Welcome Guest! The IOSH forums are a free resource to both members and non-members. Login or register to use them

Postings made by forum users are personal opinions. IOSH is not responsible for the content or accuracy of any of the information contained in forum postings. Please carefully consider any advice you receive.

Notification

Icon
Error

Options
Go to last post Go to first unread
Admin  
#1 Posted : 05 July 2008 13:15:00(UTC)
Rank: Guest
Admin

Posted By C Walker Can anyone help me with this. An employee not normally engaged in physical activity is asked to undertake a task that involves a significant amount of manual handling in a restricted time period. Within hours of completion of the task, the employee develops significant forearm and elbow pain. After a couple of days, the employee decides to attend the local hospital who advise resting the arm. The pain does not subside so the employee visits the GP a week later who diagnoses tennis elbow (lateral epicondylitis) and advises physiotherapy. The pain does not subside after many sessions of physiotherapy so the employee informs the company via the accident book of the medical condition and the reasons for its onset but no investigation takes place. Two years later and after acupuncture, cortisone injections and further physiotherapy, the employee has to have surgery to alleviate tennis elbow and is off work for more than 3 days. In the intervening period, the employee has not been absent from work due to the injury but has been unable to perform some work tasks with the affected arm. Should this be reported under RIDDOR as either an over 3 day injury or a reportable disease or neither?
Admin  
#2 Posted : 05 July 2008 15:55:00(UTC)
Rank: Guest
Admin

Posted By CFT C Two years on, I see little to suggest a real link between one isolated event which can, in certain circumstances (all be it rare) bring on lateral epicondylitis but more usually a gradual build up. Training would have been an issue some two years ago which one assumes was conducted? But to be absolutely fair the 3 days is so late in the day to compare to the incident which (allegedly) was the actual cause, it would (IMO) be a total waste of time to all concerned. You should have notified insurers though some time ago to satisfy them of any future claim that may be made against you. To summarize then, it is not an injury, (the 3 day absence), it is certainly not a reportable disease, so apart from a documented report taken at the time and further notations for the benefit of the insurers, there is little else to do. I would be interested to know what weights and stability of loads were lifted/moved etc from a MH point, and what training you gave the individual; I suspect, and this is a guess, that the condition existed within the operative, and the MH activity that you described 'probably' was the final straw. Did the operative report the possibility of this condition to you or mention he had received earlier treatment? CFT
Admin  
#3 Posted : 05 July 2008 16:13:00(UTC)
Rank: Guest
Admin

Posted By C Walker Many thanks for the reply. The only training conducted was through watching a standard 20 minute manual handling video. The weights varied between 10kg and 200kg. The employee was seen throughout the two year period by a succession of medical consultants and it appears there was no prior medical treatment for any similar condition. CW
Admin  
#4 Posted : 05 July 2008 17:13:00(UTC)
Rank: Guest
Admin

Posted By Mike Miller Hi C in my opinion the medical assessment is suspect and it may be necessary for your company to have an independent medical assessment carried out on the IP. As an ex joiner and sufferer of tennis elbow, 'mine being roof and floor bashing for 15 years in all conditions' I can confirm that this condition is gradual and long term but can be alleviated after many years of rest. however it can also be aggravated at anytime by similar types of work but the condition subsides again quickly. initially it took me 2 years of medical and legal argument to have this diagnosed properly so it cannot be diagnosed overnight! May I suggest a check of IP prior employment medical records as I feel the IP may have had many years previous exposure. its worth spending the time if you feel a claim may be pending. If you need any further info regarding likely hood of claim success and DDA please email me direct as I have the T shirt and the DVD! Regards Mike
Admin  
#5 Posted : 07 July 2008 09:26:00(UTC)
Rank: Guest
Admin

Posted By Brian Hagyard C. Many years ago when I started my first "proper" job after university I suffered from tendinitis after undertaking a repetitive lifting task for a few hours. Fortunately the inflamed tendon responded to treatment with anti - inflammatories. While we normally think or WRULD (RSI) injuries being from long term exposure I can personally vouch for the fact that they can be short term. I cannot remember If I would have been unable to undertake my normal duties at the time, but I would treat it like any other over 3 day injury for RIDDOR. However 2 years after the "event" I don't think the situation is RIDDOR reportable unless it falls into the "Occupational Disease" categories - check out the RIDDOR guide. Brian
Admin  
#6 Posted : 07 July 2008 10:38:00(UTC)
Rank: Guest
Admin

Posted By Kevin Brown Tennis elbow can develop over time but can also be caused by trauma. Apparently the common name for lateral epicondylitis arises from the fact that it's often caused by playing too much tennis when you've not played for some time. (It is especially likely if you have a poor backhand technique or use a racquet with a grip that is too large).The root of the problem is damage to a tendon. Now,coming relatively recently to the arcane delights of RIDDOR, I've been provided with a copy of F2508A, which has a list of reportable diseases from the schedule 3 of the Regs. One of those on the list is traumatic inflammation of the tendons of the hand or forearm etc. This would tend to indicate that I and my colleagues may be under-reporting WRULD. On balance I think I'd report everything where the work activity could cause or aggravate the condition.
Admin  
#7 Posted : 07 July 2008 11:13:00(UTC)
Rank: Guest
Admin

Posted By MickN This is, surely, a perfect case for an Occupational Health Physician. Has the IP been to see one? If not then it might be a good idea. For the rest of us I believe that it's the only true answer in cases such as this one. Mick
Users browsing this topic
Guest
You cannot post new topics in this forum.
You cannot reply to topics in this forum.
You cannot delete your posts in this forum.
You cannot edit your posts in this forum.
You cannot create polls in this forum.
You cannot vote in polls in this forum.