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I've been off work for 16 weeks now with work-related chronic back pain. I know all about how Worker's comp patients are the last to return to work (if they do return at all). I refuse to be a statistic. I love my job and I want it back. What can I do to make this happen?
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Without any details about the reason for your back pain or what you've already done, we can tell you what the research shows and see how that fits your situation. It's clear that psychosocial factors are linked with chronic low back pain, disability, and failure to return-to-work (i.e., remaining on sick-leave).
Psychosocial variables include things like blaming your pain on work, mental distress, anxiety, depression, marital status, and so on. Many of these fall under the category of individual perceptions and beliefs. Cognitive or behavioral therapy can be very helpful when this type of influence is present.
Based on some research done in Denmark, some additional risk factors have been added to the list. These include lack of exercise, diffuse tender points at the start of the treatment, older age, and being overweight.
What do the results of this study suggest? Besides counseling, exercise is a top priority for getting people with chronic low back pain back to work. For those who remain on sick-leave, there is evidence that a traditional physical therapy program is not as effective as graded activity.
With graded activity, improving function (not reducing pain) is the focus. Exercises are geared around function at home and at work. Usually patients with your goals in mind are referred to a physical or occupational therapist who has special training in the area of work injuries and functional rehabilitation.
Talk with your physician, case manager, or vocational counselor about services of this kind in your area that you qualify for. Compliance and cooperation with any rehab program is essential. Your positive "can do", "want-to-do" attitude will go a long way in your recovery process.
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*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. |
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