fact sheet
ƵƌƐŝƟƐ
Also known as:
WƌĞƉĂƚĞůůĂƌďƵƌƐŝƟƐ;ŬŶĞĞͿ
KůĞĐƌĂŶŽŶďƵƌƐŝƟƐ;ĞůďŽǁͿ
^ƵďĂĐƌŽŵŝĂůďƵƌƐŝƟƐ;ƐŚŽƵůĚĞƌͿ
dƌŽĐŚĂŶƚĞƌŝĐďƵƌƐŝƟƐ;ŚŝƉͿ
What is it?
ϐŽƒƒ–‹‘‘”†‡‰‡‡”ƒ–‹‘‘ˆ–Š‡•ƒ…ǦŽ‹‡•–”—…Ǧ
–—”‡‘˜‡”ƒ„‘‡‘”Œ‘‹–Ǥ–…ƒ„‡ƒ••‘…‹ƒ–‡†™‹–Š
ƒ”–Š”‹–‹•ǡ’ƒ”–‹…—Žƒ”Ž›™‹–Š”Š‡—ƒ–‘‹†ƒ”–Š”‹–‹•‰‘—–Ǥ
‡’‡–‹–‹˜‡‘˜‡‡–†‹•‘”†‡”•…ƒ’”‘†—…‡•’‡…‹ϐ‹…
„—”•‹–‹•Ȃ‡šƒ’Ž‡’”‘Ž‘‰‡†‡‡Ž‹‰™‹–Š‘—–‡‡Ǧ
’ƒ†•…ƒ’”‘†—…‡’”‡Ǧ’ƒ–‡ŽŽƒ”„—”•‹–‹•Ǥ
How is it diagnosed?
Š‡”‡…‘—Ž†„‡ƒŠ‹•–‘”›‘ˆƒ…—–‡–”ƒ—ƒǡ”‡’‡–‹–‹˜‡
‹Œ—”›ƒ†Ȁ‘”•›•–‡‹…†‹•‘”†‡”•ǤŠ‹‡ˆ…‘’Žƒ‹–‹•
’ƒ‹ƒ–”‡•–ƒ†™‹–Š‘˜‡‡–ǤŠ‡”‡…ƒ„‡‘…Ǧ
…ƒ•‹‘ƒŽŽ‘••‘ˆƒ…–‹˜‡‘˜‡‡–ƒ†–‡†‡”‡••ƒ†
•™‡ŽŽ‹‰‘˜‡”–Š‡„—”•ƒǤ
What to look for
˜ƒŽ—ƒ–‡”ƒ‰‡‘ˆ‘–‹‘‘ˆ–Š‡Œ‘‹–ǤŠ‡”‡…‘—Ž†„‡
’ƒ‹ƒ†•™‡ŽŽ‹‰ƒ••‘…‹ƒ–‡†™‹–Š‹†‡–‹ϐ‹ƒ„Ž‡„—”•ƒǤ
How is it treated?
˜‘‹†ƒ‰‰”ƒ˜ƒ–‹‰ˆƒ…–‘”•Ǥƒ”‡Ž›•—”‰‡”›–‘”‡‘˜‡
–Š‡„—”•ƒ‹‰Š–„‡…‘•‹†‡”‡†Ǥ
Tests
‡‡†Ž‡‹‰Š–„‡—•‡†–‘™‹–Š†”ƒ™ϐŽ—‹†–‘…Š‡…ˆ‘”
‹ˆ‡…–‹‘‘”‰‘—–Ǥƒ‰‹‰•–—†‹‡•‘–‘”ƒŽŽ›—•‡†
ˆ‘”„—”•‹–‹•‡š…‡’–ˆ‘”•‘‡†‡‡’„—”•ƒǡ™Š‹…Šƒ”‡†‹ˆǦ
ϐ‹…—Ž––‘ˆ‡‡ŽǤ
Revised September, 2009
ŽŵŵŽŶDĞĚŝĐĂƟŽŶƐ
–‹Ǧ‹ϐŽƒƒ–‘”›‡†‹…ƒ–‹‘•ƒ›„‡’”‡•…”‹„‡†Ǥ
‘”–‹•‘‡‹Œ‡…–‹‘•‹‰Š–„‡”‡…‘‡†‡†Ǥ
What is the expected return to
work?
Medical Treatment:
‘„Žƒ••‹ϐ‹…ƒ–‹‘‹‹—Ǧƒš‹—
‡†‡–ƒ”› ‘” ǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤ Ͳ †ƒ›•
‹‰Š– ‘” ǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤ Ͳ †ƒ›•
‡†‹— ‘”ǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤ Ͳ †ƒ›•
‡ƒ˜› ‘” ǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤ ͹ Ȃ ͳͶ †ƒ›•
‡”› ‡ƒ˜› ‘” ǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤ ͹ Ȃ ͳͶ †ƒ›•
Surgical Treatment:
‘„ Žƒ••‹ϐ‹…ƒ–‹‘ ‹‹—Ǧƒš‹—
‡†‡–ƒ”› ‘”ǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤ ͳͲ Ȃ ͵ͷ †ƒ›•
‡†‹— ‘” ǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤʹͳ Ȃ Ͷͷ †ƒ›•
‡ƒ˜› ‘”ǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǤǥǥǥʹͳ Ȃ ͺͶ †ƒ›•
tŽƌŬZĞƐƚƌŝĐƟŽŶƐĂŶĚ
ĐĐŽŵŵŽĚĂƟŽŶƐ
˜‘‹†ƒ‰‰”ƒ˜ƒ–‹‰ˆƒ…–‘”•ˆ‘”–‹‡‘ˆ–”‡ƒ–‡–Ǥ‘”
‡šƒ’Ž‡ǡƒ˜‘‹†‡‡Ž‹‰‘”—•‡‡‡’ƒ†•–‘’”‡˜‡–
’”‡Ǧ’ƒ–‡ŽŽƒ”„—”•‹–‹•Ǥ
What is the Predicted Outcome?
‘”Ǧ”‡Žƒ–‡†„—”•‹–‹•‰‡‡”ƒŽŽ›‹’”‘˜‡•™‹–Šƒ…–‹˜Ǧ
‹–›‘†‹ϐ‹…ƒ–‹‘Ǥ—”•‹–‹•ˆ”‘•›•–‡‹…†‹•‘”†‡”•
‘ˆ–‡’”‘Ž‘‰‡†”‡…‘˜‡”›Ǥ