Occupational health

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MAY 2008

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THE CROOKBACK CLINIC

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I've got a crook back.

 

 

 

 

 

SIT UP STRAIGHT

A few years ago, after one of my CrookBack Clinics someone sent me this cartoon drawn by one of their children. I reckon it just about says it all.

 

 

 

 

 

 

If tight calf, hamstring and buttock muscles won't let you sit up straight you're in big strife.

 

I'll give you an example.

 

This simple test will let you know whether people have tight calves and hamstrings.

 

If they can't sit close in close to the wall you know they're tight. They'll drag their pelvis backwards. The 'S' shaped curve of the spine will turn into a 'C' shape. They won't be able to sit up straight at their desk. Sooner or later they'll experience back, neck and shoulder pain.

   

If buttock muscles are too tight people will fall over backwards when in this position.

 

 

   

If people can't get their elbows, wrists and fingers comfortably against the wall, or they can't put their head against the wall without looking up at the ceiling, you know they have tight calf, hamstring and buttock muscles. Coupled with weak muscles and you know they're setting themselves up for serious pain in the neck, shoulders and arms.

   

If people can't do a sit up you know the muscles designed to keep pelvis and vertebrae in correct alignment are falling down on the job.

   

If people can't do a pressup you know that their arms and shoulders can't put up with the strain of holding their arms out all day typing.

   

If people can't squat down and then lift themselves back into a standing position you know that the big muscles of the legs are letting the musculo-skeletal ecosystem down. They compensate by getting the back to do the heavy lifting that it's not designed to do. Sooner or later it packs up.

           

 

The result of all this tightness and weakness is the crook back, stiff neck, 'cold' shoulder and limp wrist. If they slap the claim form on your desk send it back. It's not your problem.

 

Of course, if you're going to take this course of action, you'll have to have in place a very good musculo-skeletal risk management strategy.

 

I believe a good place to start this strategy is the CrookBack Clinic.

 

My advice to organisations is to put in train measures to ensure that these dysfunctions don't occur and if they do, not to let them become dressed up as work-related injuries. That's what the Occupational Health Fitness and Wellbeing Firewall is all about.

 

 

I can show you how to put the firewall in place to reduce your organisation's risk of musculo-skeletal dysfunction.

 

 

 

 

Here's what the CrookBack Clinic does for your staff

 

They'll learn

 

what are the main causes of back, neck, shoulder and arm dysfunction, in particular RSI and the inappropriately named OOS

 

 

how to make the distinction between an injury and a dysfunction - this will impact on who's going to get the blame!

 

 

the two main principles underscoring successful musculo-skeletal rehab

 

 

how to measure the risk of getting a crook back, stiff neck, sore shoulders and painful arms

 

 

how to protect and/or rehabilitate themselves from back and neck dysfunction using the CrookBack conditioning program

 

 

how Formula One Rehabilitation speeds up the rehabilitation process

 

 

how to protect themselves with a good ergonomic set-up at work and at home

 

 

how to relax and loosen up from the inside

 

 

which foods and supplements they need to eat more of and which foods they need to steer clear of

 

 

why the rub down, crunch, hot pad, electric shock and a Celebrex tablet are unsatisfactory treatments

 

 

that taking pain-killing and anti-inflammatory tablets which mask the symptoms of dysfunction are poor substitutes for the exercises they need to do to get themselves back into alignment

 

 

how to detect whether the treatment they've been prescribed is the right treatment

 

 

how posture affects how they feel and vice versa

 

MOST IMPORTANTLY, they'll learn some of the key exercises they need to do on a regular and systematic basis to get their bodies back in alignment. Do that and they'll feel better.

 

PLUS: the CrookBack Clinic now includes a desk assessment - setting the desk and the chair up so people are sitting up straight. (The secret; the back of the chair must be pressing in up under the shoulder blades and the abdomen pressing into the desk.)

 

 

 

In the post junk-medical age it's 'patient heal thyself'. By the time people have been through the CrookBack Clinic and a desk assessment they'll be in a good position to know what to do to get themselves back into good shape. They don't need a PhD in rocket, medical or pharmaceutical science.

 

There's no smoke, no mirrors; no lotions, potions, pills or powders; no syrups, strappings or surgery; no crunches or cremes; no rub downs or electric shocks; no money spend on weekly trips to the therapist - just people finding a bit of time each week (if they're serious, every day) to do the exercises which will get their body back into alignment.

 

The good news is that after a CrookBack Clinic participants will willingly agree to spend 10 minutes a day, in work's time, to do a few strength and flexibility exercises.

 

Those at grave risk (to themselves and your workers compensation premiums) will agree to attending a couple of 40 minute strength and flexibility sessions a week until they're back in good nick.

 

Like a copy of the exercises?

Send me an email or phone (0424) 391749

 

HOW IT WORKS

I come to your organisation and conduct 4 CrookBack Clinics a day, each of 1.75 hours. I can see between 80 and 100 people a day, taking them through a crook back proofing program.

 

I measure their risk. You can view the assessments on this link.

 

And as well as a focus on the lower back, I teach people how to avoid neck, shoulder, arm and wrist pain by introducing them to a simple set of strength and flexibility exercises.

 

AUDIT REPORT

Equally important is the audit report I prepare for you. Here are a few graphs from a report. Good scores are on the right hand side of each graph.

 

     
  Not good. Too many people already  experiencing musculo-skeletal pain. Bodies are weak, tight and out of alignment.   Too many people can hardly do a sit up. A score of 7/10 is 17 situps in 30 seconds. A score of 3/10 is only 7 situps. Hard to keep your vertebrae in reasonable alignment if abdominal and back strength are missing in action  
     
  Most of the people in the graph couldn't do 17 pressups in 30 seconds. They're setting themselves up for shoulder, arm and wrist pain. Can't blame the mouse when you can't do 20 or so pressups!   A key factor in the poor condition is tightness of calves, hamstring and buttock muscles. People down the left hand end of the graph couldn't touch their toes their bodies are so tight.  

 

My report provides organisations with an audit of risk to their workers compensation arrangements and recommendations about what they can do to put a firewall between the personally generated dysfunctions and the genuine work-related injuries.

 

 

 

Here's what some of the people who have attended have said about some of the CrookBack Clinics I've conducted for corporate organisations.

 

I attended the session on Wednesday and I reckon your holistic approach to health management is great.

This systemic approach to the minor problems I had in relation to my back really demonstrates how important it is to focus on the whole body.

I found the session really beneficial. Well done.

Doug

 

Great stuff, thanks very much for your emails, I really appreciate the exercises and stretches which are working well. I use them often at my sedentary job and in my build up to riding the Great Vic Bike Ride this year, my second year.

 Cheers, Reg

 

Just a small note to let you know I have been following your stretching routines that you showed us at Puckapunyal - mainly the ones for hamstring and hip and I have noticed a big difference specially in my walking and squatting exercise.
Bob

 

I attended the Crook back seminar yesterday afternoon and wanted to report that it was fantastic. I found the time to be very beneficial and hopefully I will be able to remember all the exercises for the future. Thank you for providing this seminar.

Maree

 

Just a quick note to give you some feedback and let you know that the seminar was great! Informative and practical and very suited to the pitfalls of working in a sedentary environment. I think more people would benefit from attending it, it certainly identified a few areas for me to work on and John gave us useful tips and exercises to address those issues.

Helen

 

I've recently attended your crook back seminar Friday fortnight ago at the Tax Office in Moonee Ponds. The exercises I learnt during the session which I'd been doing religiously since have helped enormously.  In fact I got to 70-80% fit back and pain free.  I would like to extend my heartfelt thanks for showing me the path to getting healthier and more importantly motivating me in achieving it.

Tekin

 

In response to the positive feedback received from people who attended the Relaxation and Crook Back seminars conducted during WorkSafe Week John Miller will be returning for an encore performance, with a further two sessions.

Dale

 

Please keep me on your list. I find your information useful and thought provoking + my back is in the best condition it's every been in.
Jenny

 

I just wanted to say how terrific your session was today. Excellent tips and exercises, and even better, some pain relief immediately.

Thank you. Jo

 

 

 

The Crook Back Clinic presents people with a solid plan to get their body back into alignment.

I'll take them by the hand and show them exactly what to do.

 

I'll help them diagnose the cause of their dysfunction and then provide them with some of the key exercises they need to do to get themselves back into better alignment. Do that and there's a good chance the pain will go away.

 

 

If you'd like to know more about running a series of Crookback Clinics in your workplace, call me on (0424) 391749 or send me an email.

 

 

In the mean time stay tuned, highly tuned and remember; neither chair, nor desk nor gel pad; nor rub downs, crunches, hot pads, electric shocks; nor things present, nor things to come, nor powers nor principalities will prevent people from getting a crook back, stiff neck, sore shoulders and a limp wrist if they can't sit up straight.

 

If you'd like me to send you a copy of my ebook 'Best Practice in Occupational Health, Fitness and Wellbeing' click here.

 

Regards

 

 

John Miller