Help Chronic Pain

Question:

I remember some questions about Waddell’s Sign a few weeks back. Here is a short blurb concerning the use of these seven signs. *Flunking* Waddell signs. Physicians or FCE therapists may suggest that high Waddell scores prove faking. Waddell signs do not measure faking, but point to psychological suffering or unconscious neurotic behavior. If patients with high Waddell scores receive only medical treatment and do not receive psychological intervention, then they probably will not improve.

Dr. Waddell identified seven signs: Tail bone pain in a patient with a back injury, unless they experienced direct trauma to the tail bone. Whole leg pain in a stocking glove pattern, except in diabetic or alcoholic neuropathy. Whole leg numbness, except in diabetic or alcoholic neuropathy. Whole leg giving way. Complete absence of any periods without pain. Intolerance and reactions to treatment. Polantin and colleagues (1997), in a study of 50 low back pain patients, found that ***Waddell signs do not significantly predict return to work rates*** when patients have longer duration back pain and have undergone comprehensive functional restoration. One year follow-up found no statistical difference in return to work rates and other behavioral measures.<<< This information can be found here: http://www.oakes.org/webdoc3.htm (about half way down the page) Jack

Response:

My 13 year old daughter happened to see the title of this thread and she said, "Doesn’t Waddell’s sign happen when someone is so obese they have to waddle?" Jack

I remember some questions about Waddell’s Sign a few weeks back. Here is a short blurb concerning the use of these seven signs. *Flunking* Waddell signs. Physicians or FCE therapists may suggest

that high Waddell scores prove faking. Waddell signs do not measure faking, but point to psychological suffering or unconscious neurotic behavior. If patients with high Waddell scores receive only medical treatment and do not receive psychological intervention, then they probably will not improve. – Hide quoted text — Show quoted text – Dr. Waddell identified seven signs: Tail bone pain in a patient with a back injury, unless they experienced direct trauma to the tail bone. Whole leg pain in a stocking glove pattern, except in diabetic or alcoholic neuropathy. Whole leg numbness, except in diabetic or alcoholic neuropathy. Whole leg giving way. Complete absence of any periods without pain. Intolerance and reactions to treatment. Polantin and colleagues (1997), in a study of 50 low back pain patients, found that ***Waddell signs do not significantly predict return to work rates*** when patients have longer duration back pain and have undergone comprehensive functional restoration. One year follow-up found no statistical difference in return to work rates and other behavioral measures.<<< This information can be found here: http://www.oakes.org/webdoc3.htm (about half way down the page) Jack

Response:

Good sense of humor.  What would a high score be? They said that I had 2 waddell’s signs.  But the shrink said that I was just fine. Gayle – Hide quoted text — Show quoted text – My 13 year old daughter happened to see the title of this thread and she said, "Doesn’t Waddell’s sign happen when someone is so obese they have to waddle?" Jack I remember some questions about Waddell’s Sign a few weeks back. Here is a short blurb concerning the use of these seven signs. *Flunking* Waddell signs. Physicians or FCE therapists may suggest that high Waddell scores prove faking. Waddell signs do not measure faking, but point to psychological suffering or unconscious neurotic behavior. If patients with high Waddell scores receive only medical treatment and do not receive psychological intervention, then they probably will not improve. Dr. Waddell identified seven signs: Tail bone pain in a patient with a back injury, unless they experienced direct trauma to the tail bone. Whole leg pain in a stocking glove pattern, except in diabetic or alcoholic neuropathy. Whole leg numbness, except in diabetic or alcoholic neuropathy. Whole leg giving way. Complete absence of any periods without pain. Intolerance and reactions to treatment. Polantin and colleagues (1997), in a study of 50 low back pain patients, found that ***Waddell signs do not significantly predict return to work rates*** when patients have longer duration back pain and have undergone comprehensive functional restoration. One year follow-up found no statistical difference in return to work rates and other behavioral measures.<<< This information can be found here: http://www.oakes.org/webdoc3.htm (about half way down the page) Jack

Share what you know. Learn what you don’t.

Response:

: I remember some questions about Waddell’s Sign a few weeks back. Here is : a short blurb concerning the use of these seven signs. : *Flunking* Waddell signs. Physicians or FCE therapists may suggest that high Waddell scores prove faking. Waddell signs do not measure faking, but point to psychological suffering or unconscious neurotic behavior. If patients with high Waddell score s receive only medical treatment and do not receive psychological intervention, then they probably will not improve. : Dr. Waddell identified seven signs: : Tail bone pain in a patient with a back injury, unless they experienced : direct trauma to the tail bone. Yea, I had this from a serious direct hit to the tailbone (tore ligaments from right hip to sacrum & coccyx) but the docs don’t believe it cause the original doc did not document the problem on the ER sheet.   BTW, what about people with tailbones that always hit the seat of their chair.  I have to sit on one or the other hip, otherwise I end up with a sore tailbone (it hits the chair).  Of course, then I end up with hip problems. : Whole leg pain in a stocking glove pattern, except in diabetic or : alcoholic neuropathy. : Whole leg numbness, except in diabetic or alcoholic neuropathy. : Whole leg giving way. : Complete absence of any periods without pain. : Intolerance and reactions to treatment. Are we supposed to not tell our docs if we are intolerant of certain meds or are we supposed to prove the intolerance each and every time we are given something that (a) makes us throw up, (b) creates severe side effects such as low blood pressure? : Polantin and colleagues (1997), in a study of 50 low back pain patients, : found that ***Waddell signs do not significantly predict return to work : rates*** when patients have longer duration back pain and have undergone : comprehensive functional restoration. One year follow-up found no : statistical difference in return to work rates and other behavioral : measures.<<< : This information can be found here: : http://www.oakes.org/webdoc3.htm (about half way down the page) : Jack —

Response:

They’re disgusting, really…..to be able to use a med not being tolerated or PT not helping AGAINST the injured worker.  And when my first 2 discs herniated (luckily NOT WC) I believe it was more than a year before I had a whole day pain-free.  And my tail bone was so sore in hard chairs……all that would have counted against me if I was under WC…..yet it was all true & I wasn’t trying to get away with anything.      I think it’s close to criminal that WC is using these innocuous things against injured workers.  At the minimum we should let our friends & family know in case they have an injury….that they would not be classified as a malingerer.      weezie Doggett Sheryl wrote

|: *Flunking* Waddell signs. Physicians or FCE therapists may suggest that high Waddell scores prove faking. Waddell signs do not measure faking, but point to psychological suffering or unconscious neurotic behavior. If patients with high Waddell score |s receive only medical treatment and do not receive psychological intervention, then they probably will not improve. | |: Dr. Waddell identified seven signs: | |: Tail bone pain in a patient with a back injury, unless they experienced |: direct trauma to the tail bone. | |Yea, I had this from a serious direct hit to the tailbone (tore ligaments |from right hip to sacrum & coccyx) but the docs don’t believe it cause the |original doc did not document the problem on the ER sheet. | |BTW, what about people with tailbones that always hit the seat of their |chair.  I have to sit on one or the other hip, otherwise I end up with a |sore tailbone (it hits the chair).  Of course, then I end up with hip |problems. | |: Whole leg pain in a stocking glove pattern, except in diabetic or |: alcoholic neuropathy. | |: Whole leg numbness, except in diabetic or alcoholic neuropathy. | |: Whole leg giving way. | |: Complete absence of any periods without pain. | |: Intolerance and reactions to treatment. | | |Are we supposed to not tell our docs if we are intolerant of certain meds |or are we supposed to prove the intolerance each and every time we are |given something that (a) makes us throw up, (b) creates severe side |effects such as low blood pressure? | <<snip|: This information can be found here: |: http://www.oakes.org/webdoc3.htm (about half way down the page) |: Jack | |

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