Occupational Overuse Syndrome Treatment and Rehabilitation — A Practitioner's Guide
The authors are concerned that Occupational Overuse Syndrome (OOS), a largely preventable group of conditions, is still the cause of real pain and distress in our workforce. OOS causes a significant number of people to seek medical help and can result in a considerable loss of time from work. A general strategy for the prevention and management of Occupational Overuse Syndrome (OOS) has recently been published. The present document is a detailed management guide, and is intended for medical practitioners and others assisting in the management of overuse syndromes.
NOTE: This edition has been superseded by the 1997 edition, published by the Department of Labour and ACC.
Table of Contents
Summary
The Authors
Acknowledgements
1 Introduction
i Definitions
ii Why OOS Occurs
iii Status of this Guideline
iv "OOS" or "RSI"?
v Why OOS is a Real Problem
vi Main Causes
vii Individual Susceptibility
viii Back and Leg Pain
2 A Broad Management Outline
3 General Principles of Diagnosis and Treatment
i Introduction
ii The Consultation
a History
b Physical Examination
c Assessment of Pain
d Diagnostic Tests
e Sleep Diary
f Explanations to the Person with OOS
iii Initial ACC Procedures
iv Liaison with the Workplace
v In an Emergency
4 Treatment for Localised Conditions
i Tenosynovitis and Tendonitis
ii Rotator Cuff Injuries
iii Epicondylitis
iv Bursitis
v Trigger Finger
vi Ganglion
vii Carpal Tunnel Syndrome
viii Reflex Sympathetic Dystrophy
ix Writer’s Cramp
5.Treatment
for Diffuse Muscle Conditions
i General Principles
ii Signs and Symptoms
iii A General Approach to Management
iv Specific Methods of Treatment
a Acupuncture/Acupressure
b Relaxation
c Rest
d Postural Advice
e Exercises
f Medication
g Splinting
h Placebo
i Physiotherapy
j Massage
k Surgery
l Traction
m Miscellaneous
6 Workplace Assessment
7 When there is a Poor Response to Treatment
8 Advice to People with OOS
References
Appendices
1 Risk Factors for OOS
2 Occupational History Form for OOS
3 Self-reporting Form for Pain/Discomfort
4 Sleep Diary
5 Sample Pain Rating Chart
6 Diagnostic Tests
7 Relaxation Instruction
8 Sample Workplace Exercises
9 Basic Ergonomics
10 Postural Instruction
11 Sample Letter to the Supervisor of a Person with OOS
12 Leaflet for the Supervisor about OOS
13 Contacts for Help in Dealing with OOS
