WebMD Blogs
Icon

Pain Management and Migraine Relief

Chronic pain affects an estimated 86 million American adults to some degree. Approximately 45 million Americans suffer from chronic headaches. Indie Cooper-Guzman RN shares information and advice about migraines and headaches, their causes, triggers, and treatments.

background

WebMD Health News

Thursday, July 19, 2007

Back to Work After Disability
AddThis Social Bookmark Button

Recently I was hospitalized with Status Migrainous with post-discharge complications of steroid rebound and other medication reactions. I had been placed on temporary disability. For people with active jobs and a busy life, being off on medical leave is no picnic.

It is not restful sitting home "resting." It seems like much time and energy is spent thinking about everything that is left at the office still in need of completion. Are we dedicated and responsible workers? Are we workaholics? I thought I was in the first group but the reactions of the majority seem to place me in the latter. I am fretting about getting back to attend to responsibilities and everyone else is saying don't rush back.

No one seems to understand the implications of what will happen if the steps A,B, and C don't happen before the deadline of 7/21 before the product launch in 2 weeks - or maybe they do, and just don't feel the vested interest I do in seeing the project succeed. I take pride in my work...I love what I do...I am blessed with the skills I have and the achievements and accomplishments I have made.

So how do I put all of that aside and allow myself to really rest during this time of rehabilitation? Look at the situation at hand. When you get back you will have issues to address. Some will be more urgent than others. Organize those items so when you get into the office you can be as efficient as possible. Below is an outline of a plan I created for when I get back to my office. It is designed so I don't have to keep thinking about the load of work I have to do when I do get back into the office. Hopefully I will stop thinking so much about it and use the energy on resting and healing.
  1. Voice Mail: Allow 1/2 - 3/4 hour for just answering voice mail messages. Make note of all messages but do not respond to any of them.

  2. Email: Allow 1/2 - 3/4 hour for viewing email messages. Print out all messages that require a response and note briefly on the email itself what must be done to resolve the issue - pull chart, call Pete, schedule meeting, order books, etc.. If it takes but a minute to complete a simple task, you may rather do it then and there and resolve the issue this way. If you are like me, I block 1 to 1-1/2 hours on my calendar and use my time this way instead - saving the printing and noting for the more complex items that take more time to resolve.

  3. Meetings: If you will be returning on a day when regularly scheduled meetings will be occurring, you may wish to review pertinent email threads and voice mails during the review period. Just do so by sorting your Outlook emails by subject matter and grouping threads. This is great for reviewing entire conversation threads and getting the gist of matters quickly. Pull aside key people and get filled in on the key elements of the project as necessary. If neither of these options are possible then attend the meetings. Your colleagues will probably already be aware of your absence anyway and will understand.

  4. Projects - Prioritize: What were the major projects you were involved in when you suddenly fell ill or injured? What unexpected accommodations were made due to the events of your condition, i.e.: classes canceled, someone else taught them, etc.? What needs to be done now? Classes rescheduled? Documentation of classes noted, recorded, credit awarded, data entered?

  5. Reorganize/Review: Once you have touched on all of the areas of your position and responsibilities, review them to be sure you are back on top of everything and you are reorganized and comfortable with your stand. This may/will take a little time but will be the point when you feel the most comfortable when you are back on the job and feeling better.

Related Topics: Technorati Tags: , , ,

Posted by: Indie Cooper-Guzman, RN at 10:30 AM

6 Comments:

Anonymous Anonymous said...

As you can see by these exhausting recommendations--do not go back to work until you can jump in with both feet.

After being off work for 2 months after a Whipple surgery, I returned to work before I was ready because of pressure, from within and from outside. It was extremely difficult just to get through a day. I wish I had waited and listened to my mind and body before going back.

8:43 AM  
Blogger Paula said...

Hi , i am a 23 yr old female, I went snowboarding about 2 years ago, and let’s just say that i had problems getting off the lift a few times, and my bottom felt like it had been hit with a baseball bat the next day. :) Previous to that I had a mild car accident, I never had any broken bones in my body and have been involved in swimming, karate, dance for 5 years, ice skating 5 years (with plenty of falls), Being so young i never thought to get it checked, and after a week of Advil I was ok. Ever since that day, i have had episodes of extreme pain that would last 2-3 days where I couldn’t bend over twist, without assistance from friends of family. I didn’t make anything of it since the symptoms would dissipate within 48 hours or less. Eventually the symptoms progressed to a week to 2 weeks at a time, and about every 2 months this would happen. My doctor would give me some Lortab and Soma and I would be ok. Then this year about 6 weeks ago, the pain because unbearable and I was worried that I had a broken tailbone and this was why i had intense pain, for a month strait. Sitting felt like I was sitting on a knife and my left and right buttocks were sore, especially in the center part of them, so sore that I could not touch them without yelping. My x-ray results were normal, and I was shocked that I could have this much pain and not have a fracture. By the way I work as a secretary, which really aggravates my condition. Its not the sitting down that hurts the most, it’s when I get up I have an intense feeling of stiffness in my scrum/coccyx area, it feels “dried up” very, very unbearable pain. So after sitting and standing all day as my job requires me to, by the end of the day my mood gets bad, my aches and pains are a level 9-10 and I do this every day, when I go to the bathroom to do #2 it hurts a lot. My doctor/boss/father, diagnosed me with coccydnia. But I know that it was worse than that, he suggested Aleve daily and to do sit-ups to strengthen my back muscles. Well I did that and it didn’t do much, I think it actually worsened my condition. Now not only was bending over, sitting down, and twisting unebarable, anytime me and husband had intercourse the next day I feel like I needed a cane to walk around. Now I was getting (still am) a zapping feeling, like an electrical shock, 4-5 times a day from my sacrum/coccyx area down my left buttocks. Very painful. If I am sitting on a wood or tile floor and attempt to put all my weight on my tailbone, it’s impossible, i get the "sitting on a knife" feeling. So I had an MRI done, the results are as follows:

1.) No MR Visualization of microtrabecular fracture, involving the sacrum or coccyx
2.) Focus of yellow marrow within the third sacral segment.
3.) Mild Disk Desiccation and Diffuse Disk Bulge at the level of L5 S1
4.) Right ovarian Follicles
5.) A subcentimter intramedullary lesion is seen within the third sacral segment following the signal of intensity of fat on all sequences consistent with the focus of yellow marrow.

My doctor hasn’t really explained to me much other than “its normal, take some Aleve, and we will give you a cortisone shot to help when it’s unbearable” SO far I have had 2 shots, the first one fixed the pain within 15 minutes, that lasted about 3 days and then I felt the wrath of the shot, OH my, that was painful. But I was fine until about 2 days ago, I had another and this one didn’t work as well, but it helped. I felt the soreness of the shot last night, and I was in tears with the amount of pain I was in. I had to take 15mg of oxycodone with 5mg of valium and the pain still wasn’t fully gone. But I dealt and was better the next day, not 100% pain free but ok. Now today the zaps are back and worse than they have been. I’m afraid to work out or go for walks; because every time I do I mess myself up again. I just want to be back to normal and my financial situation doesn’t allow me to seek a specialist. I use ice and heat with helps for the time I used it but its still a unbearable pain cycle everyday for almost 2 month now. I have used a local spa every few days and tried Epsom salt baths occasionally. Valium helps for the spasms but pills can’t fix problems and I know this. Any advice?

12:17 AM  
Blogger Paula said...

This is in addition to my previous post:

I have had EMS treatments, ultrasound, and hot packs on a weekly basis for over a year. Also i was on prednisone for 2 weeks, i had the MRI done while being on prednisone. I am 5'6, 140 lbs. Hope all this info helps.

12:47 AM  
Blogger WebMD Blog Admin said...

Hi Paula,

For feedback on your situation, please post to two of our message boards:

Back Pain: Support Group

Pain Management: Indie Cooper-Guzman, RN

2:30 AM  
Blogger Marilyn said...

Something that can add to the stress of being off on disability is that in some states, there is no guarantee that you will be able to return to your old job. Here in Colorado, they do not have to give you your job back. This was a real surprise to us at the end of a nine month recovery for 2 shoulder surgeries for injuries caused at work. Despite assurance that he was wanted back on more than one occasion during recovery, his corporate managers determined they would no longer need his services. Just a heads up for you who may be as naive as we were.

1:20 PM  
Blogger K. Hinson said...

My daughter is complainging of pain in what I call her "butt bone" ... I assume that is the same thing as her coccyx? She has been complaining of pain for about a week now and says it hurts when she sits down - even when it is on a soft chair. Is this cause for a doctor's visit or just try Aleve or something? She has also been diagnosed with a slight degree of scoliosis ... could this have anything to do with it? Thanks for any suggestions or help. Oh, and she's only 17 so this is worrying me ...

12:34 PM  

Post a Comment

background