Singer, a Professional Law Corporation. They have been helping people in Central and Southern California deal with their worker’s compensation cases for 28 years. Contact us today for more information.

9.3Edward Jay Singer
Edward Jay SingerReviewsout of 22 reviews