What are signs to look for in identifying the disability syndrome

The most common associations that indicate disability from an injury are not physical ones. The best predictors are history of prior injury with time off work, high Minnesota Multiphasic Personality Inventory (MMPI) scale 3 (hysteria), and high work dissatisfaction scales. History and physical examination features that may help identify this syndrome include past episodes of back pain that led to disability, a long history of tests and surgical procedures, and a very detailed description of the event that generated the problem. Usually the patient reports that someone or something is at fault (e.g. oil on the floor, extra work that the patient was not supposed to do). Pain is often rated as very severe, such as 9 or 10 on a 0 to 10 scale, with 10 being excruciating pain. The patient may indicate a 10-level pain while sitting comfortably in no apparent distress. Certain patients may be very demonstrative, grimace, position their body in unusual ways, complain of pain with minor movements, and exhibit bizarre gait patterns. Evaluation of Waddell's signs is useful and indicates that organic abnormality is not the sole factor responsible for the patient's symptoms. These signs do not prove malingering but show that factors other than physical issues are significant contributors.

Back Pain Relief

Back Pain Relief

This informational eBook will present you with the most recent research and findings available so that you can learn more about Back Pain relief, covering as many bases as possible from A to Z.

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