Skip to main content

Use It or Lose It

The human body is a masterpiece created by God. One of the many fascinating things about the human body is the way it can adapt to our environment and activities.  If I were lost on a dessert island away from readily available food, and cheesecake, I could survive for weeks on my fat stores.  If I perform an activity requiring heavy lifting and carrying, my body would build muscle mass to help with that task. Even my bone density in my legs would increase to strengthen my supporting frame.


The antithesis is also true; if I stopped that heavy lifting/carrying, muscle mass and bone mass would reduce, since it isn't needed anymore.  Similarly, when the body is injured and an extremity is not used due to immobilization or pain, muscle mass is lost, and joints can become stiff.  


Stacy Mathis, RN had a case this week where the injured worker had guarded her shoulder due to pain and soreness of the accident, and was close to having a frozen shoulder. A frozen shoulder, or adhesive capsulitis develops due to disuse of a joint in the body.  

Physical therapy modalities and exercises will gently get her shoulder moving again, and she will be reminded to continue to use it during her recovery from her other injuries.  So all will be well after working through a little more pain.  

Comments

Popular posts from this blog

VIP Conference Drawing

My blog is late in the week, for we all attended the Arkansas Workers Comp Commission Educational Conference this week.  As always, it was full of great presenters and information which I will be excited to share with you.  I cannot tell you how much we all look forward to this conference where we can visit with all our customers and long time friends in the WC arena.  We also love to have a little fun with competition while we're there.  This year we had a general attendee drawing for a lovely lantern, which went to Laura Hopper with AIG,  In addition, we had a very special VIP drawing for a VISA gift card that went to...well, watch and see! A heart felt thank you to everyone that stopped by our booth and especially our VIP drawing participants!

The Head Bone's Connected to the Neck Bone...

My first test in college anatomy we were given a piece of paper with numbered lines, 1-206.  Instructions were simple:  Name the 206 bones in the body.  I made 100% - thank you. Learning anatomy of all the body systems, and the physiology of how they interact is my love in the medical field.  The science of it all fascinates me. There is a logical physiologic reaction to bodily injury, and a RN Case Manager's critical thinking skills help anticipate symptoms and complaints.   If you hit your thumb hard with a hammer, we know you will have pain, and probably stiffness; and if you smashed it good enough, you could have "sympathetic" stiffness of adjoining fingers in the hand.  That is a known physiologic response. Stacy Mathis, RN has a patient with multiple injuries has begun to relate all aches and pains to his MVA.  The problem is, not all his complaints can be physiologically connected to the injury.  This is quite common in catastrophic injuries, but also ha

Injecting a Dose of Excitement

Fresh out of nursing school I worked in a busy Internal Medicine physician group.  I had thought it would be my dream job, but after several months went by, for me it actually became a daily dull-drum of  scheduling tests, refilling prescriptions, and  tearing table paper.  I remember getting excited when a patient needed a joint injection so I could prep and assist with a procedure!  I know that sounds creepy to some.  It's a nurse thing; some don't understand. Nowadays as a Case Manager, it's still a thrill when an injured worker needs a joint injection, or a trigger point injection in clinic; Because I know this is something that will likely give that patient quick relief from their pain, and at the very least be diagnostic to clarify the pain generator.  These injections typically consist of a lidocaine, an anesthetic to numb the area, and a steroid, which acts to reduce inflammation and promote healing.  This is a wonderful thing.   One of the tools we