1. Musculoskeletal Disorders Target the Problem, Not the Symptom

2. Musculoskeletal Disorders (MSDs) Too Much Wear and Tear and Not Enough Recovery Time

3. Perspectives On MSDs MSDs are common Most of us have experience Home & work Usually mild & temporary Can be disabling

4. Every Human Activity Home Recreation Work

5. Risk Depends On Magnitude, Duration and Frequency. Environment Awkward Postures MSD Risk Factors Contact Stress Repetitive Motions Static Postures Excessive Force

6. Upper Extremity Musculoskeletal Disorders Tendonitis Epicondylitis Rotator cuff syndrome De Quervain’s disease Trigger finger Ulnar nerve compression Carpal tunnel syndrome

7. Ganglion Cyst

9. Upper Extremity Musculoskeletal Disorders

10. Carpal Tunnel Syndrome

12. Development Carpal Tunnel Syndrome Tendon Sheath Irritated Nerves Inflamed Tendons

13. Nerves

14. Nerve Electric current travels up the nerve Fat does not conduct electricity Message moves quickly when the nerve is healthy. Message is inhibited when nerve is damaged.

15. Carpal Tunnel Syndrome

16. Upper Extremity Musculoskeletal Disorders

17. Intersection Syndrome

22. Cubital Tunnel Syndrome

25. Trigger Finger

26. DeQuervain’s Tenosynovitis

27. Lateral Epicondylitis (Tennis Elbow)

28. Medial Epicondylitis (Golfers Elbow)

29. Shoulder

31. Rotator Cuff

32. Rotator Cuff Attachment

33. Biceps Tendonitis

36. Radial Nerve

37. Radial Tunnel Syndrome

38. Rotator Cuff Muscles

39. Plantar Fasciitis

41. Conditions Associated with the Spine

42. Lumbar Degenerative Disc Disease

45. Lumbar Vertebrae

46. Spinal Disc

48. Disc Bulge

49. Disc Herniation

50. Pressure on Low Back in Various Postures

52. Reclined Position Reclined sitting posture. The user's torso and neck are straight and recline between 105 and 120 degrees from the thighs. The knees should be slightly below the hips.

53. Sitting Upright Upright sitting posture. The user's torso and neck are approximately vertical and inline, the knees should be equal to or lower than the hips.

54. Low Back Extension

55. Proper Lifting Techniques The Power Lift Get close to the object and move over the load as much as possible. Place your feet on each side of the object. Lift with your legs keeping your back straight, your buttocks out and your head up. Lift smoothly and breath.

56. Proper Lifting Techniques The Golfers’ Lift Place one hand down on fixed surface to support upper body. Keep back straight and raise one leg out behind you as you lean down to pick up the object. To lift look up, push down on the fixed surface and you lower your leg. Lift smoothly and breath.

57. Proper Lifting Techniques The Shoulder Lift Get close to the object and move over the load as much as possible. Place feet shoulder width apart with one foot in front of the other. Place one hand under the object for support. Keep your back straight and lift with your shoulder muscles and breath.

58. Develop an ergonomic process Upper management Commitment –Not just lip service –Active involvement Ergonomic team comprised of: –Management –Shop floor employees –Maintenance/Engineering How Do You Reduce Ergonomic Risks?

59. Ice Packs (20 minutes) Ice Massage (10 minutes) Ibuprofen/Naproxen/Aspirin (follow directions) Recovery time Waiting results in a longer recovery time and possibly surgery. Early Intervention

60. Rest and Recovery Give your body the time it needs to rest and recover from physical exertion and injury. Proper nutrition is essential for healing as well