General Guideline Principles for Introduction to
Hip and Groin Disorders for workers compensation patients

The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Introduction to Hip and Groin Disorders.

These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders.

The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.

Introduction to Hip and Groin Disorders

History Taking and Physical Examination of Hip and Groin Disorders

Physical examination and history-taking lay the groundwork for and direct the progression of diagnostic and therapeutic procedures. When findings from clinical evaluations and those from other diagnostic techniques do not agree, preference should be given to the objective clinical findings. The following should be appropriately documented in the medical records:

History of Present Injury

  • Injury mechanism: Details about the onset of symptoms and advancement, as well as possible signs of postural or a practical adjustment to the hip/groin ailment;


  • Work-relatedness: This comprises a declaration of the likelihood that the ailment or injury is work-related


  • Prior injuries, both occupational and non-occupational, to the same area, including any previous treatments;


  • The capacity to carry out daily tasks and job-related duties; and,


  • Factors that can affect symptoms in ways other than only the hip and groyne.

Past History

  • Neoplasm, gout, arthritis, and diabetes are just a few of the past medical conditions that could have been present;


  • The symptoms of rheumatologic, neurologic, endocrine, neoplastic, and other systemic disorders are included in the review of systems, although they are not the only ones. GI and GU (noting any incontinence difficulties), as well as the appropriate musculoskeletal regions, should be included if applicable;


  • Smoking background;


  • Activities for work and play, incorporating a background in barotrauma;


  • Investigations of the imaging past; and


  • Past surgical experience.

Physical Examination of Hip and Groin Disorders

The joint beneath the afflicted area should be examined, along with the opposing side for comparison. An appropriate physical examination should include joint or organ-specific tests and exam methodologies. area under investigation, including:

  • Visual examination;


  • Palpation;


  • Range of motion and motion quality, including aberrant internal or external rotation and clicking, popping, or catching during range of motion;


  • Strength (weakness/atrophy);


  • Joint stability and integrity;


  • Evaluation for deformity/displacement, including comparison of leg lengths;


  • The distal circulation’s integrity, if applicable given the injury;


  • If necessary, a neurological examination (including testing reflexes, sensory and motor function);


  • Check for testicular discomfort or swelling, if necessary; and/or


  • Observe your gait and weight-bearing capacity.

What our office can do if you have workers compensation injuries

We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.

We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.

We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.


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Dr. Nakul Karkare

I am fellowship trained in joint replacement surgery, metabolic bone disorders, sports medicine and trauma. I specialize in total hip and knee replacements, and I have personally written most of the content on this page.

You can see my full CV at my profile page.