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Garson Caruso
and
Les Kertay

, Bergstrom G , Jensen I . The transitional pattern of pain and disability, from perceived pain to sick leave. Experience from a longitudinal study. J Back Musculoskelet Rehabil. 2013 ; 26 ( 4 ): 411 - 419 . doi: 10.3233/BMR-130400 . 40. Steenstra IA , Munhall C , Irvin E , et al. Systematic review of prognostic factors for return to work in workers with sub acute and chronic low back pain. J Occup Rehabilit. 2017 ; 27 ( 3 ): 369 - 381 . doi: 10.1007/s10926-016-9666-x . 41. Stover B , Wickizer TM , Zimmerman F , Fulton-Kehoe D

in AMA Guides® Newsletter
Christopher R. Brigham
,
James B. Talmage
,
Charles Brooks
,
Gunnar Andersson
, and
Craig Uejo

simply association. This causation analysis checklist is sometimes referred to as the Bradford Hill criteria . Temporal relationship Strength Dose-response relationship Consistency Plausibility Consideration of alternate explanations Experiment Specificity Coherence STUDY DESIGN: Systematic review. OBJECTIVE: To review and critically evaluate the past literature for spinal mechanical load as risk factor for low back pain (LBP). SUMMARY OF BACKGROUND DATA: LBP is a costly health problem worldwide, and treatments are often unsuccessful

in AMA Guides® Newsletter
JM Melhorn
and
WE Ackerman

interpretation, and a poor understanding of the evidence by some clinicians. This book makes enormous strides to address all of these issues. Carpal tunnel syndrome serves as an illustrative example. When is carpal tunnel syndrome work-related? Despite excellent reviews published by the government, 1 published in respected monographs, 2 and published in systematic reviews, 3 frequent misinformation appears in depositions and court testimony which misrepresent the state of science. Melhorn and Ackerman hope to correct this situation. The major strength of the book is its

in AMA Guides® Newsletter
Jay Blaisdell
and
James B. Talmage

hand osteoarthritis are associated with an increased risk of CTR. Psychosocial Risk Factors and the Association With Carpal Tunnel Syndrome: A Systematic Review Mansfield M, Thacker M, Sandford F. Hand (NY). 2018; 13(5):501–508. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109903/ Abstract Background Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper limb. Research has shown that associative factors for CTS include occupational and biomechanical elements, sex, and age. To date, no systematic review has been undertaken

in AMA Guides® Newsletter
Robert J. Barth

(which is the essential nature of chronic benign pain), pain complaints that are discrepant from previous complaints, diffuse pain complaints, and allodynia. 4 In a separately published “qualitative systematicreview, members of the same research team warned of the obvious risk that the hyperalgesic effects of narcotics will cause a worsening of the specific pain for which the narcotics were originally prescribed as a treatment. 5 This harmful effect of prescription narcotics does not appear to be permanent. For example, a more recent review has emphasized findings

in AMA Guides® Newsletter
James B. Talmage

Corporation's systematic review, including analysis of randomized control trials (RCTs), states: “regarding occupational function, three RCTs and two observational studies found no significant differences between MAT patients and persons with OUD treated without medication.” 10 The AMA Guides is based on impairment of ADLs. Within the workers’ compensation system, impairment ratings are intended to be a baseline for eventual compensation when the limitation of these ADLs limits occupational capability. This would suggest little or no impairment in such cases and result

in AMA Guides® Newsletter
James B. Talmage

consequences develop. Lumbar Spine Studies A systematic review 8 of magnetic resonance imaging (MRI) changes in the lumbar spine, including asymptomatic pediatric patients, included seven published studies of 2373 children. The ages of the children were between 4 and 19 years. Disc degeneration was found in 22% of asymptomatic nonathletic children and 22% of asymptomatic athletic children. Disc herniations were found in 1% of asymptomatic nonathletic children and 13% of asymptomatic athletic children. A systematic review 9 of MRI changes in the lumbar spine for

in AMA Guides® Newsletter
James B. Talmage
,
Jay Blaisdell
, and
Christopher R. Brigham

millimeters on the tip of the great toe, and two-point discrimination of 44 millimeters on the medial leg, showing why this is not a clinically useful test in the lower limb. 1 Monofilament testing of primarily the toes has some utility in assessing future diabetic foot ulceration risk in those having or suspected of having diabetic peripheral neuropathy. A systematic review of eight studies with comparison to electrodiagnostic nerve conduction testing (NCT) found variation in the amount of force exerted by the filament used in the study from the 4.17 filament (1 gram) to

in AMA Guides® Newsletter
Christopher R. Brigham
,
James Talmage
,
Marjorie Eskay-Auerbach
, and
Charles McGhee

nonsurgical management of acute radicular pain from lumbar spine disorders. A more recent systematic review did not find evidence to support epidural injections. 3 If one assumes the ESI was performed because there was radiculopathy, he would meet the definition of resolution of a prior radiculopathy with conservative treatment. Therefore, it would be useful to review the records of Dr. R to determine whether there were objective findings of radiculopathy prior to the injection. If there were no findings of radiculopathy, this would affect the current rating and would also

in AMA Guides® Newsletter
Stephen L. Demeter

a COVID follow-up service . Adv Ther. 2021 ; 38 : 4505 – 4519 . doi: 10.1007/s12325-021-01833-4 . 26. Sperling S , Fløe A , Leth S , Hyldgaard C , et al. Fatigue is a major symptom at COVID-19 hospitalization follow-up . J Clin Med. 2022 ; 11 : 2411 . doi: 10.3390/jcm11092411 . 27. Long Q , Li J , Hu X , et al. Follow-ups on persistent symptoms and pulmonary function among post-acute COVID-19 patients: a systematic review and meta-analysis . Front Med. 2021 ; 8 : 702635 . doi: 10.3389/fmed.2021.702635 . 28. Wallis TJM

in AMA Guides® Newsletter