Physical Rehabilitation Medicine/ayuda

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Question
QUESTION: I am in charge of occupational health and safety in 20 clothes store all around venezuela. We have plenty of workers complyning of pain due to long lasting standing. It is forbbiden to have chaires. Especcially girls have troubles with varicouse veins. The cashiers stand for more than 5 hours in the same position. what could I do?
Thank you

ANSWER: I'm sorry.  Without breaks and the removal of weight-bearing to the lower extremities, the body doesn't have time to heal.  The only thing you could do is show how adding chairs and allowing rest breaks will increase the longevity of a worker.  I wish I could help more.

---------- FOLLOW-UP ----------

QUESTION: dear friend:
what do you mean by longevity?
why do you say to heal? is there any fisical injur that must be cured for standing?
thanks

Answer
By longevity I mean that if you give worker's a rest break sometimes that they will be able to work in their current position for a longer period of time.  So instead of being able to work for 2 years at their current position, they can work for 5-6.  

When I say heal, the body will heal itself but it needs rest to do that.  So taking 15 minute rest breaks are designed to decrease the stress on the body and allow for healing to occur.  Prolonged standing is bad on the knees and hips, particularly for women due to their anatomy.  So if you can convince whoever is in charge that sitting occassionally isn't a bad thing, then maybe they will let their employees sit every now and then.

Sounds like a miserable job...

Physical Rehabilitation Medicine

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Brian Neville, OTR/L, CWCE

Expertise

I can answer questions about both conservative and post-operative rehabilitation for UPPER extremity injuries. These include but are not limited to: fractures, tendon repairs, tendon transfers, nerve repairs, lacerations, tenolysis procedures, TFCC injuries, repetitive motion disorders, reconstructive procedures. I have an advanced knowledge of UPPER extremity anatomy and industrial rehabilitation. I have extensive splinting skills for injuries to the upper extremity. Although not a physician or a surgeon I have worked closely with world renowned upper extremity specialists for over 10 years. I can give general information on what some of the most common upper extremity surgeries involve. I can reference those procedures as well. PLEASE DON'T ASK ME QUESTIONS ABOUT ANYTHING OTHER THAN THE NECK, SHOULDER, ARM/HAND. I'M NOT QUALIFIED AND KNOW ABSOLUTELY ZERO ABOUT BACKS/HIPS/KNEES/ANKLES/ETC. THANK YOU!!!

Experience

10+ years working closely with orthopedic and hand surgeons and their patients. I have treated patients with small lacerations to major reconstructive procedures. My knowledge base includes both conservative and post-operative rehab protocols and care for upper extremity injuries. I have treated patients all the way from day 1 post-op to return-to-work status.

Organizations
Kentucky Occupational Therapy Association American Society of Hand Therapy National Nurses in Business Association Roy Matheson and Associates

Publications
RSD article

Education/Credentials
Occupational Therapist former Certified Hand Therapist (license currently inactive) Deep Physical Agent Modalities Instructor Certified Work Capacity Evaluator

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