BOOK
Evidence-Based Treatment Guidelines for Treating Injured Workers, An Issue of Physical Medicine and Rehabilitation Clinics of North America, E-Book
(2015)
Additional Information
Book Details
Abstract
Medical treatment guidelines are written from a clinical perspective, to guide clinical care. The review criteria that will be included in this issue of Physical Medicine & Rehabilitation Clinics are evidence based and are developed by practicing physicians and advisors who work in physical medicine and rehabilitation. Health care providers are expected to be familiar with the guidelines and follow the recommendations. Good medical judgment is important in deciding how to use and interpret this information.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Evidence-Based Treatment Guidelines for Treating Injured Workers\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| Contents | v | ||
| Physical Medicine And Rehabilitation Clinics Of North America\r | ix | ||
| Foreword | xi | ||
| Editorial\r | xv | ||
| Preface\r | xvii | ||
| Guideline Development Process in a Public Workers’ Compensation System | 427 | ||
| Key points | 427 | ||
| Introduction | 427 | ||
| How it started | 429 | ||
| Selection criteria | 430 | ||
| Development process | 430 | ||
| Implementation and updates | 432 | ||
| Guideline evaluation | 432 | ||
| Summary/Discussion | 433 | ||
| References | 434 | ||
| Introduction to Evidence-Based Decision Making in a Public Workers’ Compensation Agency | 435 | ||
| Key points | 435 | ||
| Introduction | 435 | ||
| Public policy and the translation of evidence | 436 | ||
| Frameworks of change: meeting the policy needs of society | 437 | ||
| Statutory authority | 437 | ||
| Agency regulatory authority | 439 | ||
| The judicial system and evidence-based policy | 439 | ||
| Agency executive policy authority | 439 | ||
| Department of Labor and Industries–funded research | 440 | ||
| Department of Labor and Industries pilot testing | 441 | ||
| Real-time evidence assessment | 441 | ||
| Summary | 442 | ||
| References | 442 | ||
| Application and Outcomes of Treatment Guidelines in a Utilization Review Program | 445 | ||
| Key points | 445 | ||
| Introduction | 445 | ||
| The Washington utilization review process | 445 | ||
| Impact of guidelines and utilization review | 447 | ||
| Summary | 450 | ||
| References | 451 | ||
| Further readings | 451 | ||
| Guideline for Prescribing Opioids to Treat Pain in Injured Workers | 453 | ||
| Key points | 453 | ||
| Introduction | 453 | ||
| Opioid use in workers’ compensation | 454 | ||
| Prevalence | 454 | ||
| Impact on Recovery | 454 | ||
| Opioid-related Adverse Outcomes | 454 | ||
| Measuring the Impact of Opioid Use | 455 | ||
| Opioid prescribing precautions | 455 | ||
| Opioid Use with Comorbid Substance Use or Mental Health Disorders | 455 | ||
| Drugs and Drug Combinations to Avoid | 456 | ||
| Prescribing opioids for a work-related injury or occupational disease | 457 | ||
| Opioids in the Acute Phase (0–6 Weeks After Injury or Surgery) | 457 | ||
| Opioids in the Subacute Phase (Between 6 and 12 Weeks) | 458 | ||
| Opioids in the Chronic Phase | 459 | ||
| Opioids for Catastrophic Injuries | 460 | ||
| Managing surgical pain in workers on chronic opioid therapy | 460 | ||
| Discontinuing chronic opioid therapy | 461 | ||
| Step 1: Discontinuing Opioids in a Community Care Setting | 461 | ||
| Step 2: Discontinuing Opioids in an Intensive Setting | 462 | ||
| Additional Services | 462 | ||
| Summary | 463 | ||
| References | 463 | ||
| Further reading | 465 | ||
| Shoulder Conditions | 467 | ||
| Key points | 467 | ||
| Introduction | 467 | ||
| Establishing work-relatedness | 467 | ||
| Shoulder Conditions as Industrial Injuries | 468 | ||
| Shoulder Conditions as Occupational Diseases | 468 | ||
| Making the diagnosis | 469 | ||
| History and Clinical Examination | 469 | ||
| Diagnostic Imaging | 470 | ||
| Treatment | 470 | ||
| Conservative Treatment | 470 | ||
| Specific conditions | 471 | ||
| Rotator Cuff Tears | 471 | ||
| As industrial injury | 471 | ||
| As occupational disease | 471 | ||
| Diagnosis and treatment | 471 | ||
| Revision rotator cuff repairs | 472 | ||
| Subacromial Impingement Syndrome Without a Rotator Cuff Tear | 472 | ||
| Diagnosis and treatment | 472 | ||
| Calcific Tendonitis | 473 | ||
| Diagnosis and Treatment of Cervical Radiculopathy and Myelopathy | 491 | ||
| Key points | 491 | ||
| Introduction | 491 | ||
| Cervical surgery review criteria | 491 | ||
| Background and prevalence | 496 | ||
| Establishing work-relatedness | 496 | ||
| Cervical Conditions as Industrial Injuries | 498 | ||
| Cervical Conditions as Occupational Diseases | 498 | ||
| Making the diagnosis | 499 | ||
| History and Clinical Examination | 499 | ||
| Diagnostic Testing—Imaging/Myelogram/Electromyographys | 499 | ||
| Selective Nerve Root Blocks | 499 | ||
| Treatment | 500 | ||
| Conservative Treatment | 500 | ||
| Surgical Treatment | 501 | ||
| Anterior cervical decompression alone | 501 | ||
| Posterior surgeries | 501 | ||
| Anterior cervical discectomy with fusion | 501 | ||
| Total disc arthroplasty | 501 | ||
| Multilevel surgeries | 502 | ||
| Hybrid surgeries | 502 | ||
| Repeat surgeries | 502 | ||
| Intraoperative monitoring | 502 | ||
| Pseudarthrosis (non union) | 503 | ||
| Smoking Cessation | 503 | ||
| Adjacent segment pathology | 503 | ||
| Measuring functional improvement | 504 | ||
| Postoperative phase and return to work | 506 | ||
| Acknowledgments | 507 | ||
| References | 507 | ||
| Diagnosis and Treatment of Work-Related Ulnar Neuropathy at the Elbow | 513 | ||
| Key points | 513 | ||
| Introduction | 513 | ||
| Establishing work-relatedness | 514 | ||
| Making the diagnosis | 515 | ||
| Symptoms and Signs | 515 | ||
| Electrodiagnostic studies | 516 | ||
| Nerve Conduction Studies | 516 | ||
| Needle Electromyography | 518 | ||
| Other diagnostic tests | 518 | ||
| Treatment | 519 | ||
| Conservative Treatment | 519 | ||
| Surgical Treatment | 519 | ||
| Return to Work | 520 | ||
| References | 520 | ||
| Work-Related Carpal Tunnel Syndrome | 523 | ||
| Key points | 523 | ||
| Introduction | 523 | ||
| Establishing work relatedness | 524 | ||
| Making the diagnosis | 525 | ||
| Symptoms and Signs | 525 | ||
| Electrodiagnostic Studies | 526 | ||
| Nerve conduction velocity | 526 | ||
| Needle electromyography | 527 | ||
| Quantitative sensory testing | 528 | ||
| Other Diagnostic Tests | 528 | ||
| Treatment of carpal tunnel syndrome | 528 | ||
| Conservative Treatment | 528 | ||
| Surgical Carpal Tunnel Release | 529 | ||
| If symptoms return after surgery | 529 | ||
| Return to work | 529 | ||
| Early Assessment | 529 | ||
| Returning to Work After Surgery | 530 | ||
| Hand diagram | 531 | ||
| Electrodiagnostic worksheet | 531 | ||
| Acknowledgments | 533 | ||
| References | 534 | ||
| Diagnosis and Treatment of Work-Related Proximal Median and Radial Nerve Entrapment | 539 | ||
| Key points | 539 | ||
| Introduction | 539 | ||
| Case definition | 540 | ||
| Clinical findings | 540 | ||
| Proximal Median Nerve Entrapment | 540 | ||
| Establishing work relatedness | 543 | ||
| Electrodiagnostic studies | 544 | ||
| Other diagnostic tests | 546 | ||
| Treatment | 546 | ||
| Conservative Treatment | 546 | ||
| Surgical Treatment | 546 | ||
| Return to work | 547 | ||
| Early Assessment | 547 | ||
| Returning to Work After Surgery | 547 | ||
| References | 547 | ||
| Work-Related Neurogenic Thoracic Outlet Syndrome | 551 | ||
| Key points | 551 | ||
| Introduction | 551 | ||
| Establishing work-relatedness | 552 | ||
| Making the diagnosis | 553 | ||
| Symptoms and Signs | 553 | ||
| Electrodiagnostic Studies | 554 | ||
| Other Diagnostic Tests | 554 | ||
| Treatment | 555 | ||
| Conservative Treatment | 555 | ||
| Surgical Treatment | 555 | ||
| Return to work | 556 | ||
| Early Assessment | 556 | ||
| Returning to Work After Surgery | 557 | ||
| Electrodiagnostic worksheet | 557 | ||
| Guideline summary | 558 | ||
| Acknowledgments | 559 | ||
| References | 559 | ||
| Work-Related Complex Regional Pain Syndrome | 563 | ||
| Key points | 563 | ||
| Introduction | 563 | ||
| Establishing work relatedness | 564 | ||
| Prevention | 564 | ||
| Know the Risk Factors | 565 | ||
| Identify Cases Early and Take Action | 565 | ||
| Encourage Active Participation in Rehabilitation | 565 | ||
| Making the diagnosis | 565 | ||
| Symptoms and Signs | 566 | ||
| Three-Phase Bone Scintigraphy | 566 | ||
| Diagnostic Criteria | 566 | ||
| Treatment | 566 | ||
| Have a Treatment Plan | 566 | ||
| Physical and occupational therapy | 566 | ||
| Medication for pain control | 568 | ||
| Psychological or psychiatric consultation and therapy | 568 | ||
| Sympathetic blocks | 568 | ||
| Multidisciplinary treatment | 569 | ||
| Treatment in Phases | 569 | ||
| Phase one—prevention and mitigation of complex regional pain syndrome risk factors | 569 | ||
| Phase two—recovery is not normal | 570 | ||
| Phase three—complex regional pain syndrome initial treatment | 570 | ||
| Phase four—complex regional pain syndrome intensive treatment | 570 | ||
| Treatment not authorized for complex regional pain syndrome | 570 | ||
| Acknowledgments | 570 | ||
| References | 570 | ||
| Index | 573 |