Updated guidelines for workplace injuries

Updated evidence-based practice guidelines from the American College of Occupational and Environmental Medicine (ACOEM) have been published, including a section on elbow conditions. Here are key changes:

  • Detailed recommendations regarding the use of orthotics, exercise, heat and cold packs, iontophoresis, ultrasound, manipulation, massage, friction massage, soft tissue mobilization, biofeedback, transcutaneous electrical nerve stimulation (TENS), electrical stimulation, magnets, diathermy, extracorporeal shockwave therapy, phonophoresis, low level laser therapy, and acupuncture;
  • A more detailed physical examination section to improve diagnostic accuracy;
  • A thorough review of surgical procedures on the elbow;
  • Inclusion of numerous disorders including biceps tendinosis, pronator syndrome, dislocation, and sprains;
  • An in-depth review of medications used to treat elbow conditions, including acetaminophen, oral and topical nonsteroidal anti-inflammatory drugs, aspirin, narcotics, corticosteroid injections, and botulinum injections.

[Editor's note: To order a copy of the Occupational Medicine Practice Guidelines: Evaluation and Management of Common Health Problems and Functional Recovery in Workers, Second Edition, contact the American College of Environmental and Occupational Medicine (ACEOM) at 6583 Eagle Way, Chicago, IL 60678-1065. Phone: (847) 818-1800. Fax: (847) 818-9266. Web: www.acoem.org. Single copies of the elbow chapter are $29.95 for ACEOM members and $39.95 for non-members, including shipping. The complete guidelines are $175 for ACEOM members and $199 for non-members, including shipping.]