Matthew Stewart Employ Health People are assets to protect & capacity build we should invest in scientific & early prevention activities, long before serious problems manifest. It's time to apply this thinking into our workplaces. Prevention & Return to Work merged! Sprains, Strains & MSD equates average of 70% of Damage Costs for Australia (42.7Billion) Chiropractor Physiotherapist 200 Clients in Australia | New Zealand | Asia

1. THE TRUE COST OF MUSCULOSKELETAL
DAMAGE IN AUSTRALIAN WORKPLACES
Matthew Stewart
Director | Physiotherapist | Chiropractor
Ba. App Sci; Ba. Chiro Sci; MPty Studies; Adv.Dip.OHS; APAM
Matthew.stewart@employhealth.com.au

2. So What Is The Financial
Cost Of This Problem?
$61.8 Billion
70-77% MSK ($42.7 Billion)

3. Dr. Lorimer Mosley
Professor of Clinical Neurosciences and Chair in
Physiotherapy at University of South Australia
“Expectations and worry are more predictive of recovery than
scan results and type of injury”

4. Gordan Waddell. CBE, DSc,FRAC
Orthopaedic Surgeon
“There is strong epidemiological and clinical evidence that care
seeking and disability due to LBP depend more on complex
individual and work related psychosocial factors than on clinical
features or physical demands of work”
“ Most medical specialist services are designed for patients
who need investigation and treatment of serious spinal
pathology or nerve root problems that fail to resolve. They are
inappropriate and may be harmful for patients with ordinary
backache.

5. Back Fusion Surgery
Spine fusion (getting two neighbouring
vertebral bodies to heal together) is most
commonly done degenerative conditions
(wear and tear, arthritis, spondylosis) in
the lumbar spine. Yet there is very little
evidence that spine fusion surgery for back
pain it it is effective for back pain.
Knee Arthroscopy
In the last chapter, I covered the sham surgery
evidence, which showed no benefit for arthroscopy
in arthritic knees, and no benefit in removing a torn
meniscus in knees without arthritis.
Professor Ian Harris: AM, MBBS, FRACS, FAOrthA,
Mmed (Clin Epi), PhD.
Orthopedic Surgeon (Professor) and Clinical
Epidemiologist

6. CASH & CULTURE

7. CULTURE = VALUES x BEHAVIOURS
CASH = UNDESIRABLE KPI

8. HEALTH – THE ULTIMATE TROJEN HORSE

9. TRUST = Competency x Integrity
Incentive System Alignment
Non Zero Sum Game

10. 1. Asset: Capacity and Capability Build.
2. Proactive v Reactive
3. The Human Diet - Compound

11. Colonel Graff: We won! That’s all that
matters.
Wiggin: No. The way we win matters.
- Ender’s Game 2013
Silo Effect