Despite the new evidence about the mechanics of whiplash and the overriding social and legal implications of whiplash, physicians still are called upon to offer practical self-help advice to their patients on what they can or cannot do. The consensus on whiplash management is currently settling upon a combination of therapeutic approaches, which include patient information, reassurance, and mobilization or activation through neck-specific exercises. This approach has not been scientifically validated, but is a synthesis of the best current evidence.
Two decades of research have made it clear that physicians must distinguish pain from physical impairment, and differentiate illness behavior from disability. Also important is the distinction between disability and physical impairment as a consequence of physical pathology. The contribution of psychological, social, and behavioral factors to disability ranges from minimal to major.
Contact dermatitis is an inflammatory skin condition caused by exposure to an external irritant or allergen. The result of the exposure is either an irritant contact dermatitis (ICD) or allergic contact dermatitis (ACD), although they can coexist.[1] These exposures can occur in occupational and non-occupational settings. ICD accounts for approximately 80% of all occupational skin diseases in BC, which is consistent with incidents reported in international occupational disease literature.[1,2,4]
