title: Return to work after two years of total disability: a case report.
abstract: BACKGROUND
  Little is specifically written regarding the details of clinical interventions with workers with chronic spinal pain. Specifically, the individual thought process behind the management of an injured worker is not often discussed except in clinical conferences or discussions with other clinicians. It is well known that once an injured worker is disabled from work for 2 years, successful return is unlikely. We thought it would be informative to illustrate the clinical approach we took with this case because of the history of long term pain and disability.
  
  
  METHODS
  This paper describes the conservative management of a patient who was disabled from work for 2 years, using an integrated approach including chiropractic manipulation, pain education, restricted duty and clear communications among all parties involved.
  
  
  RESULTS
  After 15 weeks, the patient returned to her previous occupation as a nurse, first part time, and subsequently full time.
  
  
  CONCLUSIONS
  This report is provided to illustrate a systematic approach diagnosis and treatment to assist this injured workers return to work. This case illustrates that even after 2 years successful return to work can be achieved.
authors.affiliation: Rhode Island Spine Center, 600 Pawtucket Avenue, Pawtucket, 02860, USA. rispine@aol.com
authors.forename: Donald R
authors.initials: DR
authors.lastname: Murphy
authors.forename: Alisson
authors.initials: A
authors.lastname: Rosenblum
mesh_terms: D000328:Adult; D002908:Chronic Disease; D006233:Persons with Disabilities; D004651:Employment; D005260:Female; D006801:Humans; D010147:Pain Measurement; D010353:Patient Education as Topic; D026741:Physical Therapy Modalities; D011843:Radiculopathy / Q000534:rehabilitation*