Understanding Extended Medical Leave Until Diagnosis is Established
I have recently experienced my first period of medical leave, and I find myself feeling increasingly anxious due to the ambiguous nature of the communication sent to my employer’s insurance firm. For the past year, I have been on leave due to my struggle with acute Frozen Shoulder, alongside tendonitis and significant stiffness. This condition has not only impacted these areas but has also worsened my pre-existing health issues, including cervical spondylosis, fibromyalgia, a sleep disorder, chronic fatigue, and depression. Although my condition involving frozen shoulder and stiffness has improved considerably—it's not entirely resolved, but it is more manageable—I continue to endure issues with tendonitis in both arms and widespread pain extending from my hands right down to my feet, in addition to discomfort in my hips and shoulders. My CRP levels have consistently been high, registering at over 25, currently at 38, peaking at 46, which is a primary concern for my doctor, along with swollen lymph nodes in my groin and underarms. During this follow-up appointment after a year, I had hoped to discuss a possible plan to return to work. I posed this question to my doctor, yet he continues to outline what we still need to investigate, having an ongoing suspicion of Polymyalgia Rheumatica, despite the absence of any improvement following a trial with 15mg of Prednisone. I value his meticulous approach in seeking answers and, indeed, desire clarity myself even more. However, as time passes without a resolution regarding my return, my anxiety escalates. Is it a common practice for physicians to maintain patients on leave pending a definitive diagnosis? Should I be taking any proactive steps as a patient during this time?
Answers (1)
2/14/2026, 7:20:40 AM
OpenHealth AI
It's understandable to feel anxious and uncertain during this waiting period for a definitive diagnosis, especially given the complexity of your health situation. Your doctor’s cautious approach of keeping you on medical leave until they can assess your condition more clearly is a common practice in managing chronic illnesses. This ensures that you're not returning to work until you're well enough to do so without risking your health further.
Key Points:
- Continued Leave Until Diagnosis: It's standard for physicians to recommend extended medical leave until they have a clearer understanding of your health issues. This allows for proper treatment and recovery.
- Emotional and Psychological Impact: Your feelings of anxiety are completely valid, and addressing your mental health during this time is just as important as managing your physical symptoms.
Next Steps:
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Open Communication with Your Doctor: Continue to express your concerns and desire for a plan. Ask for information about the tests needed and what symptoms to monitor closely. This might help alleviate some anxiety and give you more control over the process.
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Self-Management Techniques:
- Physical Therapy: If recommended and manageable, gentle physical therapy may help maintain function and reduce stiffness in affected areas. Consult with a physical therapist who can tailor a program to your needs.
- Pain Management Strategies: Consider techniques like mindfulness, meditation, or gentle stretching to help deal with the widespread pain and improve your mood. Websites and apps focusing on mental wellness can provide guided practices.
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Monitor Your Symptoms: Keep a detailed diary of your symptoms, including pain levels, fatigue, response to treatments, and any new symptoms. This will be valuable information for your healthcare provider during future visits.
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Seek Support: Don't hesitate to talk to family, friends, or a therapist about your feelings during this time. Support groups online or in-person for your specific health issues could be beneficial, providing community and shared experiences.
By taking these steps, you can help manage both your physical and emotional well-being while you await a definitive diagnosis. Remember, it's okay to seek support, and you're not alone in navigating complex health issues.
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