Thoracic Outlet Syndrome Thoracic Outlet Syndrome/Brachial Plexopathy. In Memory Of DeAnne Marie.

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Old 02-22-2008, 12:12 PM #1
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Default Functional Capacity Evaluation

Anyone ever have one? It is scheduled with an OT and supposed to last 4 hours or so. It is to evaluate permenant restrictions as listed on my LTD claim with Unum.

It is scheduled for exactly two weeks after my scalenectomy...so I still have lifting restrictions from my surgery...i dont' know why they didn't wait a little longer, but they didn't.

In any case, supposed to evaluate my ability to lift, twist, bend, and specificalyl i have listed restrictions for grasping, keyboarding, reaching, and some other stuff on my claim.

Just wondered if anyone had any experience to share. Goign to look up old threads next.

Thanks
Johanna
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Old 02-22-2008, 02:12 PM #2
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That seems awfully close to your surgery.. can atty get it rescheduled - I'd hate to see you injure anything while doing the testing so soon
Are they aware that you just had this other surgery?
I'd make sure that they do know that for sure.

I think I saw one being done while I was @ PT 3 yrs ago.

It involved the guy placing pegs in holes, transferring items, overhead tasks and lifting, etc.
but maybe they are more job specific??
I heard that his job was electrician.
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Old 02-22-2008, 04:35 PM #3
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Default A heads up

Like Jo said that is really too close to surgery. If you had a C-section they would not have you perform an FCE under restrictions, why if you had a TOS surgery? On the other had you show up, you evaluate what they ask you to do, DO NOT PUT YORSELF IN HARM! If it is moveing items, lifting attempt to grasp, IT WILL HURT and state, I tried and it caused me pain in my etc, relate what you felt and where.

I would not even lift soup cans, if one only and asked to lift a second be atune to your body.
Remember in a function capacity, if you lift it once, they will only state you could lift, move, carry, not that you can only do one or SHOULD only do one a shift.

The most important thing, as a friend on the forum went through hers last year, she ended up in an extrem flare, long term and never would this information be in their report.

I would get a doctors not from the surgeon to state extrem, nearly no activity except incidental to take care of personal needs during the day, a NO WORK order so they can not ask you to do wprk related items.

They feel, if you can do an FCE two weeks after surgery, then you can go back to work.
These people do not understand, they are being paid by the insurance carrier to just see you do something and document you did it. No concern that it caused you injury, flare, or will harm you.
That is my experiance.
Keep us posted
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Old 02-23-2008, 07:21 AM #4
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Hi, I'm still hurting from my fce from last year. I was tested for grip strengths,standing, walking,stairs,low level work,reaching, trunk and neck bending, trunk and neck twisting,hand function, lifting, carrying, pushing as measured by a gauge.
All I can say I tried everything they asked. I would also caution that when you start having more pain and symptoms, stop what you are doing! Tell the examiner what hurts. Don't keep going. These tests are measured for objective evidence not subjective. But only you know what your capable of, so don't injure yourself further and do more harm to yourself. Why so soon after surgery? It's awful. I was given a heart monitor to wear durning testing. My fce was done over 2 days. Honestly, be careful, don't push yourself. If you can go easy on the pain meds for that day. I only say this because if your using meds. for pain control they will cloud your pain and judgement. Good luck. I wish I could type more and be more specific but I'm still in extreme pain after my fall on the ice last week, gosh flat on my back and of course wacked my head off the ice.
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Old 02-23-2008, 12:39 PM #5
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thanks everyone- i do plan on being careful, I have a note from the surgeon re: a 5 pound lifting limit and hospital discharge instructions with "no heavy lifting, bending, twisting"

the timing is due to their review of all my paperwork from before i had the surgery scheduled, but they do know that I just had surgery. The bummer for me is that i know that i can do certain things that will make me feel better right now, like particular types of massage, etc, but they will make me feel pretty good for a few weeks so now i feel like i have to put them off until after the FCE...because i don't want them to get a better idea of what i can do than what i can actually do.

Frankly, a walk around the block yesterday sent me into a huge flare, so i am not incredibly worried about how much i can do in front of someone at this point

What i have seen explained here and on a thread in the w/c forum is pretty much what i expected it to be, i am just worried about how biased it will be against me, i guess. There are no attorneys at work here, it is just me and the LTD company which so far has been quite reasonable. They are just trying to decide if my permenant restrictions are really meant to be permenant. I don't know how they can possibly evaluate that, but they seem to think they can...

in any case, I really appreciate everyone's responses...

Johanna
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Old 02-23-2008, 02:41 PM #6
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Your medical treatment team may be able to recommend a provider that has experience doing FCE's with people who have TOS. You likely will have to pay for it yourself but you will have a better chance of having a realistic estimate of your limitations. The FCE I had (done by someone recommended by my medical team) they measured TOS tests before and after typing and other tasks and were able to show changes in tests based on activity. I have never heard of this being done in FCE's paid for by insurance companies. I also saw my PT and doctor right before and right after the FCE and they commented on the objective signs of a flare up (swelling, TOS tests, etc.) and my reduced ability to do PT exercises. It's also documented in the records that the FCE caused a flare that lasted months.
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