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The MSD Domino Effect:
HowthePainCycleRadiatesThroughoutanOrganization
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 400,000
injuries 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
ShoulderPain
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
MusculoskeletalTreatment 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
Quantifiable
Results
Rapid
Recovery
Employer
Satisfaction
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
The MSD Domino Effect - Dr. Daryl Laney

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The MSD Domino Effect - Dr. Daryl Laney

  • 1. The MSD Domino Effect: HowthePainCycleRadiatesThroughoutanOrganization Dr. Daryl Laney The Dallas Healthy Workforce Forum July 18, 2017
  • 2. 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
  • 3. 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 400,000 injuries are reported annually
  • 4. What are Musculoskeletal Disorders (MSDs)? MSDs are injuries to the soft-tissue, which can affect: • Muscles • Joints • Nerves • Cartilage • Tendons • Fascia
  • 5. 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
  • 7. 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
  • 13. Impact on the Employee Ability to Perform Job Time Away from Work Morale Cost
  • 14. Impact on the Organization Productivity and Impact on Team Hiring/Training Additional Employees Workman Comp Claims Costs and Rising Insurance Premiums
  • 15. MusculoskeletalTreatment Options Traditional New Treatment Trends • Off-site Options • On-site Treatment • Primary Care • Physical Therapy • Chiropractic • Rx Medication • Occupational Therapy • Pain Management • Surgery
  • 16. 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
  • 17. 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:
  • 18. Benefits of On-site Treatment Efficiency and Convenience Quantifiable Results Rapid Recovery Employer Satisfaction
  • 19. 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

Editor's Notes

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