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The Most Dangerous Jobs: A Chiropractic Perspective

The Most Dangerous Jobs: A Chiropractic Perspective

It’s no secret that some jobs are just more physically demanding and more dangerous than others. Some of the most challenging ones are obvious—combat roles in the military, fire and rescue, heavy construction and deep sea fishing are just a few that come to mind. However, when it comes to non-fatal musculoskeletal injuries, the statistics tell a very different story about occupational health and safety and about who’s most likely to get hurt on the job.

Because chiropractic physicians are experts in treating conditions that involve the musculoskeletal and nervous systems (including many common workplace injuries), we have a unique perspective on why they happen, how they can  be prevented and the best ways to treat them.

Musculoskeletal Disorders by the Numbers

Let’s start with a long-term trend that’s good news for the nation’s workers but that doesn’t get much media attention. The number of reportable occupational injuries and illnesses has declined steadily across the past decade from 50 cases per 1,000 full-time workers in 2003 to 33 cases in 2013. So progress is clearly being made, even if it doesn’t grab the headlines.

That said, musculoskeletal injuries continue to be among the most common on-the-job injuries, and they can require significant recuperation time. The Bureau of Labor Statistics (BLS) says that musculoskeletal disorders (MSD) “are injuries or illnesses affecting the connective tissues of the body such as muscles, nerves, tendons, joints, cartilage, or spinal disks.”

A very high percentage—about one-third—of 2013 workplace injury and illness cases that required days off from work involved the musculoskeletal system.  Plus, workers who sustained musculoskeletal injuries required more time to recover before returning to work—a median of 11 days to recuperate compared with 8 days for all types of workplace injury and illness cases. In 2011:

  • The back was the primary site of MSD injuries in 42% of all cases across all occupations, requiring a median time off of 7 days to recuperate.
  • Although it accounts for only 13% of all MSDs, the shoulder was the area with the most severe injuries, requiring a median of 21 days off of work to recuperate.
  • Injuries and illnesses due to repetitive motion involving “micro-tasks” (such as typing) accounted for only 3% of all occupational injury and illness cases. However, those workers with this kind of injury required nearly 3 times as many days away from work to recover as those with all other types of injuries and illnesses—a median of 23 days.

 

As we mentioned earlier, though, MSDs are not distributed evenly across all industries and occupations.

  • In 2013, the highest MSD incident rates were found in transportation and warehousing (80.3 cases per 10,000 full-time workers), healthcare and social assistance (50.2 cases per 10,000 full-time workers), arts, entertainment and recreation (46.5 cases per 10,000 full-time workers) and construction (41.9 cases per 10,000 full-time workers).
  • In 2011, six occupations accounted for 26% of all MSD cases: nursing assistants, laborers, janitors and cleaners, heavy and tractor-trailer truck drivers, registered nurses and stock clerks.
  • In 2011, those with the greatest number of median days spent off from work in order to recuperate from an MSD were heavy and tractor-trailer truck drivers (21 days).

So it’s clear from the numbers that the dangerous jobs featured on reality TV shows (think about Deadliest Catch and Ice Road Truckers) aren’t necessarily the ones that result in the most MSD-related visits to the chiropractor or general practitioner.

The Role of Chiropractic Care in Prevention and Treatment

Over the past several years, companies of all sizes have become increasingly interested in occupational health and wellness programs. Chiropractic physicians have a special interest in working with employees and business managers alike to help prevent job-related injuries and to encourage a healthy, productive work environment. If you’d like to learn more, we encourage you to call or visit our office today.

Chiropractic care can be one of the most effective ways to treat musculoskeletal pain and accelerate recovery.  Dr. Oblander has the training and experience necessary to successfully diagnose and treat a wide range of workplace injuries, and he’ll be happy to answer any questions you may have! So if you or someone you care about has recently been hurt on the job, please give us a call at 406-652-3553 or stop by either of our Billings chiropractic offices. We have an office located at 3307 Grand Avenue and an office at 410 Wicks Lane in the Heights  and we’re here to help!

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Older Adults: Chiropractic Care Protects Your Spine—And Your Active Lifestyle

Older Adults: Chiropractic Care Protects Your Spine—And Your Active Lifestyle

older-adult-couple
older-adult-couple

Older adults have long relied on chiropractic care to help keep them healthy and active. However, little scientific data has been gathered about the use of chiropractic by seniors, and few studies have been conducted to evaluate the potential benefits. New research published in the March edition of the Journal of Manipulative and Physiological Therapeutics has helped to fill this important gap. The investigators’ findings confirmed what chiropractors and their older patients have known for some time. Not only does chiropractic care help relieve older adults’ back pain, it also seems to keep them more active and protect them from limitations in their daily activities.

The study analyzed data on 1,057 Medicare recipients gleaned from nationwide research conducted by the Centers for Medicare and Medicaid Services, called the survey on Assets and Health Dynamics among the Oldest Old (AHEAD). In the AHEAD survey, a subset of patients who had been identified as suffering from back pain were asked questions about their overall health as well as their ability to complete activities of daily living (ADL) and their lower body function. ADL was defined as normal activities such as walking up stairs, doing household chores, and going shopping for groceries. The researchers then compared the survey information with medical records indicating which of the older adults had received either medical care or chiropractic care during the 11-year period covered by the study.

After analyzing the data, the researchers found that the chiropractic patients were much less likely to show declines in ADF and lower body function than patients who received only medical care. This indicates that they were more able to maintain an active lifestyle. The chiropractic patients were also less likely to report significant declines in their health.

The researchers thus concluded that chiropractic care appears to have had a protective effect against age-related frailty and disability. As they said in the study, “These results suggest that when chiropractic care is delivered in practice at care levels comparable to those used in clinical trials and relative to the types of services delivered within an episode of medical care only, chiropractic confers significant and substantial benefits to older adult functional ability and self-rated health.”

The findings were considered particularly significant because Medicare patients have a great deal of flexibility with respect to treatment options. They can consult medical doctors, doctors of chiropractic, physical therapists, internists, neurologists, orthopedists, and interventional pain providers. This means that the results attributed to chiropractic care were achieved in a setting where patients had access to a wide variety of therapies rather than in a clinical study format where subjects typically have only one or two options available to them.

This research also added to the existing body of evidence that chiropractic care is safe for seniors with back and neck pain, and that chiropractic can offer substantial relief for spinal conditions such as arthritis and disk herniation. Because aging causes the degeneration of spinal disks, regular chiropractic care may help to make seniors less prone to painful and debilitating back injuries like bulging disks and pinched spinal nerves.

All of this means that older chiropractic patients may be better able to enjoy their “golden years” freer from pain and disability. And it also means that they may be able to maintain a more active and healthier lifestyle.