New York State Medical Treatment Guidelines for
Aggravated Osteoarthritis in 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 Aggravated Osteoarthritis.

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.

Description/Definition of Aggravated Osteoarthritis

Swelling or pain in a joint brought on by an accident, during an aggravating activity, or in a patient who already has a degenerative alteration in a joint.

Mechanism of Injury for Aggravated Osteoarthritis

May develop from a blow to the area, repetitive motion, or postural imbalance brought on by ongoing poor posture.

Specific Physical Findings of Aggravated Osteoarthritis

Increased pain and swelling in a joint

Testing Procedures of Aggravated Osteoarthritis

Radiographs

Radiographs is recommended as clinically indicated

Non-Operative Treatment

Non-Operative Treatment is recommended clinically appropriate in a subset of patients.

NSAIDs, APAP therapeutic injections, rest/restricted activity, off-loading with crutches or a cane, ice, elevation, bracing, active and/or passive therapy, and hyaluronate therapy may be added afterwards.

Surgical Indications / Operative Treatment

Surgical Indications / Operative Treatment is recommended in select patients.

Indications: symptoms that are functionally limited and resistant to conservative treatment Debridement, whether or not loose bodies are removed.

Surgical Indications / Operative Treatment

Surgical Indications / Operative Treatment is not recommended Arthroscopic joint lavage.

Note: Knee arthroplasty may be used as a kind of treatment for symptoms that do not respond to conservative therapies.

Post-Operative Therapy

Post-Operative Therapy is recommended as clinically indicated.

NSAIDs, APAP therapeutic injections, rest/restricted activity, off-loading with crutches or a cane, ice, elevation, bracing, active and/or passive therapy, and hyaluronate therapy may be added afterwards.

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.