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.

Hernia, Incisional


Related Terms

  • Ventral Hernia

Differential Diagnosis

Specialists

  • General Surgeon

Comorbid Conditions

  • Cancer
  • Diabetes
  • Obesity
  • Pulmonary conditions that cause forceful coughing
  • Syphilis
  • Tuberculosis

Factors Influencing Duration

Factors that may influence the length of disability include the location, size, and severity of the hernia, the surgical procedure used, the individual’s health status, response to treatment, the presence and nature of complications, and the individual's job requirements. Individuals over age 35 tend to have a longer period of disability. Open surgery may also increase duration.

Medical Codes

ICD-9-CM:
551.21 - Incisional Hernia with Gangrene
552.21 - Incisional, with Obstruction
553.21 - Hernia, Incisional, without Mention of Obstruction or Gangrene

Rehabilitation

Following abdominal surgery, exercises to prevent pulmonary complications, reduce postoperative pain, and speed recovery, are necessary. Moving and walking on the day after surgery is recommended. The individual should not lift heavy weights or engage in any exercise that may place strain on the incision area for at least 6 weeks after surgery. Ongoing exercise therapy may be required, however, to educate the individual about proper body mechanics.

Although postural and biomechanical training can take up to 6 months, the individual may return to work without complications 2 to 3 weeks after surgery, so long as heavy lifting is avoided.

Since recurrent herniation often is caused by excess weight, the individual should be encouraged to maintain optimal body weight through appropriate lifestyle habits.

Source: Medical Disability Advisor






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