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AIBU? I think my work’s Occupational Health gave bad advice and made things worse.

10 replies

largeprintagathachristie · 10/06/2022 18:51

Not sure whether to post this here or in legal or in chronic pain. But anyway:

Due to lower back pain my work referred me many months ago to Occupational Health. There wasn’t sickness absence at this point as the flare had happened just before the Christmas break. On return I flagged that I was struggling with pain after the incident, which had happened during work hours. Desk job, lots of sitting, long hours. Workload issues long acknowledged. (In retrospect, all my Christmas annual leave I spent unable to walk and I guess I could have claimed it back. But it wasn’t suggested by work and it’s not the bit I’m bothered about.)

Work referred me to Occupational Health.
Occ Health referred me to their physio (paid for by work). Was given three weeks off work, sanctioned by work, not via GP.

I went to three of the physio sessions but was unimpressed in terms of no real history taken by the physio - I explained an existing back weakness but there just wasn’t any interest. The physio didn’t look at my back (it has structural problems that you can literally see if you look). I was just told to do, say 10 reps of such and such exercises on a mat in front of him. He’d ask me to sit in a chair and I’d say the pain was such that it was really difficult for me to sit. No progress or lessening of pain occurred. I called it a day after the third session when I found myself considerably worse afterwards, like not able to walk within 40 minutes of leaving the appointment . I told HR that I didn’t think it was a good fit and it was making me worse and they were wasting that budget.

Did follow that physio’s phased return to work timetable. This went tits up as the pain just wasn’t going away and was in fact often worse. The phased return was also really hard to manage as it was essentially an hour on, an hour off, most of which was was impossible because of workload and meetings. Very stressed as I got more and more behind with work and the pain continued, particularly sitting or standing.

Was mostly WFH but then started to have days in the office and I had a complete pain and mental health break down during one of them. Talked to HR and i have been signed off by GP for the past weeks. Mental health also a bit shot as worrying about job security as well as the chronic pain just not resolving, months in.

I have now seen an orthopaedic consultant. Went private as waiting lists incredibly long, as you would expect. My MRI confirms three separate tears and herniations in my discs - (that will have been from the incident in December) X- Ray shows the underlying spinal condition is severe. Like might need a major operation. In meantime booked in for steroid epidural next week for pain relief.

I am so relieved, weirdly, that this isn’t all in my head.

Am I reasonable to feel cross with the Work/Occupational Heath/ Physio-paid -for/by work pathway at the beginning of all this? The exercises their physio had me do were absolutely wrong for what was actually wrong with me. Why didn’t the Occ Health GP tell me to get straight onto an orthopaedic referral, given the underlying condition? Why did the physio seem less than interested?

My quality of life, recovery prognosis and timing and work record has been seriously affected. Future impact unknown.

I am cross with myself, too. But did trust, initially, those experts.

Would you flag to your work’s HR in those circumstances? If you’re HR, would you want to know? I don’t think I’m after anything but do think it’s something they might want to be more careful about in future.

Apols this turned out long. And probably has typos.

OP posts:
Jalisco · 10/06/2022 20:07

Back pain is incredibly hard to diagnose and treat. But in all fairness, doing that was not your employers responsibility. Occupational health are not specialists and they provide advice based on the extant information available to them. Why didn't you go to your own GP / get referred for proper diagnostic tests? That would have been the correct route, and it really isn't up to the employer to tell you that. And I say that with the best will in the world because I have severe arthritis in my spine, and back pain doesn't even begin to explain the problem. My employers do provide OH and additional physio etc., but they do so with medical advice from GP and specialists. It is my job, as the person with the condition, to decide the appropriate diagnostic route, and that was through mainstream medical pathways which OH are never a replacement for.

It wasn't for the OH doctor (assuming it was a doctor, because many aren't) to tell you to get a referral. That was the job of your own GP. Why didn't they do it?

PS good luck with the injection. It did sod all for me, so I hope it works better for you.

Aprilx · 10/06/2022 20:37

No I think you are being truly absurd. It is not your employers job to diagnose your medical needs and arrange treatment. This is something you should have been doing via your GP.

jacksonliam341 · 10/06/2022 20:40

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RJnomore1 · 10/06/2022 20:45

Wtf?

DaveSpondoolix · 10/06/2022 22:36

Sorry about your situation. If you think the physio didn't do their job properly, you'd be within your rights to complain to their employer or even the HCPC, depending on whether their treatment was negligent and has provably made things worse. I hope this isn't the case and you get some effective help soon Flowers

Planterina22 · 11/06/2022 05:23

If you knew you had an underlying complex issue why did you go via Occ health and not your gp? I’m not sure it’s fair to blame OH, they will be looking at the work station etc, they are not ortho experts.

Planterina22 · 11/06/2022 05:23

Ps hope you feel better soon.

PermanentTemporary · 11/06/2022 05:36

I'm with you tbh. First of all I'm glad that you are having treatment that holds out a prospect of things improving Secondly I'd agree that if OH are sending you to a physio I would expect the physio to do their job and assess properly which it doesn't sound like they did do. I would have thought they would want imaging to guide them for such significant pain and they should have sent you to your GP, perhaps with some general advice.

Complain if you can be bothered, but you may have enough on for now.

CatholicMind · 12/06/2022 17:13

Back pain is so hard to diagnose and every professional I saw last year promised me I'd be better within 3 weeks - they all thought they had the answer and one was paid for by me, one was private healthcare and one was an NHS physio. Finally bit the bullet and saw an Orthopedic surgeon who got me scanned (the radiologist told me I had one diagnosis, then on return to see the Ortho for results I had another diagnosis as my symptoms changed ever so slightly. I got steroids to reduce pain but even my recovery plan had the physio at loggerheads with the Ortho. I still have an unresolved issue that the physio is always convinced a few stretches will resolve - I applaud their optimism but I don't believe them. Going to HR? I wouldn't bother...unless you wish to complain about the physio...not sure the treatment you got was any different to a lot of the sessions I've had.

twointhemorning · 13/06/2022 23:01

It sounds like you tried to do the right thing by taking control of your back issues and to work with your employer.

Any decent physio probably should have referred you back to your GP for an MRI if your back pain wasn't improving (mine did). It sounds like he didn't believe your level of pain.

I'd be tempted to complain direct to the physio and maybe the occupational health company. No point in them sending clients to a rubbish physio. It's not up to your employer to diagnose you though.

There's a thread about misdiagnoses on the NHS currently in AIBU.

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