ii. Past injury/symptoms involving the upper extremities, trunk and cervical spine. iii. Past work-related injury or occupational disease. iv. Past personal injury or disease that resulted in temporary or permanent job limitation. v. Medical conditions associated with cumulative trauma: The following are examples of medical conditions which have been commonly seen in association with cumulative trauma conditions. These require treatment and may impact the recovery of the work comp injury (). A) Amyloidosis; B) Arthropathies, including connective tissue disorders, rheumatoid arthritis, systemic lupus erythematosus, gout, osteoarthritis and spondyloarthropathy; C) Cancer; D) Diabetes mellitus, including family history or gestational diabetes; E) Hypothyroidism, especially in older females; F) Obesity; G) Pregnancy; H) Depression. vi. History of smoking and alcohol use; history of substance abuse; vii. Medication history including, birth control pills, corticosteroid use, and other prescription and non-prescription medications; and viii. Psychosocial history (including history of hobbies and recreational activities). d. Physical Examination The evaluation of any upper extremity complaint should begin at the neck and upper back and then proceed down to the fingers and include the contralateral region. It should include evaluation of vascular and neurologic status, and
ii. Past injury/symptoms involving the upper extremities, trunk and cervical spine. iii. Past work-related injury or occupational disease. iv. Past personal injury or disease that resulted in temporary or permanent job limitation. v. Medical conditions associated with cumulative trauma: The following are examples of medical conditions which have been commonly seen in association with cumulative trauma conditions. These require treatment and may impact the recovery of the work comp injury (). A) Amyloidosis; B) Arthropathies, including connective tissue disorders, rheumatoid arthritis, systemic lupus erythematosus, gout, osteoarthritis and spondyloarthropathy; C) Cancer; D) Diabetes mellitus, including family history or gestational diabetes; E) Hypothyroidism, especially in older females; F) Obesity; G) Pregnancy; H) Depression. vi. History of smoking and alcohol use; history of substance abuse; vii. Medication history including, birth control pills, corticosteroid use, and other prescription and non-prescription medications; and viii. Psychosocial history (including history of hobbies and recreational activities). d. Physical Examination The evaluation of any upper extremity complaint should begin at the neck and upper back and then proceed down to the fingers and include the contralateral region. It should include evaluation of vascular and neurologic status, and
Ex5_CTC_InText_Biblio_4.docx