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incapacity in people with musculoskeletal disorders


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Musculoskeletal disorders are among the most common causes of sickness absence, long-term incapacity for work and ill-health retirement. The number of Incapacity Benefit (IB) recipients in the United Kingdom has trebled since 1979,


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another edit from the full story...


Pathways to work


The Pathways to work pilots run by the UK Department for Work and Pensions [1] are based on and provide a test of the biopsychosocial approach described here. Pathways is an integrated package of support specifically designed to help IB recipients manage their health problems and get back to work. It is particularly appropriate for non-specific musculoskeletal conditions (and common mental health problems—which often coexist). Over 58,000 people took part in the pilots, and Pathways is now being rolled out to one-third of the United Kingdom. Early outcomes show much higher take-up rates than expected and an 8–10% increase in return to work rates, which is much better than any such social security initiative has ever achieved worldwide



Some people with musculoskeletal pathology will always require specialist treatment and rehabilitation, but most non-specific musculoskeletal conditions are, and should be, managed in primary care and the workplace. The challenge then is to incorporate basic rehabilitation principles into clinical and occupational management. Randomised controlled trials(RCTs) of clinical guidelines and biopsychosocial rehabilitation for low back pain show how management can be improved and how that can lead to better clinical and occupational outcomes. The number of people on IB in the United Kingdom increased 3-fold within a generation, for no good biological reason, and there is no biological reason that could not be reversed. The Pathways pilots and the 42% reduction in new awards of IB for low back pain show what can be achieved. The UK government’s stated target is to reduce the number of people on IB by 1 million. We could reduce sickness absence and the number of people who go on to long-term incapacity by at least one-third to one-half and in principle by much more (fully recognizing the practical problems of delivering that vision). To achieve this, however, depends on getting all stakeholders onside and a fundamental shift in the culture of how we think about and manage non-specific musculoskeletal conditions—in health care, in the workplace and in society.


You might see this on your connsultants or dr's reports.

Waddell's signs

Here's what that means.....


Edited by Kicking-Us-Off-ESA
Added exra info
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I have a musculoskeletal disorder, had it for years. The waddells signs are always mentioned as being looked at in my occupational health reports at work. They've never been able to find waddles signs but still, they look for them every time!

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