Dr. Daryl Laney delivered this talk at The Dallas Ergonomics Forum on 18th July 2017. This talk focuses on the anatomy of musculoskeletal injury and its impact on the organisation as a whole. MSD medical claims are on of the highest drivers of cost for a company and so understanding the impacts of MSDs and how to prevent them is vital.

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

6. The Pain Cycle
Injury
Pain
Inflammation
ScarringRestriction
Weakness
Spasm

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

8. “Corporate Back Syndrome”

9. Low Back Pain

10. Carpal Tunnel Syndrome

11. ShoulderPain

12. Hip 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