Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Job Classification

In most duration tables, five job classifications are displayed. These job classifications are based on the amount of physical effort required to perform the work. The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. The following definitions are quoted directly from that publication.

Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Epicondylitis, Medial and Lateral


Related Terms

  • Golfer's Elbow
  • Tennis Elbow

Differential Diagnosis

Specialists

  • Hand Surgeon
  • Occupational Therapist
  • Orthopedic (Orthopaedic) Surgeon
  • Physiatrist (Physical Medicine and Rehabilitation Specialist)
  • Physical Therapist
  • Rheumatologist
  • Sports Medicine Physician

Comorbid Conditions

Factors Influencing Duration

Duration of disability depends on job requirements (e.g., use of wrist or forearm, and use of dominant versus nondominant arm), conservative versus surgical treatment, and compliance with rehabilitation program. Disability may be longer for individuals whose job duties require forceful, intensive use of both arms, often with repetition, or when comorbid conditions exist. Duration may also be longer for individuals who have delayed response to initial treatment.

For epicondylitis, risk and capacity are not the issue, and the decision to stay at work or return to work is primarily based on tolerance. There is thus no basis for permanent physician-imposed work restrictions or physician described work limitations. Symptoms (pain) tend to be chronic with activities, although often not progressive. For further information, refer to tables 9-12 and 9-13 in "Disease and Injury Causation," page 167-169.

Medical Codes

ICD-9-CM:
726.31 - Medial Epicondylitis
726.32 - Lateral Epicondylitis; Golfers Elbow; Tennis Elbow

Failure to Recover

If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case.

Regarding diagnosis:

  • Does individual's occupation or hobby involve forceful of stressful use of the forearm, often in combination with repetition?
  • Does individual report elbow pain, swelling, and the inability to use the wrist and arm?
  • Has pain spread to the forearm?
  • Is the affected elbow on the dominant or nondominant side?
  • Does individual have a history of neck or shoulder injuries?
  • On physical examination, is the pain localized over either epicondyle?
  • Does pain increase with resisted wrist motion?
  • Is weakness noted in the forearm?
  • Has the individual experienced numbness and tingling in the affected arm?
  • Does the individual report occasional locking?
  • Did individual have an injection test done? X-ray? MRI?
  • Have conditions with similar symptoms been ruled out?

Regarding treatment:

  • Has individual responded favorably to treatment consisting of rest from the aggravating activity, ice packs, NSAIDs, and a splint?
  • Has individual received a corticosteroid injection?
  • Has individual allowed enough time for conservative treatments to be effective?
  • Was surgery necessary?

Regarding prognosis:

  • Is individual active in physical therapy? Does individual have a home exercise program?
  • Is individual's employer able to accommodate any necessary restrictions?
  • Has individual had an ergonomic evaluation of his or her work area?
  • Does individual have any conditions that may affect the ability to recover?
  • Does individual experience any complications such as radial or ulnar neuropathy?

Source: Medical Disability Advisor






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