Musculoskeletal conditions and chronic pain among working patients

Session details

Date:

Time:

12:00pm - 1:30pm (Toronto time)

Location:

Zoom videoconferencing

Didactic presentation by:

Andrea Furlan, Lynn Cooper

Session objectives

At the end of this session, participants should be able to:

  1. Describe an approach to examine a person with a musculoskeletal problem
  2. Explain the indications of opioids for nociceptive, neuropathic and nociplastic chronic pain
  3. Cite 10 evidence-based treatments for low back pain
  4. Understand the impact of working with chronic pain on the person

Session resources

Carpal Tunnel Syndrome - Discussion paper prepared for The Workplace Safety and Insurance Appeals Tribunal
This medical discussion paper will be useful to those seeking general information about issue involved. It is intended to provide a broad and general overview of a medical topic that is frequently considered in Tribunal appeals. Source: Workplace Safety and Insurance Appeals Tribunal
CFMWS and MFRC Support for Families
Resources to support the families of Canadian Armed Forces personnel and veterans. Source: CFMWS
Didactic presentation: Musculoskeletal conditions and chronic pain among working patients
In this presentation, Dr. Andrea Furlan discusses an approach to examining a person with musculoskeletal problems, explains the indications of opioids for nociceptive, neuropathic and nociplastic chronic pain, cites evidence-based treatments for low back pain, and discusses the impact of working with chronic pain on the person. Lynn Cooper, from the Canadian Injured Workers Alliance, brings the lived experience of persistent pain from a work injury to the didactic presentation.
Early Identification and Management of Psychological Risk Factors (“Yellow Flags”) in Patients With Low Back Pain: A Reappraisal
Nicholas MK, Linton SJ, Watson PJ, Main CJ; "Decade of the Flags" Working Group. Early identification and management of psychological risk factors ("yellow flags") in patients with low back pain: a reappraisal. Phys Ther. 2011 May;91(5):737-53. doi: 10.2522/ptj.20100224. Source: Oxford University Press
Military OneSource
Resources for military personnel and their families in the US. Source: US Department of Defense
Office ergonomics
Office ergonomic fact sheets. Source: Canadian Centre for Occupational Health and Safety
Power over Pain Portal
The Power Over Pain is a direct response to Health Canada's Action Plan for Pain in Canada. The goal is to provide access to free resources in a one-stop shop. Resources include articles, videos, podcasts, courses, workshops, and peer support. The site also links you to national and provincial services for health advice/counseling from healthcare professionals. Source: Ottawa Hospital Research Institute
PSPNet for Families
Evidence-based mental health resources for families of public safety personnel. Source: PSPNet
The Flag system
A resource on clinical flags and psychosocial flags to recovery and return to work. Source: Physiopedia
Warrior Kids Camp
An evidence-informed camp and virtual program that empowers children and youth to thrive despite the unique challenges posed by parents working as trauma-exposed professionals. Source: Wounded Warriors Canada
WSAIT Current Medical Discussion Papers
The Medical Discussion Papers are reviewed and updated on a periodic basis as deemed appropriate by the WSIAT, including when the current medical knowledge about a topic significantly changes. Source: Workplace Safety and Insurance Appeals Tribunal
YouTube - Let's talk about Pain
Dr. Andrea Furlan's channel is for education about the causes, prevention, treatment and management of chronic pain. Source: YouTube

About presenter

Dr. Andrea Furlan is a scientist at the Institute for Work & Health and a physician and senior scientist at the KITE Research Institute at University Health Network. She is also an associate professor in the Department of Medicine’s Division of Physiatry at the University of Toronto.

Furlan is an expert in rehabilitation medicine, chronic pain, systematic reviews, clinical practice guidelines, opioid treatments, cannabis and cannabinoids, and the implementation and evaluation of ECHO projects. Furlan was the first person to bring an ECHO project to Canada in 2014, on chronic pain and opioid stewardship. She has since helped many groups in Ontario start ECHO projects for conditions such as rheumatology, liver disease, epilepsy, mental health, children’s health, care of the elderly and wounds.

Furlan completed her residency in physiatry at the University of São Paulo in Brazil and obtained a PhD in clinical epidemiology from the University of Toronto. She completed a two-year clinical fellowship in physiatry at the Toronto Rehabilitation Institute. Furlan received the Canadian Pain Society’s Excellence in Pain Mentorship Award in 2021 and the Pain Excellence Award from the Pain Society of Alberta in 2020.

For more than 20 years, Lynn Cooper has been a national pain community leader, spokesperson, advocate, and educator, working toward improving pain management for Canadians. As a person with lived experience in workplace injury and persistent pain, Lynn advocates for the voices and perspectives of people with pain to be imbedded in research, policy discussions, and initiatives that will create solutions for more effective and compassionate pain care. She served as a voting member of the 2017 Canadian Opioid Guidelines and on Health Canada’s scientific review panels regarding opioid prescribing. Lynn currently participates on research teams that (1) investigate the efficacy of pain education methods for patients and health professionals, (2) study ways to improve pain care delivery systems, (3) develop online pain education modules for patients, and (4) develop clinical practice guidelines for opioid and cannabis prescribing for chronic pain. Lynn is the Director of Research and Education for the Canadian Injured Workers Alliance. In this capacity she leads projects that connect pain management and education within stay at work/return to work planning and identify the impacts of COVID 19 on injured workers. Lynn served on the SPOR Chronic Pain Network steering committee. 

Case presentations

Most of the learning in ECHO happens through presenting and discussing case presentations. If you have a case you would like to present, please submit a completed case presentation form to the ECHO OEM project coordinator.

Physicians presenting a case may bill OHIP for case conferences (billing codes K707 or K701).