W i n d s o r - e s s e x c o u n t y h e a l t h u n i t

{Spring 2015}

BE A

STRONGER YOU

SAVE THE DATE!

PG 02 | INTRODUCTION TO MSDs

PG 03 | STAY STRONG

PG 04 | ERGONOMICS AND MOBILE DEVICES

PG 05 | TAKE ACTION TO PREVENT AND MANAGE ARTHRITIS

PG 06 | TAKING ON MSDs

PG 07 | WORK SAFE AT HOME TOO

PG 08 | FLEXIBILITY: THE MISSING LINK

PG 10 | UPCOMING EVENTS IN WINDSOR-ESSEX

PG 12 | KEY REFERENCES

CONTENTS

This Health Issues Newsletter focuses on ways to prevent and manage musculoskeletal disorders (MSDs) so that you can function to your full potential, both at work and at home.

From shoulder pain to ankle sprains, most Canadians have experienced some kind of musculoskeletal disorder (MSD) in their lives. In fact, MSDs affect 11 million Canadians over the age of 12 years annually and this number is projected to increase to 15 million in 2031 (Canadian Orthopaedic Care Strategy Group, 2010).

COMING SOON! Watch for the first instalment of the Challenge Yourself series to learn how to rethink the way you drink different beverages and how they affect your health.

MSDsmusculoskeletal disorders

FREEDENTAL SCREENING FOR INFANTS AND TODDLERS

Baby teeth matter!Did you know? …… Children should have their first dental screening by their first birthday, even before they have all of their teeth. The Baby Oral Health Program (BOHP) provides free dental screening for all children, aged 0 to 4, in Windsor-Essex County.

You can start taking care of your baby’s oral health even before your little one’s teeth come in. Early dental screening helps make sure your child’s teeth are growing well and are not at risk for cavities or tooth decay. If left untreated, tooth decay in a child can cause pain, affect how adult teeth grow, or even affect speech.

SCREENINGS BY A PUBLIC HEALTH DENTAL HYGIENIST INCLUDE: • Check for cavities. • Chat about a healthy mouth and teeth. • Fluoride treatment at no cost, if needed.

CALL TO BOOK YOUR FREE SCREENING!519-258-2146 EXT. 1199 WE HAVE 3 LOCATIONS TO SERVE YOU BETTER: • 1005 Ouellette Avenue, Windsor• 360 Fairview Avenue West, Suite 215, Essex• 215 Talbot Street East, Leamington

WWW.WECHU.ORG

MSDs can be caused from a variety of activities, many of which we do several times a day without giving much thought to it. MSDs can cause a lot of pain, lost time from work, or the inability to perform daily activities for a period of time. All this adds up to cost Canadians $22.3 billion annually, mainly for indirect costs such as long-term disability and worker’s compensation (Public Health Agency of Canada, 2010).

Living a healthy lifestyle that includes regular strength, endurance, and flexibility exercises help to prevent MSDs from occurring.

Welcome to Stronger You, the final issue of the three-part Healthy Bodies series. The goal of this series is to provide you with information, resource links, and practical tips on how to achieve a healthier body.

Read on for information, tips, and guidance on how to prevention or manage MSDs.

• Cross train! Participate in a variety of activities to switch up the impact and strain being placed on your body.

• Use proper equipment for all activities. Invest in good quality running shoes for cardiovascular activities and use safety equipment (e.g., helmets, wrist guards) where appropriate.

• Concentrate on using correct technique during all activities. If you’re unsure, seek advice from an expert.

• Be sure to properly warm-up, cool-down, and stretch following activity.

• Listen to your body. If you’re tired or sore, take a break from activity and allow your body to fully recover.

Being physically active should benefit your health, not hinder it. Follow the above tips to help prevent injuries and stay moving!

staySTRONGTHE BENEFITS OF PHYSICAL ACTIVITY

Running applies a force of your body weight to your joints.

DID YOU KNOW?

2.5xèSTAYING INJURY-FREE

Performing activities involving impact, such as running, puts strain on our joints. Doing these same movements repeatedly over the long-term can lead to overuse injuries (Miller, 2014). Overuse injuries can involve the muscles, tendons, ligaments, bones, or the joint bursae.

The benefits of physical activity are well-known. It can help you reach and keep a healthy body weight as well as reduce your risk of chronic health conditions such as type 2 diabetes, heart disease, and some types of cancer. Unfortunately, being active also has the potential to cause injury, either from overuse or exercising improperly.

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COMMON OVERUSE INJURIES INCLUDE: • SHIN SPLINTS • LOW BACK PAIN • IT BAND SYNDROME

No one starts physical activity with the goal of developing an injury, but is your plan designed to avoid injury? Keep the following tips in mind to do your best to stay healthy and active:

Mobile devices can pose musculoskeletal stress or injury if ergonomic practices are not maintained. Follow these ergonomic best practices when using mobile devices to reduce your risk of repetitive strain injuries and other musculoskeletal disorders.

LAPTOPSLaptops are not ergonomically designed for extended use. To avoid musculoskeletal stress, arrange your laptop to mirror a home office computer setup. Instead of slouching on a couch or working from the

coffee table, use an office chair. Ensure that the screen is at eye level by using a separate monitor or a laptop riser/stand. Your shoulders and arms should be in a relaxed position, with your elbows bent to 90 degrees. Use external devices such as a separate mouse or keyboard. In addition, take frequent small breaks to give your muscles, nerves, and joints a rest.

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WE HAVE BECOME INCREASINGLY RELIANT ON MOBILE TECHNOLOGY IN OUR PERSONAL AND WORK LIVES.

TABLETSTouchscreen computers such as iPads pose new ergonomic challenges. One such challenge is that touchscreen keyboards do not react when pressed. This lack of tactile feedback results in users striking the virtual keys using too much force.

As such, if you plan to use the tablet for a prolonged period of time, consider using an external keyboard. Also, use a stand that adjusts the tilt of the screen rather than using your hand to support the tablet. Be aware of your neck posture and avoid looking down for lengthy periods. Make sure to maintain a neutral wrist posture.

SMARTPHONES More than half (57%) of Canadians own a smartphone (CIRA, 2014). Awkward postures including bent necks are common with smartphone use. As such, ensure that you minimize the bend in your neck by keeping your phone as close to eye level as possible when typing.

Ensure your wrists are relaxed and as straight as possible. Switch between using your thumbs and other fingers when texting.

In addition to ensuring that you follow sound ergonomic practices when using your mobile devices, it is important that you also do so when using your desktop computer. For information regarding computer ergonomics, please visit the Health and Safety section of http://www.labour.gov.on.ca/. Be sure to see your healthcare provider if you are having symptoms or suspect that you may be developing a musculoskeletal disorder or injury.[

Ergonomics & MOBILE DEVICES

HAMSTRING

& CALF

FLEXIBILITY IS THE “MISSING LINK” that makes our muscles work most effectively, reduces our risk of injury and improves our function in daily activities. What are you waiting for? Make stretching a part of your physical activity routine.

TO PREVENT AND MANAGE ARTHRITIS

TAKE ACTION

There are two main forms of arthritis: 1.Inflammatory arthritis is made up of a group of autoimmune disorders where antibodies attack the lining of the joints, causing swelling and pain. Rheumatoid arthritis is the most common form of inflammatory arthritis.

2. Osteoarthritis results from damage to the joints which the body is not able to repair, representing over 75% of all arthritis cases. It can be caused by a number of factors, including chronic repetitive use, previous joint injuries, and obesity. The strategies below may help prevent the onset and progression of osteoarthritis. They can also reduce the severity, limited function, and pain associated with all types of arthritis.

BE PHYSICALLY ACTIVE: There is strong evidence that engaging in regular cardiovascular and strength training activities can help prevent osteoarthritis and increase joint function and quality of life for those with all types of arthritis.

ACHIEVE A HEALTHY BODY WEIGHT: Excess weight can put pressure on the body’s joints and cause pain. Participating in daily physical activity, along with improving your eating habits (i.e., by following Canada’s Food Guide), can help with weight loss and management.

ARTHRITIS IS A CHRONIC CONDITION OF THE JOINTS WHICH AFFECTS MORE THAN 4.6 MILLION CANADIANS (ARTHRITIS SOCIETY, 2014). THERE IS NO CURE FOR ARTHRITIS AND IT CAN AFFECT ANY PERSON, AT ANY AGE.

ARTHRITIS MANAGEMENT STRATEGIES The main symptoms of arthritis are joint pain, stiffness, and swelling. Arthritis pain can affect energy level, desire to perform everyday activities, mental health, and overall quality of life. The following strategies can help make living with arthritis more manageable.

Create a Complete Treatment Plan: Work with your primary health care provider (HCP) to coordinate your treatment plan. Your plan may include working with medical professionals from physiotherapy, occupational therapy, podiatry, and/or chiropody. Your plan should consider your daily activities and movements to reduce the strain on your body. At some point your treatment plan may include assistive devices such as splints, braces, and orthopedic shoes, to reduce pain and increase mobility.

Relaxation Techniques: Meditation and other techniques can also help you cope with arthritis pain. They can relax your muscle tension which contributes to pain when moving the joints. It can also help you sleep better, and reduce stress, depression, and anxiety.

Medication Treatments: Medication can be an important part of an arthritis management strategy. Work with your HCP to decide if medications are indicated and if so, be sure to take them as prescribed.

When arthritis is diagnosed early and an effective management plan is in place, most people can lead active and productive lives at work and play.

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T A K I N G O N

MUSCULOSKELETAL DISORDERS

When it comes to musculoskeletal

disorders (MSDs), prevention is the best medicine. However, once you have a MSD it is important to get it diagnosed and treated effectively.

There are many different kinds of treatments including: heat or cold

therapy; stretching and strengthening exercises; acupressure or acupuncture;

and anti-inflammatory medications. The best treatment depends on

several variables, including severity and duration of the condition, and the origin

of the musculoskeletal pain you are experiencing (i.e., muscle, ligament,

tendon, or joint pain).

* Note: Massage therapists are only regulated in Ontario, New Brunswick, Newfoundland, and British Columbia

Registered Massage Therapists (RMT) use their hands to knead, move, and apply pressure to body tissues such as muscles, tendons, and ligaments. RMTs assess soft tissue and joints, can help decrease soft tissue pain, and help with prevention of further MSD issues.

You may or may not need a referral to see these HCPs (depending on your provincial health plan or your benefits plan), but always discuss treatment options with your primary HCP. Some extended health benefit plans will cover treatment costs, but ensure you get treatment from a regulated HCP. No matter which treatment option you choose, it is wise to deal with the immediate problem and ideally prevent future MSDs from occurring.

Chiropractors are well-trained to treat a variety of MSDs. They are known for their work with disorders of the spine. They use non-invasive, hands-on methods to assess, diagnosis, and treat these conditions. In addition they can provide recommendations to help prevent disorders that come from the muscular, skeletal, and nervous systems.

Physiotherapists assess and treat patients with MSDs and can help to decrease pain. They use a variety of hands-on techniques but often use other treatments such as ultrasound and acupuncture. They also help address issues such as muscle weakness, work to improve physical function, and take a key role in the recovery and prevention of their client’s future problems.

WHO TREATS MSDS:THERE ARE A NUMBER OF REGULATED* HEALTHCARE PROFESSIONALS (HCPs) THAT HAVE SPECIAL TRAINING IN THE TREATMENT OF MUSCULOSKELETAL DISORDERS.

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Household chores are part of our daily life. They can include: vacuuming, preparing food, laundry, gardening, shovelling snow, and home repairs. Some of these tasks can strain our bodies due to lifting, reaching, and repeating the same movements; and, in some situations, can result in a musculoskeletal injury.

Signs and symptoms of these types of injuries are swelling, redness, difficulty moving a particular body part, numbness, tingling, and/or pain. These may appear suddenly from a single incident or appear gradually over a longer period. If you have any of these signs or symptoms stop and modify the activity you think is causing the problem, and consult your healthcare provider for early diagnosis and treatment.

WORK SAFE @ HOME TOO

To help reduce your risk of getting injured while doing indoor or outdoor chores, do the heavier tasks at the beginning of the household chores, rotate your tasks and share the work with others. Here are a few chore-specific tips:

• When using a vaccum or a mop, keep your hips and shoulders moving toward the work instead of twisting your back. Also avoid bending at the waist rather step forward with one foot and bend slightly at the knee, allowing your upper body to stay upright to reduce the strain. Use the same approach when shovelling snow or raking leaves.

• When lifting a heavy laundry basket or a heavy box in your garage, get close to the object, bend at the knees, and lift with your leg muscles. Do not bend at your waist.

• When picking up toys or other light objects from the floor, lean over the object, slightly bend one knee and extend the other leg behind you. Hold on to a nearby chair or table for support as you reach down to pick up the object.

• When folding laundry or making dinner, use a counter space that’s not too low or too high to prevent an awkward working posture. Your work surface should be at the height of your elbows. Keep a proper working posture with your head over your shoulders and shoulders over your hips to maintain upper-body alignment.

• When doing household repairs, think through the tools and materials you’ll need in advance, and put them in your work area. Avoid using hand-held tools (e.g., pliers), for too long. The pressure can cause tissue or nerve injury to the area where the object presses against your skin.

IT’S VERY IMPORTANT TO DO ANY ACTIVITY PROPERLY INCLUDING HOUSEHOLD CHORES. BE AWARE AND WORK SAFE AT HOME TOO.

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With one hand on your hip, reach overhead with opposite arm and slowly bend at the waist towards the hip you are holding. Repeat on opposite side.

While standing, place one hand on a nearby surface. Bend one leg at the knee, bringing your heel towards the buttocks while holding your foot or ankle. Repeat with opposite leg.

While standing, place one foot in front of you, toes pointed up towards the ceiling. Shift your weight to the back leg and bend the knee as you sit/lean back. Pull your toes towards you until you feel a stretch in the hamstring and calf muscle. Support your upper body weight by placing your hand on your leg, just above the knee. Repeat with opposite leg.

When planning to become more active, many of us focus on endurance or strength training activities and forget about the important role of flexibility in our overall fitness. It is essential for everyday living and allows for the greatest efficiency of our musculoskeletal system. Other benefits include reducing muscle stiffness, reducing the risk of injury, and improving performance in daily physical routines. Activities that focus on flexibility are useful in the prevention of musculoskeletal disorders and can be used to treat them.

The most common and easy way to improve overall muscular flexibility is stretching. It can be done anytime and anywhere. However, make sure you are using the proper technique, as stretching incorrectly can do more harm than good. The most effective method is static stretching, a slow sustained stretch that is held for a period of time (i.e., 10 to 30 seconds).

Before stretching, make sure to do activities (e.g., walking, jogging) to warm up your muscles for 5 to 10 minutes. Stretching should never be painful - the focus of your stretch should be to bring the muscle to a position that produces and sustains a slight pull. Hold the stretch for 10 to 30 seconds equally on each side without bouncing, and repeat 3 to 5 times. You can also bring movement into your flexibility exercise through dynamic stretching; the movement of the body from one position to another, slowly increasing the length of the stretch. Examples of this include Tai Chi, or Yoga.

OVERHEAD QUADRICEPS

HAMSTRING

& CALF

Flexibility: THE MISSING LINK

FLEXIBILITY IS THE “MISSING LINK” that makes our muscles work most effectively, reduces our risk of injury and improves our function in daily activities. What are you waiting for? Make stretching a part of your physical activity routine.

HERE ARE A FEW EXAMPLES OF STRETCHES THAT YOU CAN DO TO IMPROVE YOUR FLEXIBILITY

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Windsor-Essex County Health Unit Services

CINOT PROGRAMThe Children in Need of Treatment (CINOT) program provides urgent dental care for children up to the age of 18 who don’t have dental coverage.

FREE DENTAL SCREENING FOR INFANTS AND TODDLERSChildren should have their first dental screening by their first birthday. Screenings by a Public Health Dental Hygienist include checking for cavities, checking for healthy tooth development, and a fluoride treatment at no cost.

HEALTHY SMILES Healthy Smiles Ontario is a no cost dental program for children 17 and under who don’t have access to any dental coverage and who meet the program’s eligibility requirements. For more information on dental services call 519-258-2146 ext. 1199 or go to www.wechu.org/dental-health

FAMILY HEALTH HOTLINEA public health nurse is available to provide information and telephone counselling on a wide variety of topics (e.g., parenting, infant care, pregnancy, community resources). Hours of operation are from Monday to Friday 8:30 a.m. to 4:30 p.m.Call 519-258-2146 ext. 1350.

BREASTFEEDING SUPPORTIf you’re breastfeeding your baby and have questions, call the Family Health Hotline at 519-258-2146 ext. 1350. If further assistance is needed, you can make an appointment to visit a public health nurse at a breastfeeding clinic in the city or county.

BREASTFEEDING APP WYNI When You Need It: Breastfeeding Information. A new breastfeeding app is available for Android and iPhone phones. Get answers to breastfeeding questions, track feedings, wet and dirty diapers, and baby’s height and weight. WYNI is filled with colourful pictures, helpful diagrams, and videos that provide support for breastfeeding moms and babies. Free at Google Play and the App Store.

EXCITING HEALTH AND WELLNESS OFFER FOR YOUR COMPANY!The Canadian Cancer Society is committed to helping Canadians live longer, healthier lives. We recognize that healthy employees are important to a successful business and we are excited to announce our innovative new workplace wellness solution, Sprout! Sprout boosts wellness while providing tools to measure its impact. This online platform engages employees to set goals, track activities, join events, challenge others, and find groups of similar interests. It makes businesses become healthier, happier and more productive while boosting their bottom line.

For a limited time, the Canadian Cancer Society is offering this program for a special introductory rate to businesses with employees of 100 to 500.

To learn more about the Sprout Solution, or request a demonstration, please contact Judy Lund, Manager, Canadian Cancer Society at 519-254-5116 or jlund@ontario.cancer.ca.

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CANADIAN CANCER SOCIETYRELAY FOR LIFEJune 6, 2015Time: 5 p.m. to 11 p.m.Location: Riverfront Festival Plaza, Windsor, Ontario

Help the Canadian Cancer Society combat cancer with a fun team relay event! Decorate your tent and enjoy music, food, activities, and entertainment, as you and your team walk to help those who are battling cancer and to celebrate life!

For more information, please call 519-254-5116 ext. 3985

THE ARTHRITIS SOCIETY WALK TO FIGHT ARTHRITIS June 7, 2015Time: 10 a.m. (Registration: 8:30 a.m.to 9:30 a.m.)Location: Malden Park , Windsor, Ontario

The Walk to Fight Arthritis is Canada’s leading fundraising event dedicated to Canadians whose lives are affected by arthritis. Fundraising for this walk will help the Arthritis Society to support research and to provide programs and services that enable people with arthritis to live well at home, work and play.

To register for the Walk or for more information, please visit www.walktofightarthritis.ca

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Arthritis Societywww.arthritis.ca

Dietitians of Canada: www.dietitians.ca/Your-Health.aspx

National Institute of Arthritis and Musculoskeletal and Skin Disorderswww.niams.nih.gov

WEBSITES + RESOURCES

THE CANADIAN MENTAL HEALTH ASSOCIATIONRIDE DON’T HIDEJune 21, 2015Time: 8 a.mLocation: Children’s Aid Society, Windsor, Ontario

A national fundraising event to highlight the fight against the stigma of mental health - one peddle at a time. Participate in 10 to 75 km rides that are for all levels of cyclists of all ages. Funds from this event support the bereavement programs at the Canadian Mental Health Association – Windsor-Essex County Branch.

For more information, please visit www.ridedonthide.com/on/ride/windsoressex/

UPCOMING EVENTS IN WINDSOR- ESSEX

staySTRONGHEART & STROKE FOUNDATIONBIG BIKEJune 1, 2015 Location: Windsor Regional Hospital

June 5 to 6, 2015 Location: Downtown Windsor

June 13, 2015 Location: TBD

Gather a team together and hop on a bicycle built for 30 to help support heart disease and stroke survivors! The fundraising from this event will help to support heart disease and stroke research.

For more information, please visit www.heartandstroke.on.ca

COMING SOON QUIT 4 GOOD:

QUIT SMOKING CHALLENGEMAY 31 TO JUNE 30, 2015

An exciting 4-week quit smoking challenge for your employees with chances to win great prizes

each week they remain smoke-free!

All workplaces who are on the current Working Toward Wellness Program email list will receive more details about

the Challenge at the beginning of May 2015.

FREEDENTAL SCREENING FOR INFANTS AND TODDLERS

Baby teeth matter!Did you know? …… Children should have their first dental screening by their first birthday, even before they have all of their teeth. The Baby Oral Health Program (BOHP) provides free dental screening for all children, aged 0 to 4, in Windsor-Essex County.

You can start taking care of your baby’s oral health even before your little one’s teeth come in. Early dental screening helps make sure your child’s teeth are growing well and are not at risk for cavities or tooth decay. If left untreated, tooth decay in a child can cause pain, affect how adult teeth grow, or even affect speech.

SCREENINGS BY A PUBLIC HEALTH DENTAL HYGIENIST INCLUDE: • Check for cavities. • Chat about a healthy mouth and teeth. • Fluoride treatment at no cost, if needed.

CALL TO BOOK YOUR FREE SCREENING!519-258-2146 EXT. 1199 WE HAVE 3 LOCATIONS TO SERVE YOU BETTER: • 1005 Ouellette Avenue, Windsor• 360 Fairview Avenue West, Suite 215, Essex• 215 Talbot Street East, Leamington

WWW.WECHU.ORG

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REFERENCES

MSDs Ontario Ministry of Labour.(2009). Background: Recommendations on strategies to reduce work-related musculoskeletal disorders in Ontario. Retrieved from

http://www.labour.gov.on.ca/english/hs/pubs/ergonomics/erg_back-ground.php.

Canadian Orthopaedic Care Strategy Group.(2010). Backgrounder Report: Building a Collective Policy Agenda for Musculoskeletal Health and Mobility.Public Health Agency of Canada. (2010). Life with arthritis in Canada: A personal and public health challenge. Retrieved from http://www.phac-aspc.gc.ca/

cd-mc/arthritis-arthrite/lwaic-vaaac-10/8-eng.php

STAY STRONGHootman, J.M., Macera, C.A., Ainsworth, B. E., Martin, M., Addy, C. L. & Blair, S.N. (2001). Association among physical activity level, cardiorespiratory

fitness, and risk of musculoskeletal injury. American Journal of Epidemiology, 154(3), 251-259. doi: 10.1093/aje/154.3.251

Lieberman, D.E. (2011). Biomechanical differences between different foot strikes. Retrieved from http://www.barefootrunning.fas.harvard.edu/4Biomechan-

icsofFootStrike.htmlMiller, J. (2014). Overuse injuries: What is an overuse injury? Retrieved from http://physioworks.com.au/injuries-conditions-1/overuse-injuries

ERGONOMICS AND MOBILE DEVICESStanford University. Environmental Health & Safety. (2013). Ergonomic Guidance for Mobile Devices.Tessler, F. (2012). The hidden dangers of touchscreens. Retrieved from http:// www.infoworld.com/article/2618327/laptop-computers/the-hidden-

danger-of-touchscreens.htmlCanadian Internet Registration Authority (2014). Te Canadian Internet. Retrieved from http://www.cira.ca/factbook/2014/the-canadian-internet.html

TAKE ACTION TO PREVENT AND MANAGE ARTHRITISThe Arthritis Society. (2014). Arthritis in Canada: Facts & Figures. Retrieved from http://www.arthritis.ca/document.doc?id=925

TAKING ON MSDsCanadian Physiotherapy Association. (2012). The value of physiotherapy: musculoskeletal conditions. Retrieved from http://www.physiotherapy.ca/

getmedia/ccbbd054-8ff4-4d45-af75-96a9133caf49/CPA_TheValueOfPhys-io2012_Musculoskeletal-v1.pdf.aspx

WORK SAFE AT HOMEAmerican Academy of Orthopedic Surgeons. ( 2012). Preventing Back Pain at Work and at Home. Retrieved from http://orthoinfo.aaos.org/topic.cfm?topic=A00175Work Safe BC (2008). Understanding the risks of musculoskeletal injury (MSI): An educational guide for workers on sprains, strains, and other MSIs. Retrieved

from http://www.worksafebc.com/publications/health_and_safety/by_topic/assets/pdf/msi_workers.pdf

Canadian Centre for Occupational Health and Safety (2012). Hand Tool Ergonomics - Health Hazards. Retrieved December 18, 2014, from http://www.ccohs.ca/

oshanswers/ergonomics/handtools/hazards.html

© Windsor-Essex County Health Unit, March 2015.

The Windsor-Essex County Health Unit and the Working Toward Wellness Workplace

Wellness Program will host the 2015 Working Toward Wellness Luncheon Series.

SAVE THE DATE!

WHEN: Wednesday June 10, 2015

TIME: 11 a.m. to 1:30 p.m.

WHERE: Caboto Club (Caboto Hall)

2175 Parent Avenue, Windsor, ON

JOIN US FOR A “MEET SMART” LUNCH David Willows, Vice President of Strategic Market Solutions at Green Shield Canada will tell us about the

broader health management issues facing Canadian employers, today.

For more information about this event please call 519-258-2146 ext. 3100, or visit www.wechu.org.

FLEXIBILITY: THE MISSING LINKCanadian Centre for Occupational Health and Safety. (2014). Work-related musculoskeletal disorders. Retrieved from http://www.ccohs.ca/oshanswers/

diseases/rmirsi.html Rostykus, W., Mallon, J. (2013). Musculoskeletal disorders: Five common management approaches. Professional Safety, 58, 12, 35-42.